Turn your PDF into an API-fillable template in seconds. No signup required.
Try it now
Turn your PDF into an
API-fillable template in
seconds
Upload any PDF to see Anvil's Document AI in action. No signup required.
Products
Workflows
Automate complex document processes
Etch E-sign
Embed white-labeled e-signatures
PDF Services
Fill PDFs with collected or stored data
Webforms
Collect data with mobile-friendly webforms
Document AI
Faster way to build workflows
Document SDK
All you need to automate documents
Industries
Insurance
Rate, quote, and bind faster
Human resources
Automate onboarding documents
Real estate
Secure workflows for buying, selling, renting
Healthcare
Launch HIPAA compliant document workflows
Finance
Automate documents for financial products
Case studies
Learn how businesses have grown with Anvil
Resources
Form library
Ship faster with pre-made form templates
Blog
New features, industry news, customer stories
Help center
Step-by-step guides for using Anvil
Product updates
New features & app improvements
Ask Anvil
Answers to your paperwork questions
Features
Overview of all Anvil features
Developers
Get started
A quick introduction to building with Anvil
Documentation
Learn how to build Anvil into your product
API reference
GraphQL types, queries, & more
Open source
Pre-written clients to simplify development
Engineering blog
Technical topics, how-tos, & more
Pricing
Try it free
Get a demo
Products
Industries
Resources
Developers
Pricing
Login
Try it free
Change Of Address Form Benefit Recipient
One API call is all it takes. Free to use.
Fill it over API
Download fillable PDF
AI-generated
4.8 Stars
A form for benefit recipients to update their mailing address with the Massachusetts Teachers' Retirement System (MTRS)
Fill over API
Get it e-signed
Build document flow
Fill out your PDF over API
Send JSON, fill PDF
. It's that simple.
Fast and scalable PDF filling.
Quick
AI-assisted
template setup.
Get started for free
Get your PDF filled and signed
Request e-signatures over
API
.
Save time (& sanity) with
Document AI
.
Style
&
embed
e-sign into your application.
Get started for free
Automate your document flows
Generate
production-ready Webforms
from PDFs in seconds.
Collect reusable, structured data.
Customize document workflows without code.
Get started for free
See other related forms
FEHB Premium Conversion Election Form
PDF template
Form for federal employees to elect or waive pre-tax treatment of Federal Employees Health Benefits Program premium contributions.
See template
See template
Ohio Qualified Energy Project Tax Exemption Program Employee Ohio Domicile Declaration Form
PDF template
A form for employees to declare their Ohio domicile for a Qualified Energy Project tax exemption program, providing evidence of Ohio residency.
See template
See template
FY 2024 Kyoto City Livelihood Support Benefit (Adjustment Benefit) Application Form
PDF template
Application form for residents of Kyoto City seeking livelihood support benefits based on changes in income or tax situation for fiscal year 2024.
See template
See template
Assistance Programs Application
PDF template
An application form for various social assistance programs including TANF, SNAP, Refugee Cash Assistance, and other support services.
See template
See template
LSU Institutional Review Board Consent Form Checklist
PDF template
A comprehensive checklist to ensure all required elements of informed consent are properly addressed in research study consent forms.
See template
See template
Application For Naturalization
PDF template
Federal Register notice outlining the details of the U.S. Citizenship and Immigration Services' information collection for the Application for Naturalization.
See template
See template
Welcome To Your Job As An In Home Supportive Services (IHSS) Individual Provider
PDF template
A notice describing benefits and tax responsibilities for In-Home Supportive Services individual providers in California.
See template
See template
Travel Expense Reimbursement Form
PDF template
A form for documenting and calculating travel-related expenses for an employee attending a professional conference.
See template
See template
Cancellation Form
PDF template
Formal document for individuals to cancel their participation in the Address Confidentiality Program and stop mail forwarding services.
See template
See template
FORM 40V Individual Income Tax Payment Voucher
PDF template
Official tax payment form for Alabama state individual income tax returns and tax payments
See template
See template
Direct Reimbursement Claim Form
PDF template
A form for submitting vision care reimbursement claims for out-of-network services and eyewear expenses
See template
See template
Certificate Of Domicile Of Non Resident For Indonesia Tax Withholding (Form DGT 1)
PDF template
Official form for non-resident taxpayers claiming relief from Indonesian income tax under double taxation conventions.
See template
See template
Independent Contractor Agreement Instructions
PDF template
A comprehensive guide explaining the definition, requirements, and key components of an independent contractor agreement between a service provider and an organization.
See template
See template
Employee Benefits Administration Guide
PDF template
Comprehensive guide for managing employee benefits, enrollment, and coverage processes for CHP (likely a health provider)
See template
See template
Form 100X 2023 Side 1
PDF template
A tax-related document for reporting amendments or corrections to a previous tax filing.
See template
See template
LGPC Bulletin 101
PDF template
Monthly bulletin providing updates on local government pension schemes, regulations, and guidance for April 2013.
See template
See template
2020 Form NJ 1041 New Jersey Income Tax Fiduciary Return
PDF template
Official tax form for filing New Jersey income tax returns for fiduciary entities for the tax year 2020.
See template
See template
Warranty Claim Form
PDF template
Comprehensive form and documentation requirements for submitting tire and wheel warranty claims for Lionshead Tire and Wheel products.
See template
See template
MetLife Disability Insurance Absence Reporting Guide
PDF template
Comprehensive guide for reporting disability and medical leave claims through MetLife, including FMLA and other absence types.
See template
See template
NJ 1065 Partnership Return Instructions
PDF template
Comprehensive guide for filing New Jersey partnership tax returns, including filing requirements, fees, and tax allocation rules
See template
See template
LLC Partnership Preparation Checklist And Questionnaire
PDF template
A comprehensive tax year questionnaire for documenting changes and key information for an LLC partnership's tax preparation
See template
See template
IRA Contribution Form
PDF template
A form for making deposits into Traditional or Roth IRA accounts through the CalSavers program.
See template
See template
1098 T FAQ
PDF template
A comprehensive guide addressing common questions about the Form 1098-T Tuition Statement for tax reporting purposes.
See template
See template
1098 T Tax Form
PDF template
A tax form reporting qualified education transactions and expenses for students to help determine potential tax credits.
See template
See template
10 Day Change Form Household Members
PDF template
A form for reporting removal of household members within ten calendar days of change, used by housing authority participants to update household composition.
See template
See template
CONFIDENTIAL EMERGENCY MEDICAL FORM
PDF template
A comprehensive medical form for capturing personal health details, emergency contacts, and critical medical information for emergency situations.
See template
See template
TIM Administrator Access Request Form
PDF template
Form for requesting or modifying TIM administrator access at the University of North Carolina at Chapel Hill
See template
See template
HOUSING AGENCY RETIREMENT TRUST ENROLLMENT FORM 110
PDF template
A mandatory enrollment form for newly-eligible employees joining a housing agency retirement trust plan
See template
See template
Catastrophic Disability Preliminary Report
PDF template
A detailed report examining policy, eligibility, and benefits for catastrophic disability for law enforcement and fire fighters in Washington State.
See template
See template
Privileged Assets Service Request
PDF template
A form for changing address and/or name for RiverSource Life Insurance contract owners
See template
See template
HSA Payroll Deduction Authorization Form
PDF template
Form for employees to authorize payroll deductions for health savings account (HSA) contributions through the city's high-deductible health plan.
See template
See template
Product Order Form
PDF template
A comprehensive order form for purchasing products from Toastmasters International, including shipping and payment details.
See template
See template
Offer Of Sales Employment Letter
PDF template
A formal employment offer letter for a sales position detailing salary, benefits, and employment terms.
See template
See template
Request For Copy Of Military Discharge Form
PDF template
A form used to request a copy of a veteran's military discharge document from a county office.
See template
See template
Complaint Resolution Form
PDF template
A form designed to capture detailed information about customer complaints and feedback for resolution purposes.
See template
See template
Dental And Eye Care Insurance Enrollment Form
PDF template
A comprehensive form for enrolling in dental and eye care insurance coverage, capturing employee and dependent information.
See template
See template
Disability Benefits Chapter
PDF template
Comprehensive guide to disability benefits types, service credit, employment restrictions, and medical certification requirements for members.
See template
See template
Chapter Twelve Disability Benefits
PDF template
Comprehensive overview of disability benefits, types of coverage, service credit, employment restrictions, and medical certification requirements for members.
See template
See template
County Tax Notice Of Garnishment Form
PDF template
Official legal document from Circuit Court of Oregon notifying a garnishee about a tax debt collection process
See template
See template
Form 943 X (Rev. February 2014)
PDF template
IRS form for correcting errors on an annual federal tax return for agricultural employees, used to adjust or claim a refund for employment tax reporting mistakes.
See template
See template
Superintendent Employment Agreement
PDF template
Employment contract for Glenn "Max" McGee as Superintendent of Palo Alto Unified School District, specifying salary, term, and benefits.
See template
See template
Vision Group Insurance Form
PDF template
Insurance claim form for submitting vision care expenses and patient information to Standard Insurance Company.
See template
See template
DIRECT DEPOSIT FORM
PDF template
A form for establishing or updating direct deposit banking information for State Teachers Retirement System of Ohio benefits
See template
See template
EMPLOYEES 14 DIGIT CANCELLATION FORM
PDF template
A form for cancelling or updating employee identification and account information in a government system, specifically for Sikkim government employees.
See template
See template
Form NOL F85A
PDF template
Alabama state tax form for estates and trusts to apply a net operating loss to another tax year
See template
See template
Annual Report Reminder
PDF template
Guidance for employers filing the annual earnings report for the Teachers' Retirement System in Illinois, including filing deadline and requirements.
See template
See template
Retiree Basic Life Insurance Form
PDF template
Form for retirees to elect or decline basic life insurance coverage and designate beneficiaries.
See template
See template
Employee Change Of Address Form
PDF template
A form for Vanderburgh County employees to update their personal contact information and address with the county auditor's office.
See template
See template
Monthly Billing Option Change Form
PDF template
A form for changing billing options for eHawaii.gov subscriber accounts, including electronic fund transfer, manual payments, and credit card options.
See template
See template
457 DEFERRED COMPENSATION PLANS CONTRIBUTION FORM
PDF template
A form for participants to specify contribution amounts and elections for their deferred compensation plan with pre-tax and Roth contribution options.
See template
See template
ELITE CHOICE RETIREMENT PROGRAM 403(B) PLANS TRUSOURCE NEW ACCOUNT PACKAGE
PDF template
A comprehensive new account package for establishing a 403(b) retirement plan with Union Bank of California's TruSource division, designed for educational institutions.
See template
See template
Time Leave Benefits And Other Benefits For College Assistants
PDF template
Comprehensive document outlining leave, holiday, and fringe benefits for hourly college assistants at Brooklyn College.
See template
See template
457 Deferred Compensation Plans Contribution Form
PDF template
A form for initiating or changing contribution amounts to a 457 deferred compensation plan account with MissionSquare Retirement.
See template
See template
Blue Cross Of Idaho Care Plus, Inc. Health Assessment
PDF template
Form for collecting health information from newly enrolled Medicare Advantage members to develop individual care plans.
See template
See template
Federal Income Tax Withholding For STRS Ohio Benefits
PDF template
A form for STRS Ohio benefit recipients to manage federal income tax withholding for their retirement benefits.
See template
See template
Withholding Certificate For Ohio Personal Income Tax
PDF template
Form for Ohio state tax withholding election for State Teachers Retirement System benefit recipients
See template
See template
Pension Application Form
PDF template
Application form for becoming a member of the Future Super Pension Plan, requiring personal details and tax information.
See template
See template
Form 1751a Benefits Enrollment
PDF template
A form for employees to enroll or modify health and welfare benefits at Los Alamos National Laboratory.
See template
See template
Member Information And Beneficiary Designation (MIBD) Form Instructions
PDF template
Instructions for completing the Teachers' Retirement System member information and beneficiary designation form for new and existing teachers in Illinois.
See template
See template
ORDER FORM
PDF template
Order form for purchasing multiple issues of a publication with pricing and shipping details.
See template
See template
Summary Of The Labor Pension For Contract Staff
PDF template
Detailed guidelines for labor pension contributions and regulations for contract staff at National Cheng Kung University, covering mandatory and personal contributions.
See template
See template
How To Obtain A Tax Transcript
PDF template
Instructions for requesting an IRS tax return transcript for financial aid verification purposes through online or telephone methods.
See template
See template
IU 1820 Retirement Plan Federal State Income Tax Deductions
PDF template
Form for Indiana University employees to specify income tax withholding preferences upon retirement.
See template
See template
BILLING INFORMATION FORM
PDF template
Form for collecting billing contact information and sales tax certification for lease payments.
See template
See template
Union Benefits Cancellation Form
PDF template
Form for union members to cancel or modify their existing insurance and benefits coverage across multiple carriers.
See template
See template
Employee Enrollment Form
PDF template
A comprehensive form for employees to enroll in health insurance coverage with options for individual and family plans.
See template
See template
Form 8.9 Club Check Request Form
PDF template
A financial form used by 4-H clubs to request and document check issuance for club expenses with receipt requirements.
See template
See template
Customer Service Feedback Form
PDF template
A form for customers to provide feedback about their experience with the Clerk of Superior Court's Office and customer service interactions.
See template
See template
Advisory Opinion Letter Labor Management Services Administration
PDF template
Official Department of Labor opinion regarding whether a multi-purpose payroll deduction arrangement for IRA contributions qualifies as an employee pension benefit plan under ERISA.
See template
See template
Schedule KIDA T
PDF template
A tax form for tracking Kentucky Industrial Development Act project incentives, debt service payments, and tax credits for businesses.
See template
See template
Union Benefits Cancellation Form
PDF template
A form for union members to cancel various insurance and supplemental benefits from multiple carriers
See template
See template
Group Disability Claim Filing Instructions
PDF template
Instructions and form for filing a disability claim with American Fidelity Assurance Company for disability benefits.
See template
See template
Change Of Address Form
PDF template
Official form for social workers to update their professional and home address with the Nevada Board of Examiners for Social Workers.
See template
See template
Creative Arts Student Registration
PDF template
A comprehensive registration form for students enrolling in creative arts courses, collecting personal, educational, and employment information.
See template
See template
Diocese Of Owensboro Employee Exit Checklist
PDF template
A comprehensive guide for managing an employee's departure process, including property return, benefits transition, and administrative steps.
See template
See template
Short Term Disability Claim Form
PDF template
A comprehensive form for filing a short-term disability claim, capturing personal, medical, and employment details for disability benefits.
See template
See template
Tender For Procurement Of Adobe Acrobat Pro DC And Adobe Creative Cloud
PDF template
Tender document by Bank of Baroda for purchasing Adobe Acrobat Pro DC and Adobe Creative Cloud licenses for their Information Technology Department.
See template
See template
Time Off Request Form
PDF template
A formal document for employees to request and document various types of leave or time off from work.
See template
See template
Retirement Benefit Plans Summary
PDF template
A comprehensive summary of retirement plan options for regular, part-time city employees, including mandatory and voluntary retirement savings plans.
See template
See template
Retirement Benefit Plans Summary For Regular, Part Time General Schedule Employees (Non Public Safet
PDF template
A comprehensive guide detailing retirement plan options for regular, part-time general schedule employees of the City of Alexandria.
See template
See template
Retirement Checklist For 2001 Tier 1 Members
PDF template
A comprehensive checklist for employees planning retirement, outlining key steps and timelines for preparing to retire.
See template
See template
2003 W 4 EmployeeS Withholding Form
PDF template
Memo providing guidance on completing the 2003 Federal W-4 tax withholding form for employees and new hires.
See template
See template
HUMAN RESOURCES MEMORANDUM NO. 04 006
PDF template
Official communication regarding updated federal W-4 tax withholding form for 2004 and guidance for employees on completing the form.
See template
See template
WSU Faculty Computer Purchase Exemption Petition
PDF template
Process for Wright State University faculty to request computer equipment that differs from standard university recommendations.
See template
See template
Payroll Bulletin
PDF template
Periodic guidance bulletin for Commonwealth payroll operations covering FBMC Focus Group meeting and I9 form updates.
See template
See template
Change Of Address Form
PDF template
Form for participants to update their contact information with the Southern California United Food & Commercial Workers Unions and Drug & General Sales Employers Trust Funds
See template
See template
Fourth Memorandum Of Understanding On Service Standards And Disputes
PDF template
A memorandum of understanding between the Internal Revenue Service and Free File Alliance, LLC regarding online tax preparation and filing services.
See template
See template
Summary Of 2010 Tax Legislation
PDF template
A comprehensive report of revenue and tax legislation approved during the 2010 Washington State Legislature sessions.
See template
See template
Nonresident Shareholder Agreement
PDF template
Tax form for nonresident shareholders of S Corporations doing business in North Carolina, establishing tax obligations and jurisdictional consent.
See template
See template
NFHS Medical Release Form For Wrestler To Participate With Skin Lesion(S)
PDF template
A medical release form developed by NFHS Sports Medicine Advisory Committee for wrestlers with skin lesions to determine safe participation in sports.
See template
See template
IRS Memorandum 20124401F
PDF template
Internal Revenue Service legal memorandum addressing capitalization of minimum royalties under Section 263A for patent licensing agreements.
See template
See template
Tax Executives Institute Meeting With CRA
PDF template
Comprehensive questions and answers document from a Tax Executives Institute meeting with Canada Revenue Agency covering various tax-related topics.
See template
See template
School Capital Request Form (PA 097 0474 Requirement)
PDF template
Web-based form for self-assessment and capital request to comply with Public Act 097-0474 requirements for school facilities.
See template
See template
2014 SYNERGY Users Conference Registration Form
PDF template
Registration form for annual professional tax and accounting conference with installment payment option
See template
See template
Partnership Interest Valuation Form
PDF template
A form used to collect detailed information about a deceased partner's business interests, ownership, and financial details for estate or tax purposes.
See template
See template
Project Peak Medical History Form
PDF template
A comprehensive medical history form for participants at George Mason University's Transition Resource Center, collecting personal and medical information.
See template
See template
Change Of Address Request Form
PDF template
A form for Brevard College students to update their contact and address information in the college's system.
See template
See template
SkillsUSA National Leadership And Skills Conference Registration, Personal And Liability Release For
PDF template
Registration and liability release form for participants of the SkillsUSA National Leadership and Skills Conference for high school and college students.
See template
See template
Medical Form
PDF template
A medical screening form for archaeological expedition participants to assess health fitness for challenging field conditions.
See template
See template
EAP Billing Form
PDF template
Medical billing form for submitting claims to BPA Health for employee assistance program services.
See template
See template
Tsleil Waututh Nation Property Transfer Tax Exemption Return
PDF template
A form for claiming tax exemption for property transfers under specific sections of the Tsleil-Waututh Nation Property Transfer Tax Law.
See template
See template
Michigan Department Of Treasury 990 Installment Agreement
PDF template
A form for requesting an installment agreement to pay outstanding tax debt to the Michigan Department of Treasury
See template
See template
Referral Form
PDF template
A comprehensive form for collecting patient information and medical details for hospice or palliative care referral.
See template
See template
Medical Information Form
PDF template
A comprehensive medical form for veterans and guardians to provide emergency medical details for participation in an Honor Flight.
See template
See template
Form 14568 E
PDF template
IRS form for reporting qualified plan and 403(b) plan loan compliance failures under Internal Revenue Code Section 72(p)(2).
See template
See template
STATE OF HAWAII DEPARTMENT OF TAXATION CHANGE OF ADDRESS FORM
PDF template
Official form for updating personal and business address information with the Hawaii Department of Taxation for various tax accounts.
See template
See template
NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for new patients, collecting personal information, medical history, and current health conditions.
See template
See template
Summary Of The Pension Plan For Lay Employees
PDF template
Comprehensive overview of the pension benefits for lay employees of the Archdiocese of Galveston-Houston, explaining retirement eligibility and benefits.
See template
See template
2018 Auction Donation Form
PDF template
A donation form for an auction fundraiser by a non-profit organization, collecting details about donated items.
See template
See template
Transfer Request Form
PDF template
A form for tenants to request a transfer to a different housing unit within a development or housing authority.
See template
See template
LL 2 Authorization Release Of Account Information
PDF template
A form allowing Ohio Public Employees Retirement System members to authorize release of their account information to specified third parties.
See template
See template
Grossmont College 2019 2020 Catalog Addendum
PDF template
Comprehensive guide for veterans seeking educational benefits and support services at Grossmont College.
See template
See template
LLC Tax Organizer
PDF template
A comprehensive tax document for collecting detailed information about a Limited Liability Company's tax status and business operations.
See template
See template
Form 8453
PDF template
Official IRS form for transmitting individual income tax returns electronically with supporting documentation for the tax year 2019.
See template
See template
Form 8957
PDF template
IRS form for financial institutions to register under the Foreign Account Tax Compliance Act (FATCA)
See template
See template
Medical History Form
PDF template
Comprehensive medical history form capturing patient health details, previous treatments, and current medical conditions.
See template
See template
Form 990 Return Of Organization Exempt From Income Tax
PDF template
Annual tax return for tax-exempt organizations reporting financial information to the Internal Revenue Service.
See template
See template
Second Domiciled Adult Affidavit Of Eligibility
PDF template
A form for employees to declare a second domiciled adult for benefits eligibility at DePaul University
See template
See template
2019 2020 Short Term Disability Information
PDF template
Policy detailing disability income benefits and eligibility for Yavapai College employees, including benefit calculation and claim process.
See template
See template
Manual Tuition Waiver Request Form
PDF template
Form for requesting tuition waivers for retired employees, dependents, and special arrangements at DePaul University.
See template
See template
Cashel Super And Pension Application Form
PDF template
An application form for opening a personal superannuation account with Cashel Super and Pension, requiring detailed personal information and investment details.
See template
See template
Cashel Super And Pension Application Form
PDF template
Application form for joining Cashel Super and Pension, a superannuation and pension product managed by Aracon Superannuation Pty Ltd.
See template
See template
457 DEFERRED COMPENSATION PLANS CONTRIBUTION FORM
PDF template
Form for changing contribution amounts to a 457 deferred compensation plan account with ICMA-RC.
See template
See template
Health Insurance Cancellation Form
PDF template
A form for Tacoma Employees' Retirement System (TERS) retirees to cancel their health and dental insurance coverage.
See template
See template
Medical History Form
PDF template
Comprehensive form for collecting detailed patient medical history, including past medical conditions and surgical procedures.
See template
See template
Form 433 F
PDF template
A detailed financial disclosure form used by the Internal Revenue Service to collect comprehensive financial information from taxpayers.
See template
See template
Medical Reimbursement Claim Form
PDF template
Form for employees to submit medical, dependent care, and other eligible healthcare expenses for reimbursement through employer benefit plans.
See template
See template
2020 Tax Document Checklist For Individuals
PDF template
A comprehensive checklist for individuals preparing their tax documents with Brangham & Associates, Inc. for the 2020 tax year.
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical form for collecting new patient information, including personal details, contact information, medical history, and healthcare connections.
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical intake form for capturing patient personal, contact, and medical history information for dental practice.
See template
See template
Navigating A NonprofitS Tax Obligations And Exemptions
PDF template
A comprehensive overview of tax obligations, exemptions, and maintaining 501(c)(3) status for nonprofit organizations in Ohio.
See template
See template
Personal Income Tax Change Of Address Form
PDF template
Form for New Mexico taxpayers to update their personal income tax mailing address with the state Taxation and Revenue Department.
See template
See template
Form 990 Return Of Organization Exempt From Income Tax
PDF template
Official tax return for tax-exempt organizations reporting annual financial information to the Internal Revenue Service.
See template
See template
Shenandoah Outdoor Adventure Recreation Health And Medical Form
PDF template
Comprehensive health form for participants in Shenandoah University outdoor and adventure recreation programs, collecting medical history and emergency contact information.
See template
See template
Short Term Testing Of Property For Use In Out Of State Manufacturing Exemption Evaluation Summary
PDF template
An evaluation of a Colorado sales and use tax exemption for tangible property tested or modified in-state before out-of-state manufacturing use.
See template
See template
Completing The 2020 Form 5498 After IRS Guidance Related To The SECURE Act And The CARES Act
PDF template
A detailed guide for preparing IRS Form 5498 for tax year 2020, addressing special relief and guidance related to the SECURE Act and CARES Act.
See template
See template
Boletn De Oportunidades De Cooperacin TIC
PDF template
A bulletin highlighting international technology cooperation opportunities and partnership requests across various technological domains.
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form collecting details about patient's allergies, environmental sensitivities, and dermatologic conditions.
See template
See template
Internal Revenue Service Memorandum
PDF template
Internal Revenue Service legal memorandum addressing statute of limitations for tax assessments and refund claims related to omitted subpart F income.
See template
See template
POGS Sickness Benefit Application Form
PDF template
Application form for members of the Philippine Obstetrical and Gynecological Society to claim sickness benefits
See template
See template
Change Of Address Form
PDF template
Form for retirees, beneficiaries, or separated members to update contact information with the Fort Worth Employees Retirement Fund.
See template
See template
2021 Council Activity Refund Request Form
PDF template
A refund request form for council activities during the 2021 calendar year, with special COVID-19 related refund provisions.
See template
See template
Form PW 2
PDF template
A form for nonresident owners to request exemption from Wisconsin withholding tax on income from pass-through entities.
See template
See template
Income Tax Withholding Form
PDF template
Form for electing income tax withholding options for pension payments from Imperial County Employees' Retirement System
See template
See template
DECLARATION OF REPRESENTATIVE
PDF template
A form for authorizing a representative to act on behalf of a taxpayer in matters with the Kentucky Department of Revenue.
See template
See template
Michigan Farming Loss Carryback Refund Request
PDF template
Michigan state tax form for reporting and requesting refund for farming business losses carried back to previous tax years.
See template
See template
2021 States 4 H OB Medical Form (Non Japan)
PDF template
Medical history and health assessment form for participants in a cross-cultural youth exchange program.
See template
See template
Cardiology Medical History Form
PDF template
Comprehensive medical history form for cardiology patients to document health conditions, medications, and allergies.
See template
See template
Rhode Island Pass Through Withholding RI 1099PT
PDF template
A tax form for reporting pass-through entity withholding for Rhode Island state income tax purposes.
See template
See template
TRS Medicare Eligible Health Plan (MEHP) Prescription Drug Benefit Guide
PDF template
Detailed guide for Teachers' Retirement System of Kentucky Medicare Part D prescription benefit plan managed by Know Your Rx Coalition through Express Scripts
See template
See template
Form W 4P
PDF template
IRS form for U.S. citizens and resident aliens to specify federal income tax withholding for pension and annuity payments.
See template
See template
Application For Refund Or Credit
PDF template
Official form for requesting tax refunds or credits from the Washington State Department of Revenue for overpaid taxes, penalties, or interest.
See template
See template
Course Waiver Request
PDF template
A form used by students to request a waiver for course prerequisites or corequisites at Florida Institute of Technology.
See template
See template
Data Protection Consent Form For Providing Comments On The Preliminary Assessment Of The Financial S
PDF template
A consent form for jurisdictions to review and provide comments on the preliminary assessment of the Financial Secrecy Index 2022 research project.
See template
See template
Manchester Employees Contributory Retirement System Additional Contribution Calculation Request
PDF template
A form for Manchester employees to request calculation of additional retirement contributions and explore retirement benefit options
See template
See template
POGS MAP Sickness Benefit Application Form
PDF template
A form for members of the Philippine Obstetrical and Gynecological Society to apply for sickness benefits for medical and COVID-related conditions.
See template
See template
Arizona Department Of Revenue Business Registration Form
PDF template
Official form for registering a business in Arizona, capturing ownership, contact, and tax information for residential rental businesses.
See template
See template
D 40B Nonresident Request For Refund
PDF template
Tax refund request form for nonresident taxpayers in the District of Columbia for the tax year 2022.
See template
See template
University Of Michigan Prescription Drug Plan Guide
PDF template
Comprehensive guide for managing prescription drug benefits through Magellan Rx Management for University of Michigan employees and members.
See template
See template
Form 1040 ES
PDF template
Instructions for calculating and paying estimated tax on income not subject to withholding for the tax year 2023.
See template
See template
2022 Wisconsin Form 3 Instructions
PDF template
Comprehensive tax instructions for partnership tax reporting in Wisconsin for the 2022 tax year.
See template
See template
City Of Kenosha Health Savings Account (HSA) Payroll Deduction Form
PDF template
Form for City of Kenosha employees to set up or modify Health Savings Account payroll deductions through Johnson Bank.
See template
See template
Form IL 2848 Power Of Attorney
PDF template
A tax document allowing an individual to grant authority to a representative to act on their behalf in tax matters with the Illinois Department of Revenue.
See template
See template
Certificate Of Gross Retail Or Use Tax Exemption For The Purchase Of A Motor Vehicle Or Watercraft
PDF template
Official Indiana Department of Revenue form for claiming tax exemption on motor vehicle or watercraft purchases
See template
See template
2022 Budget Summary
PDF template
A comprehensive overview of proposed budget expenditures and tax rates for various county funds for the fiscal year 2022.
See template
See template
Long Term Disability Claim Form Statement Of Employee
PDF template
A comprehensive form for employees to file a long-term disability claim with Lincoln Financial Group, detailing personal, employment, and medical information.
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive medical form for documenting student's health history, childhood illnesses, current physical conditions, and immunization records.
See template
See template
Michigan Farming Loss Carryback Refund Request
PDF template
Michigan state tax form for requesting a refund for farming losses carried back to previous tax years
See template
See template
Burton Elementary School PTA Check Requisition Form
PDF template
A form used by Burton Elementary School PTA members to request reimbursement or payment for school-related expenses and events.
See template
See template
Easter Seals Colorado Rocky Mountain Village Camper Medical Form
PDF template
A comprehensive medical form for documenting a camper's health status and medical history prior to attending camp.
See template
See template
Proposed Collection Comment Request Concerning Extraterritorial Income Exclusion
PDF template
Internal Revenue Service notice requesting public comments on a proposed collection related to extraterritorial income exclusion.
See template
See template
Memorandum Of Decision 04 20211002 Gross Retail And Use Tax
PDF template
Official tax decision regarding sales tax refund for software service transactions in Indiana for years 2017 and 2018.
See template
See template
Change Of Address Form
PDF template
A form for members to update their contact information with TruNorthern Federal Credit Union.
See template
See template
IRS Form 1098 T Availability Notice
PDF template
Notification to students about the availability of IRS Form 1098-T for tax reporting purposes, including access and distribution methods.
See template
See template
Retirement Offboarding
PDF template
Comprehensive guide for employees preparing to retire, outlining notice requirements, resignation procedures, and transition steps.
See template
See template
Personal Property Statement Form 632 (L 4175)
PDF template
Document detailing requirements for filing personal property tax statements and small business property tax exemptions.
See template
See template
2023 2024 Student Emergency Form
PDF template
A comprehensive form for collecting student emergency contact details, health insurance information, and parental contact information for school records.
See template
See template
Residence Homestead Exemption Application
PDF template
A form for applying for various homestead exemptions for property owners, including exemptions for disabled veterans, seniors, and surviving spouses.
See template
See template
Manchester Employees Contributory Retirement System Additional Contribution Calculation Request
PDF template
A form allowing employees to request calculation of additional retirement contributions with specific authorization and salary assumptions.
See template
See template
Flexible Spending Account (FSA) Enrollment Form
PDF template
A form for employees to elect and contribute to Flexible Spending Accounts for health care and dependent care expenses
See template
See template
Delaware State Tax Withholding Form
PDF template
A form for pensioners to elect their Delaware state tax withholding preferences for monthly pension benefits.
See template
See template
Form 941 SS For 2023
PDF template
Quarterly tax reporting form for employers in U.S. territories covering employee wages, social security, and Medicare taxes.
See template
See template
2023 Wisconsin Form 3 Instructions
PDF template
Comprehensive tax instructions for Wisconsin partnerships detailing filing requirements, tax calculations, and reporting guidelines.
See template
See template
Flexible Spending Account Agreement Form
PDF template
A form for employees to elect and set up Flexible Spending Accounts for healthcare and dependent care expenses.
See template
See template
2023 HSA Voluntary Salary Reduction Form
PDF template
Form for employees to start, change, or cancel pre-tax contributions to a Health Savings Account (HSA) through payroll deduction
See template
See template
Fuels Use Report
PDF template
Tax form for reporting fuel usage and claiming potential tax refunds for specific business activities and nontaxable fuel uses in Idaho.
See template
See template
PATIENT INTAKE FORM
PDF template
A comprehensive form for patients to complete and schedule appointments at various PanCare Health clinics in Florida counties.
See template
See template
2022 Jr National Inquiry Form Optional
PDF template
A detailed scoring and skills evaluation form for gymnasts across different competitive levels.
See template
See template
Form LG03 Local Government Health Insurance Program Cancellation Form
PDF template
A form for cancelling local government health insurance coverage with multiple termination reason options
See template
See template
New Hire Active Employee Enrollment Form
PDF template
A comprehensive form for new employees to enroll in health, dental, vision, and life insurance benefits with Fulton County, Georgia.
See template
See template
Pass Through Entity Fiduciary Income Tax Registration
PDF template
Registration form for pass-through entities and fiduciary tax accounts with the Ohio Department of Taxation
See template
See template
Nonresident Individual PartnersMembersShareholders Tax Return
PDF template
Tax return form for nonresident individual partners, members, and shareholders reporting income from Pennsylvania sources
See template
See template
SERS NEWS SpringSummer 2023
PDF template
Newsletter highlighting the 100-year anniversary of the State Employees' Retirement System and tax withholding updates for pension payments
See template
See template
EXPENSE REIMBURSEMENT FORM
PDF template
A form for submitting travel and business-related expense reimbursements, including meals, hotel, mileage, airfare, and miscellaneous expenses.
See template
See template
IRS Form 1098 T Tax Information
PDF template
Guidance for students on claiming educational tax credits using IRS Form 1098-T for qualified tuition and related expenses.
See template
See template
Change Of AddressName
PDF template
Official form for CIRI shareholders to update personal contact information and legal name
See template
See template
Pre Authorization Request Form
PDF template
A medical pre-authorization form for healthcare providers to request service approval from UHSM, detailing patient and provider information.
See template
See template
UW LEND Emergency Contact Information
PDF template
A form for collecting personal and emergency contact details for UW LEND program participants.
See template
See template
2024 2025 Benefits Enrollment Form
PDF template
Form for employees to select health benefit plans, add or remove dependents, and update personal information for the upcoming benefits year.
See template
See template
RC 10 SUSTAINING MEMBERSHIP FORM
PDF template
A membership registration form for retired education professionals to join NYSUT Retiree Council 10 with options for membership and scholarship donation.
See template
See template
SERVICE ORDER FORM
PDF template
A form for exhibitors to request electrical and other services for a conference or event at Kalahari Resorts & Convention Center.
See template
See template
YMCA Membership Cancellation Form
PDF template
A form for members to request cancellation of their YMCA membership and provide feedback about their experience.
See template
See template
Tax Retrieval Instructions
PDF template
Instructions for students on retrieving tax information for financial aid verification using IRS Data Retrieval Tool or Tax Return Transcript.
See template
See template
Fire Department Pre Retirement
PDF template
Comprehensive guide and checklist for fire department employees preparing for retirement, including conference scheduling and required documentation.
See template
See template
2024 Pastoral Agreement Form (PAF)
PDF template
A comprehensive form detailing compensation, benefits, and service terms for pastoral staff in the Eastern Regional Conference of Churches of God.
See template
See template
Payroll Deduct Roth IRA Contribution Form
PDF template
A form for employees to authorize automatic Roth IRA contributions from their paycheck, with special provisions for age 50 and over.
See template
See template
Delaware State Tax Withholding Form
PDF template
Form for pensioners to elect state tax withholding options for Delaware state taxes on pension benefits.
See template
See template
DIRECT DEPOSIT CANCELLATION FORM
PDF template
Form for canceling direct deposit of retirement benefit payments for Hanford Employee Welfare Trust retirees.
See template
See template
Notification Of Intent To Use Exhibitor Appointed Contractor
PDF template
Form for exhibitors to declare non-official contractors for The Aesthetic Meeting 2024 event and provide required insurance details.
See template
See template
Ascension Illinois Influenza Vaccination Billing Form
PDF template
Medical form for collecting patient information for influenza vaccination and billing purposes.
See template
See template
FULL TIME DOMESTIC PARTNERSHIP AUTHORIZATION FOR PAYROLL DEDUCTIONS FOR HEALTH INSURANCE EFFECTIVE Y
PDF template
Authorization form for employees to select health insurance coverage options and allow payroll deductions for Essex County health insurance plans
See template
See template
2024 Guardian Dental Cancellation Form
PDF template
A form to request cancellation of Guardian Dental insurance coverage by an employee.
See template
See template
HPU Incoming Student Health Information And Immunization
PDF template
Comprehensive health form for incoming students at High Point University, including immunization records and medical consent.
See template
See template
Health Savings Account (HSA) Contribution Form
PDF template
Form for state and local government employees to authorize HSA payroll contributions and select health plan details.
See template
See template
HSA Payroll Deduction Form 2024
PDF template
A form for employees to authorize payroll deductions for Health Savings Account contributions with IRS contribution limits and University contribution details.
See template
See template
PLAN YEAR 2024 ENROLLMENTCHANGE FORM MEDICAL SPENDING CONVERSION (MSC) HEALTH BENEFITS BUY OUT WAIVE
PDF template
Enrollment form for New York City employees to participate in or terminate health benefits buy-out waiver program for plan year 2024.
See template
See template
2024 Parish Contact Form
PDF template
A comprehensive form for collecting contact details and leadership information for a parish organization.
See template
See template
PART TIME AUTHORIZATION FOR PAYROLL DEDUCTIONS FOR HEALTH INSURANCE EFFECTIVE YEAR 2024
PDF template
A form for part-time employees to authorize health insurance premium deductions with Essex County for the 2024 benefit year.
See template
See template
MRTF Member Benefit 2024
PDF template
Comprehensive overview of membership types, benefits, and pricing for the Michigan Roof & Turf Foundation (MRTF) organization.
See template
See template
Declaration For Taxation Exemption 2025
PDF template
A municipal document for organizations seeking property tax exemption in the City of North Vancouver for the year 2025.
See template
See template
SSB 217 Universal Patient Intake Form For Behavioral Health Services For Children
PDF template
Proposed legislation defining a standard patient intake form for children's behavioral health services.
See template
See template
Disability Insurance Claim Packet Instructions
PDF template
Instructions for filing a disability insurance claim with Standard Insurance Company, detailing the application process and required documentation.
See template
See template
VADA Termination Or Voluntary Cancellation Form
PDF template
Form for employees to cancel or terminate their employment benefits including medical, dental, vision, disability, and life insurance.
See template
See template
ED 121 Michigan Voter Registration Application And Change Of Address Form
PDF template
An official form for registering to vote or updating voter registration information in Michigan for eligible citizens.
See template
See template
DTCC Important Notice Tax Relief For HM HENNES MAURITZ Security
PDF template
Official document providing tax relief details for H&M HENNES & MAURITZ security with specific record and payable dates.
See template
See template
Benefits Cancellation Form
PDF template
Form for employees to remove dependents from their healthcare or insurance benefits plan.
See template
See template
University Of Michigan Benefits Enrollment Form
PDF template
Comprehensive guide for employees to elect University of Michigan benefits, explaining enrollment procedures and deadlines.
See template
See template
Flexible Spending Accounts (FSA) Program Direct Deposit EnrollmentChangeCancellation Form
PDF template
A form for enrolling in or changing direct deposit details for Health Care Flexible Spending Account (HCFSA) and Dependent Care Assistance Program (DeCAP)
See template
See template
2025 Hall Of Honor Nomination Form
PDF template
Nomination form for recognizing retired faculty or staff members for induction into California State University, Chico's Hall of Honor.
See template
See template
ET 1 Payroll Expense Tax Form
PDF template
A tax form for employers, sole proprietors, partners, and contractors to calculate and report payroll expense tax to the City of Pittsburgh.
See template
See template
Disability Insurance Claim Packet Instructions
PDF template
Comprehensive guide for applying for disability insurance benefits through Standard Insurance Company, detailing claim submission process and requirements.
See template
See template
Financial Institution Data Match General Information Booklet
PDF template
A comprehensive guide for financial institutions on data exchange procedures with the California Franchise Tax Board.
See template
See template
Everence HSA Contribution Form
PDF template
A form for making individual contributions to a Health Savings Account through Everence Federal Credit Union with tax year specification options.
See template
See template
The Insured Funds OneSIPP Drawdown Pension Application Form
PDF template
A pension application form for transferring and joining the Sanlam Personal Retirement Scheme, designed to be completed with a Financial Adviser.
See template
See template
Employee HSA Payroll Deduction Form
PDF template
A form for employees to authorize payroll deductions for their Health Savings Account contributions with annual contribution limit details.
See template
See template
Board Member Estimated Expense Approval Form
PDF template
A form for school board members to request and document travel expense reimbursements and approvals.
See template
See template
Form No. 49B Application For Tax Deduction And Collection Account Number
PDF template
Official form for applying for a Tax Deduction and Collection Account Number under Section 203A of the Income Tax Act, 1961
See template
See template
MyFitRx And Kids On The Move Reimbursement Form
PDF template
A reimbursement form for members participating in MyFitRx or Kids on the Move fitness programs, offering up to $50 per benefit year.
See template
See template
Exemption Of HotelMotel Tax When Traveling On Official Business
PDF template
Guidelines for federal employees regarding hotel and motel tax exemptions during official travel.
See template
See template
PATIENT FEEDBACK FORM
PDF template
A form designed for patients to provide feedback or file complaints with Big Island Healthcare, allowing anonymous submission and formal review process.
See template
See template
2023 24 Budget Form LC 2 Instructions
PDF template
Guidance for school districts in Nebraska to complete the Lid Computation Form LC-2, which verifies budget compliance with state regulations.
See template
See template
PFT21) Parent Foreign Tax Form
PDF template
Form for collecting foreign income information for students applying for financial aid at the University of South Florida.
See template
See template
Student Medical Form
PDF template
Comprehensive medical form for collecting student health information, medical history, and emergency contact details.
See template
See template
Proof Of Age Or Disability Application
PDF template
Application for age or disability-based reimbursement with detailed eligibility requirements for tax years 2022 and 2023.
See template
See template
Central New Mexico Science Olympiad Scoring Verification Form
PDF template
A form used to verify and document scoring details for Science Olympiad competitive events.
See template
See template
Retiree Benefits Enrollment Form
PDF template
Form for retirees or surviving spouses to enroll or modify health and dental benefits coverage options.
See template
See template
2024 2025 Independent Verification Worksheet
PDF template
A form for students to verify financial information for federal student aid applications by providing tax and household details.
See template
See template
Payroll Expense Tax Form ET 1 2024
PDF template
City of Pittsburgh tax form for employers, sole proprietors, partners, and contractors to report and calculate payroll expense tax.
See template
See template
Instructions For Forms 1099 R And 5498
PDF template
Official IRS instructions for reporting distributions from retirement accounts, pensions, and other financial plans for tax year 2024.
See template
See template
Universal Provider Request For Claim Review Form
PDF template
A standardized form for healthcare providers to submit claim review requests to multiple health plans and MassHealth in Massachusetts.
See template
See template
Connecticut Forms Of Organization
PDF template
Comprehensive overview of different organizational forms for businesses and nonprofits in Connecticut, detailing formation requirements, management, liability, and tax considerations.
See template
See template
Corporate Personal Pension Employee Application Form
PDF template
An employee application form for a corporate personal pension plan with Professional Provident Society Investments.
See template
See template
FP 421B HotelMotel Income Expense Report
PDF template
Annual tax reporting form for hotel and motel property owners in Washington, DC, covering income and expense details for the tax year.
See template
See template
Income Tax Withholding For Retirees
PDF template
A form for retirees to specify state income tax withholding preferences, with specific focus on Maryland tax withholding options.
See template
See template
WV 2848 Authorization Of Power Of Attorney
PDF template
Official form granting legal authorization for an agent to represent an individual or business in matters related to West Virginia State Tax Department.
See template
See template
Change Of Address Form For Housing Benefit And Council Tax Benefit
PDF template
A form for updating residential address details for housing and council tax benefit purposes by Bridgend County Borough Council.
See template
See template
Change Of Address Form
PDF template
Form for New York City Employees' Retirement System members to update their mailing address and payment preferences.
See template
See template
Flexible Spending Account Enrollment Form
PDF template
A form for employees to enroll in flexible spending account benefits and set up direct deposit for reimbursements.
See template
See template
Initial Interview Form
PDF template
A comprehensive form for veterans or their family members to collect information needed to apply for veterans' benefits.
See template
See template
Enrollment Form
PDF template
An enrollment form for collecting personal and dependent information for insurance or benefits enrollment with Lincoln Financial Group.
See template
See template
PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical form capturing patient personal information, current medications, allergies, and past medical history details.
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients seeking holistic healthcare at the Riordan Clinic, collecting detailed personal and medical information.
See template
See template
Direct DepositInformation And Instructions
PDF template
A form for setting up electronic payments from Wespath Benefits and Investments for retirement distributions and protection plan payments.
See template
See template
Request For Payments To Trust TrusteeS Acknowledgment
PDF template
A form for directing State Employees' Retirement System benefit payments to a trust for a minor or legally disabled individual.
See template
See template
Search For A Service Request Form
PDF template
A step-by-step guide for locating and searching Service Request Forms on the MSU procurement website.
See template
See template
312 Form Completion Guidelines
PDF template
Guidelines for completing a 312 requisition form for purchases in the Chemistry Department's stockroom.
See template
See template
ACORD 35 Cancellation Request Policy Release
PDF template
A standardized form for requesting cancellation or release of an insurance policy, providing clear details and minimal room for miscommunication.
See template
See template
LDSS 3151 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CHANGE REPORT FORM
PDF template
A form for reporting changes in circumstances that may affect Supplemental Nutrition Assistance Program (SNAP) benefits.
See template
See template
Tax Withholding Form
PDF template
A tax withholding form for employees to specify their tax withholding preferences for pension payments and distributions.
See template
See template
Camp Blue Spruce Medical Form 2016
PDF template
A comprehensive medical form for campers to provide health and emergency contact information for Camp Blue Spruce summer camp.
See template
See template
Payroll Deduction Form For HSA Contribution
PDF template
A form for employees to designate pre-tax payroll contributions to their Health Savings Account for the plan year.
See template
See template
Administrative Procedure 323 SEPARATION
PDF template
Procedures for nonacademic, administrative, and academic employees terminating employment with the University, including handling of benefits and exit process.
See template
See template
Purchase Requisition Form
PDF template
A form used to formally request the purchase of goods or services within an organization.
See template
See template
Ohio Administrative Code Rule 33071 3 04 Military Service Credit
PDF template
Administrative rule detailing military service credit provisions for retirement systems in Ohio, including eligibility and documentation requirements.
See template
See template
Determination No. 13 0263
PDF template
A legal determination regarding sales tax treatment of video game trade-ins and penalty assessments by the Washington State Department of Revenue.
See template
See template
State Income Tax Withholding Form
PDF template
Comprehensive guide for state-specific income tax withholding rules for retirement distributions across different states.
See template
See template
Title 38 United States Code Section 3679(E) School Compliance Form
PDF template
A compliance form for educational institutions to confirm adherence to veterans' educational benefits requirements under the Veterans Benefits and Transition Act of 2018.
See template
See template
DSS Form 37113 Contribution Form
PDF template
A form used by the South Carolina Department of Social Services to document financial contributions to a household or benefit group.
See template
See template
Transient Occupancy Tax Exemption Form
PDF template
A form for claiming exemption from transient occupancy tax in the City of Ontario for guests staying 31 or more consecutive days or qualifying under specific conditions.
See template
See template
Petitioning For Superior Court Review When You Disagree With A DSHSHCA Benefits Administrative Heari
PDF template
A step-by-step guide for individuals seeking to appeal administrative orders related to DSHS/HCA benefits through Superior Court review process.
See template
See template
IRS Form W 4P
PDF template
Guide for U.S. citizens and resident aliens on federal and state tax withholding for periodic pension or annuity payments.
See template
See template
ARTH 395 Internship Application Form
PDF template
Application form for students seeking an internship through the Art Department at their academic institution.
See template
See template
EmployeeS Withholding Exemption Certificate
PDF template
A form for employees to declare tax withholding exemptions and dependents for Arkansas state income tax purposes.
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive medical form collecting patient personal health information, medical history, family history, and COVID-19 screening details.
See template
See template
Change Of Address Request Form (For Retirees Beneficiaries)
PDF template
A form for retirees and beneficiaries to update their mailing address with the Employees' and Elected Officials' Retirement Systems.
See template
See template
The 3 RS To Retirement
PDF template
A comprehensive guide for employees planning to retire, covering the steps of retiring, resigning, and managing retiree health benefits.
See template
See template
Form 401General Information (Change Of Registered AgentOffice)
PDF template
A form for changing the registered agent or office of a business entity in Texas, complying with the Texas Business Organizations Code.
See template
See template
Beneficiary Designation Form
PDF template
Instructions for designating beneficiaries for retirement plans through Prudential's online platform
See template
See template
Beneficiary Designation Form
PDF template
Instructions for designating beneficiaries for retirement plan accounts online or via paper form with specific processing guidelines.
See template
See template
401(K) Contribution Authorization Form
PDF template
Form for employees to authorize 401(k) retirement plan contributions through payroll deduction, including pre-tax and Roth options.
See template
See template
The Muscogee (Creek) Nation 401(K) Plan Rollover Contribution Form
PDF template
A form for participants to transfer retirement funds from a previous plan or IRA into the Muscogee (Creek) Nation 401(k) Plan.
See template
See template
403(B) Participant EnrollmentPayroll Deduction Form
PDF template
A form for employees to enroll in or update contributions to a traditional or Roth 403(B) retirement plan with payroll deduction authorization.
See template
See template
Plan Exchange Authorization Form
PDF template
Form for authorizing exchange of 403(b) funds between investment providers within an employer's plan or to purchase service credits.
See template
See template
Waiver Of Service Period For Retirement Plan Participation
PDF template
A form allowing employees to waive the one-year service requirement for retirement plan participation based on previous employment at eligible organizations.
See template
See template
Procedure 410 19 Employee Volunteer And Education Leave
PDF template
A policy providing full-time employees with 8 hours of annual leave for volunteer and educational activities in the community.
See template
See template
Change Of Address Form
PDF template
Form for students to update their permanent, local, and billing address information with Western New England University.
See template
See template
Confidential Tax Information Authorization
PDF template
A form that allows taxpayers to authorize the Department of Revenue to send or share confidential tax information via email, fax, or with a third party.
See template
See template
Revenue Form K 4
PDF template
State tax form for employees to claim withholding exemptions and determine tax deduction status in Kentucky.
See template
See template
FAA 4400 86 Tax Exemption Form
PDF template
A government form used to document tax exemption for government purchases from vendors, establishing immunity from state or local taxes.
See template
See template
Medical Service Request Form
PDF template
A form for healthcare providers to request medical services for South Country Health Alliance members with detailed service and patient information.
See template
See template
Form 4506 T
PDF template
IRS form used to request a transcript of a previously filed tax return at no charge.
See template
See template
Employee Benefit Plan Enrollment
PDF template
Montgomery County Public Schools form for new employees and those with qualifying life events to enroll in benefit plans
See template
See template
Utah Retirement System Defined Contribution Service Agreement Form
PDF template
A form for employers to specify participation in Utah Retirement System's defined contribution plans and employee contribution options.
See template
See template
457 Deferred Compensation Plans Contribution Form
PDF template
Form used to change contribution amounts to a 457 deferred compensation plan account with MissionSquare Retirement.
See template
See template
Cambria Comm Services District Enrollment And Contribution Form
PDF template
Form for employees to enroll in and contribute to the Cambria Community Services District 457 Deferred Compensation Plan at MissionSquare Retirement.
See template
See template
North Carolina Supplemental Retirement Plans One Time Contribution Form
PDF template
A form for state employees to defer additional compensation or one-time payments into retirement plans through a single contribution.
See template
See template
DD Form 1750
PDF template
A standard military administrative document used for supply and accountability tracking.
See template
See template
HealthFlex Mandatory Premium And Coverage Waiver Form
PDF template
A form for enrolled participants or new hires to decline HealthFlex health plan coverage and declare their reason for doing so.
See template
See template
DWS ESD 475 Change Report Form
PDF template
A form for reporting changes in various state assistance programs including financial aid, Medicaid, SNAP, and child care benefits.
See template
See template
Form 480.60 F
PDF template
A tax form for reporting a grantor's distributable share of income, losses, and credits for a revocable or grantor trust in Puerto Rico.
See template
See template
SI 2047 Your Disability Benefit Claim
PDF template
Comprehensive guide and forms for applying for disability insurance benefits, including instructions for claim submission and potential benefit reductions.
See template
See template
All About Me Form Template
PDF template
A compilation of various form templates including registration, job application, and personal information forms.
See template
See template
Sample Form C Proof Of Service
PDF template
Legal instructions for serving documents by mail in California Superior Court or Court of Appeal proceedings.
See template
See template
Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare providers.
See template
See template
Employer Fact Sheet Contracted Services Membership Determination And The EmployerS Obligation
PDF template
Guidance for public educational institutions on determining employment status and retirement system membership for contracted service providers.
See template
See template
LDSS 5067 NYS OTDA State Supplement Program Direct Deposit Cancellation Form
PDF template
Form for cancelling direct deposit for New York State Supplement Program benefits
See template
See template
Common Carrier Sales Tax Exemption Form
PDF template
A tax exemption form for common carriers purchasing or leasing commercial motor vehicles in Missouri, claiming sales tax exemption based on carrier status.
See template
See template
Blank Incident Report Forms
PDF template
A comprehensive collection of various incident report templates for different contexts including workplace, education, security, and emergency services.
See template
See template
5.170 A Separation From Employment Voluntary Separation
PDF template
Policy and procedures for employee separation from Mohave Community College, covering resignation, retirement, death, and separation pay.
See template
See template
Arbitration Award In Dane County (Public Health) Labor Dispute
PDF template
Arbitration hearing regarding salary continuation benefits dispute between Dane County and District 1199W union
See template
See template
Leave Program Procedures
PDF template
Detailed procedures for vacation leave accrual and usage for employees at Owens Community College.
See template
See template
Grade Appeal Reporting Form
PDF template
A formal document allowing students to request grade changes with supporting evidence and administrative review process.
See template
See template
Aflac Continuing Disability Claim Form
PDF template
A form for submitting continuing disability claims with Aflac insurance, providing instructions for online form completion and submission.
See template
See template
Application For Veterans Exemption
PDF template
A tax exemption form for veterans in Oklahoma allowing a $200 exemption on household personal property for eligible service members.
See template
See template
Household Report Form
PDF template
A form for reporting household information to maintain public assistance benefits in Minnesota.
See template
See template
Medical Form
PDF template
A medical form for applicants to Notre Dame Seminary's Graduate School of Theology Priestly Formation Program, collecting health and insurance information.
See template
See template
Personal Medical History
PDF template
Comprehensive medical history form for collecting patient health information, medical conditions, family history, and current health status.
See template
See template
WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
PDF template
A form for children and spouses of veterans to establish residency eligibility for Wisconsin educational benefits
See template
See template
Rollover Contribution Form
PDF template
Comprehensive guide for participants rolling over retirement account balances into the Kroger Savings Plan with specific instructions for direct and indirect rollovers.
See template
See template
Change Of Address Form For Practitioners, Businesses And Groups
PDF template
A form used by healthcare providers to update their address information with Medicaid.
See template
See template
NYS Medicaid InstitutionalRate Based Provider Change Of Address Form
PDF template
A form for New York State Medicaid providers to update their correspondence, pay to, and corporate addresses.
See template
See template
Authorization For Direct Deposit (Form 6186)
PDF template
Form for authorizing direct deposit of retirement payments for Sacramento County Employees' Retirement System members.
See template
See template
Data Processing Agreement
PDF template
Legal agreement outlining data processing terms between Jasper AI and its customers for handling personal data.
See template
See template
Union Bank Service Request Form
PDF template
A form for submitting service requests or modifications to Union Bank services
See template
See template
Acord 27 Form
PDF template
A standard insurance document used to provide proof of property coverage in the insurance industry.
See template
See template
ACORD 35 Cancellation Form
PDF template
A standardized document used to request and document the cancellation of an insurance policy with essential policyholder and policy details.
See template
See template
Louisiana Composite Partnership Return Instructions
PDF template
Comprehensive instructions for Louisiana partnerships with nonresident partners on filing composite tax returns and meeting state tax requirements.
See template
See template
Louisiana Composite Partnership Return Instructions
PDF template
Instructions for nonresident partnerships filing composite tax returns in Louisiana, detailing filing requirements and eligibility
See template
See template
Louisiana Composite Partnership Return Instructions
PDF template
Guidelines for nonresident partnerships filing composite returns in Louisiana, detailing who must file and filing requirements.
See template
See template
Tier 2 Retirement Checklist
PDF template
Comprehensive checklist for Tier 2 retirement application process, detailing required forms and documentation for pension and benefits
See template
See template
R 6980 Pass Through Entity Tax Election
PDF template
A tax form for pass-through entities to elect to pay tax at the entity level in Louisiana, requiring majority ownership approval.
See template
See template
Special Power Of Attorney
PDF template
A legal document allowing appointment of an attorney-in-fact to make retirement-related decisions for a CalPERS member.
See template
See template
Application For Group Insurance CHEIBA Trust
PDF template
A comprehensive insurance application form for employee group insurance coverage with options for various types of insurance benefits.
See template
See template
Proof Of Address And Identity Documentation
PDF template
Comprehensive guide for acceptable documents to verify identity, address, and Social Security Number for licensing purposes.
See template
See template
Tax Information Disclosure Authorization (Form R 7004)
PDF template
A form used to authorize disclosure of confidential tax information and request tax return copies from the Louisiana Department of Revenue.
See template
See template
FirstChoice Personal Super Withdrawal Form
PDF template
A form for withdrawing units from a superannuation fund, either as a rollover to another fund or as a cash withdrawal with specific conditions.
See template
See template
Certification Of Address
PDF template
Official form for verifying residential address when obtaining a Florida Class E driver license or identification card
See template
See template
SellerS Residency Affidavit
PDF template
A tax form for documenting property seller details and residency status for Rhode Island tax withholding purposes.
See template
See template
Rental Agreement CFD 252 PA4
PDF template
A 4-part carbonless form for documenting rental agreement details with multiple color and imprint options.
See template
See template
Real Property Transfer Tax Declaration Form Changes
PDF template
Document outlining changes to the Real Property Transfer Tax Declaration Form effective April 1, 2008, including new exemption boxes and tax calculation methods.
See template
See template
REAL PROPERTY TRANSFER TAX DECLARATION FORM 7551
PDF template
City of Chicago form for documenting and reporting real property transfers for tax purposes in Cook County.
See template
See template
Summary Plan Description Bargained Cash Balanced Program 2 Of The ATT Pension Benefit Plan
PDF template
A comprehensive guide to benefits for employees under the Bargained Cash Balance Program #2, detailing pension plan provisions and eligibility.
See template
See template
GROUP PLANS ENROLLMENT FORM
PDF template
Comprehensive form for employees to select and enroll in group insurance and benefit plans covering life, disability, medical, and supplemental insurance options.
See template
See template
Certificated Resignation Form
PDF template
Official form for Los Angeles Unified School District certificated employees to resign from service, including those retiring through CalSTRS.
See template
See template
Tax Appeals Tribunal Decision
PDF template
Tribunal decision regarding use tax assessment on personal property purchased in Brazil and brought into New York State
See template
See template
Blank Affidavit Form Zimbabwe
PDF template
A blank affidavit form for use in Zimbabwe, providing instructions for electronic completion and submission of legal documents.
See template
See template
Security Incident Report
PDF template
Official form for documenting security incidents at the Mississippi State Department of Health's Office of Health Informatics.
See template
See template
OneSIPP BeneficiaryS Drawdown Pension Application Form
PDF template
Application form for inheriting pension funds and establishing beneficiary drawdown or transferring existing dependent's pension benefits.
See template
See template
Employer Affidavit Of Income And Benefits
PDF template
Legal document providing instructions for employers to report an employee's income, benefits, and financial records to assist court proceedings.
See template
See template
WakeMed Urgent Care Patient Intake Form
PDF template
Medical form for collecting patient health information, medical history, and current health status at urgent care facility.
See template
See template
California State Income Tax Withholding Form
PDF template
Form for Los Angeles Fire & Police Pension members to elect state income tax withholding options for their pension payments.
See template
See template
Form 941 For 2020
PDF template
Quarterly tax form for employers to report wages, tips, and federal tax withholdings to the Internal Revenue Service.
See template
See template
Form 906 Closing Agreement Request
PDF template
A New Jersey Division of Taxation form for requesting a closing agreement related to tax liability for a specific period.
See template
See template
NYCERS Loans Brochure
PDF template
Comprehensive guide for New York City Employees' Retirement System (NYCERS) members about pension account loans and eligibility requirements.
See template
See template
POST OFFICE VEHICLE (POV) ACCOUNT MAINTENANCE REQUEST FORM VMF
PDF template
A form for maintaining and managing Post Office vehicle accounts and related vehicle maintenance fleet information
See template
See template
NC 4 Withholding Allowance Certificate
PDF template
A form used by employees to specify state income tax withholding preferences and allowances for North Carolina state taxes.
See template
See template
NC 4 Withholding Allowance Certificate
PDF template
A form used by employees to specify state income tax withholding preferences and allowances for North Carolina state taxes.
See template
See template
Application For Veterans Exemption
PDF template
A form for veterans to apply for a property tax exemption on household personal property in Oklahoma based on military service during national emergencies.
See template
See template
Application For Veterans Exemption
PDF template
A tax exemption application for veterans in Oklahoma seeking relief on household personal property taxes.
See template
See template
Application For Veterans Exemption
PDF template
A state form allowing eligible veterans to claim a property tax exemption on personal property in Oklahoma.
See template
See template
Alabama Medicaid AgencyS Recipient Change Report Form
PDF template
A form for Medicaid recipients to report changes in personal information, family status, and household composition.
See template
See template
REMICADE And Infliximab Mastercard Patient Information Form
PDF template
Form for patients to provide personal information and insurance details for medication rebate program for REMICADE and Infliximab.
See template
See template
Sterilization Consent Form Detailed Instructions Guide
PDF template
Detailed guide for healthcare providers on submitting sterilization consent forms to Medicaid's fiscal agent, Gainwell.
See template
See template
Group Benefits EnrolmentChange Form
PDF template
A comprehensive form for enrolling or changing group benefit plan details for employees, including personal information, coverage selection, and benefit options.
See template
See template
WakeMed Urgent Care Patient Intake Form
PDF template
Comprehensive medical form for collecting patient medical history, past surgical history, family history, and social history at an urgent care facility.
See template
See template
Advancing Access Patient Information Form
PDF template
Comprehensive form for collecting patient personal information, contact preferences, and insurance details for medical services.
See template
See template
Subscriber Claim Form
PDF template
A comprehensive insurance claim form for submitting medical service reimbursements to Blue Cross Blue Shield of Massachusetts.
See template
See template
Benefits Administration Letter 99 101
PDF template
Official guidance from the Office of Personnel Management addressing common documentation problems in Federal Employees Retirement System (FERS) applications and retirement claims.
See template
See template
Input Sheet For City1.XLS Budget Form
PDF template
Budget input form for a city, capturing financial details, fund names, tax levies, and expenditure information for the fiscal year 2014.
See template
See template
Certification Of Trust
PDF template
A form for certifying trust details when a trust is the owner of an Eagle Life insurance annuity contract.
See template
See template
Medical History Form
PDF template
A comprehensive form for collecting patient medical history, current health conditions, medications, and allergies.
See template
See template
Income Tax And Third Party Special Needs Trusts
PDF template
A comprehensive overview of tax implications and filing requirements for third-party special needs trusts and their income reporting.
See template
See template
Halina Pelczar V. Board Of Review, Department Of Labor, And AE Clothing Corporation
PDF template
Judicial opinion regarding unemployment benefits appeal involving an employee's voluntary job separation
See template
See template
Nassau Re Trust Ownership QA
PDF template
Comprehensive guide addressing key questions about trust-owned annuities and their requirements with Nassau Re.
See template
See template
457 DEFERRED COMPENSATION PLANS CONTRIBUTION FORM
PDF template
Form for initiating or changing after-tax contributions to a 457 deferred compensation plan through an employer.
See template
See template
A 777A My Tax Account Authorization
PDF template
A form allowing taxpayers to authorize individuals to access and manage their business tax accounts online
See template
See template
Business Information Form
PDF template
A comprehensive form for businesses to provide details about their organization, tax status, and operations in Wisconsin.
See template
See template
Grade Appeal Form
PDF template
A form for students to request a review or appeal of an academic grade at the College of Central Florida.
See template
See template
Credit Course Registration Form
PDF template
A form for adding, dropping, auditing, or withdrawing from credit courses at Anne Arundel Community College
See template
See template
Veterans Administration Aid And Attendance Claim Checklist
PDF template
Comprehensive checklist of required documentation for filing a Veterans Administration Aid and Attendance benefit claim, including personal, financial, and military records.
See template
See template
UNPLANNED ADMISSIONAAU BOOKING FORM
PDF template
A form for booking unplanned hospital admission to the Acute Admissions Unit with comprehensive patient and clinical details.
See template
See template
AB13 (VACA) Affidavit For Eligible Veterans Dependents
PDF template
A document outlining tuition exemption requirements for veterans and their dependents at College of the Siskiyous under the Veterans Access, Choice, and Accountability Act.
See template
See template
Alberta Accident Benefits Initial Claims Process
PDF template
A comprehensive guide for filing insurance claims and accessing medical benefits after an automobile accident in Alberta, Canada.
See template
See template
MY BENEFIT PLAN BOOKLET
PDF template
Comprehensive benefit plan booklet providing counseling and life skills support services for plan members and their dependent children.
See template
See template
PA ABLE Savings Program Workplace Guide
PDF template
A guide for employers to help employees with disabilities save money through tax-free ABLE accounts with payroll deduction options.
See template
See template
Alternate Benefits Program Mandatory Contributions 401(A) Voluntary 403(B) Loan Authorizations
PDF template
Procedure for employees to request and process loans through investment providers using specific authorization steps.
See template
See template
Group Insurance Accelerated Benefit Option Claim Form
PDF template
A form for employees or members to claim an accelerated benefit option for terminal illness life insurance claims.
See template
See template
ERAIDER REQUEST FORM
PDF template
Form for non-TTUHSC employees to request an eRaider account, specifying access requirements and responsibilities.
See template
See template
Group Accident Insurance Claim Form
PDF template
A comprehensive claim form for reporting and documenting accident-related insurance claims with detailed instructions and submission guidelines.
See template
See template
Accident Wellness Benefit Claim Form
PDF template
Insurance claim form for submitting wellness screening benefits and personal health information to Guardian Life Insurance.
See template
See template
Account Change Of Address Form
PDF template
A form for updating account holder's contact information with a financial institution
See template
See template
Application For Nontaxable Transaction Certificates
PDF template
Application form for businesses to obtain Nontaxable Transaction Certificates in New Mexico for tax purposes.
See template
See template
Tax Information Authorization
PDF template
A form allowing taxpayers to authorize representatives to access their tax information with the New Mexico Taxation and Revenue Department.
See template
See template
Retirement Contribution Form
PDF template
A form for employers to set up electronic fund transfer (EFT) contributions to employee retirement accounts, specifically 403(b) and other retirement plans.
See template
See template
Insurance Application Form
PDF template
Comprehensive insurance application form for property coverage with multiple sections for property details, coverage options, and risk assessment.
See template
See template
ACORD 35 Cancellation Request Policy Release
PDF template
A standardized form for requesting cancellation of an insurance policy and documenting release details.
See template
See template
Acord Policy Change Request Form
PDF template
A fillable form for requesting changes to an existing insurance policy with various coverage options.
See template
See template
Patient Medical History Form
PDF template
Comprehensive medical history form for collecting patient health information, symptoms, and medical conditions.
See template
See template
Activity Participation Waiver Form
PDF template
Legal document that releases Brightpoint Community College from liability for student participation in college activities
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients at Joyanne Kohler Acupuncture, collecting personal and health information.
See template
See template
AD 3121 Employee Citizenship Form
PDF template
A form used by the U.S. Department of Agriculture to collect employee citizenship and birth information.
See template
See template
Foreign National Vendor Application Form
PDF template
A form for foreign entities performing services or receiving royalties from the United States to provide tax and identification information.
See template
See template
LOCAL 22 HEALTH PLAN DEPENDENT FORM
PDF template
Form for adding a spouse or dependent to the Local 22 Health Plan, requiring personal information and supporting documentation.
See template
See template
REGISTRATIONDROPADDAUDIT FORM
PDF template
Official form for adding, dropping, or auditing courses at the University of North Carolina at Chapel Hill
See template
See template
CLASS ADD, DROP AND REFUND REQUEST FORM
PDF template
A form for students to add, drop, or request refunds for classes at Sonoma State University's School of Extended and International Education.
See template
See template
Application To Buy Added Pension CLASSIC, CLASSIC PLUS, PREMIUM
PDF template
A form for employees to apply for additional pension contributions through monthly deductions or lump sum payments
See template
See template
Application To Buy Added Pension NUVOS Scheme
PDF template
Pension contribution application form for employees to buy additional pension coverage through monthly salary deductions or lump sum payments
See template
See template
Medical Form Instructions For TeamSnap
PDF template
Step-by-step guide for team managers to upload player medical forms to TeamSnap profiles
See template
See template
Additional State Tax Withholding
PDF template
Employee form for specifying additional state tax withholding amounts for payroll processing
See template
See template
UWS B1242 Accidental Death Dismemberment Insurance
PDF template
Comprehensive employer manual for Accidental Death and Dismemberment insurance policy for University of Wisconsin System employees.
See template
See template
Change Of Address Form
PDF template
A comprehensive form for updating multiple address types for Tennessee Tech University affiliates, including permanent, mailing, local, billing, and parent addresses.
See template
See template
Change Of Address Form
PDF template
A form for members to update their personal contact information and address with a credit union.
See template
See template
Mississippi State Board Of Medical Licensure Change Of Address Form
PDF template
Official form for updating contact and practice information for licensed medical practitioners in Mississippi.
See template
See template
CHANGE OF ADDRESS FORM
PDF template
A form for updating member contact and address information for an account or membership.
See template
See template
Change Of Address Form
PDF template
A document used to update and record a member's contact and address information for an organization.
See template
See template
Change Of Address Form
PDF template
A form for students to update their permanent, local, and contact information with the registrar's office.
See template
See template
Change Of Address Form
PDF template
Official form for changing address for New Jersey state pension system members and retirees
See template
See template
Change Of Address Form
PDF template
A form for Samford University faculty, staff, and students to update their contact information with Accounting and Financial Services.
See template
See template
Address Change Form
PDF template
A form for updating personal or organizational contact information with the Eastern District of Washington court system.
See template
See template
Change Of Address Form
PDF template
A standard form for updating personal contact information for an organization's records.
See template
See template
Change Of Address Form
PDF template
Form for students to update their contact and mailing addresses with the university registrar's office.
See template
See template
Change Of Address Form
PDF template
A form used to update personal contact information and address details for account holders.
See template
See template
NAMEADDRESSEMERGENCY CONTACT FORM
PDF template
A form for new hires and existing employees to update personal contact and emergency information
See template
See template
Hope College Change Of Address Form
PDF template
A form for students or parents to update their contact information with Hope College.
See template
See template
Change Of Address Form
PDF template
A form for students to update their mailing address with Springfield College's Office of the Registrar.
See template
See template
Address Changes
PDF template
Guidelines for updating employee and student addresses in the University's Directory System for payroll, retirement, and insurance correspondence.
See template
See template
Change Of Address Form
PDF template
Form for updating personal address with the Registry of Motor Vehicles, including vehicle registration and license details.
See template
See template
SITUS ADDRESS AND STREET NAME CHANGE REQUEST FORM
PDF template
A form for requesting changes to property situs address or street name within Marin County.
See template
See template
PSC CUNY Welfare Fund Adjunct Enrollment Form
PDF template
Health benefits enrollment form for adjunct faculty members at CUNY with dental and health plan options
See template
See template
ADM.FRM.1.001, FACT Travel Expense Reimbursement Form
PDF template
A form for submitting and documenting travel-related expenses for reimbursement by FACT organization.
See template
See template
Administrative Waiver How To Request Waiver For An Overpayment Under 1000
PDF template
Instructions for requesting an administrative waiver for Social Security overpayments less than $1,000.
See template
See template
Adobe Generative AI Additional Terms
PDF template
Supplemental legal terms governing the use of Adobe's generative AI features, including guidelines for content input and output.
See template
See template
Adoption Expenses Reimbursement Form For Lifesong For Orphans
PDF template
A form for submitting and tracking adoption-related expenses for reimbursement by Lifesong for Orphans.
See template
See template
Adoption Assistance Reimbursement Form
PDF template
Form for employees to request reimbursement for qualified adoption expenses through the university's adoption assistance program.
See template
See template
New Patient Intake Form
PDF template
Comprehensive intake form for new patients to collect personal and medical contact details at a healthcare practice.
See template
See template
Oklahoma 4 H Youth Development Participant Information Form
PDF template
A comprehensive form for collecting participant health, emergency contact, and medical information for 4-H youth programs and events.
See template
See template
Advanced Illness Benefit Application Form
PDF template
Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by BEMAS medical aid scheme.
See template
See template
Advanced Illness Benefit Application Form
PDF template
Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by Anglovaal Group Medical Scheme.
See template
See template
SunAdvantage RRSPTFSA Sponsor Administration Guide
PDF template
A comprehensive guide for small business owners to manage employee retirement and savings plans with minimal administrative burden.
See template
See template
Army Emergency Relief Application For Financial Assistance
PDF template
Comprehensive application form for military personnel seeking emergency financial support from Army Emergency Relief (AER)
See template
See template
Alaska Employer Registration Form
PDF template
A registration form for employers in Alaska to register with the Department of Labor and Workforce Development for Employment Security Tax purposes.
See template
See template
Pension Application Form
PDF template
Application form for pension benefits through the Australian Expatriate Superannuation Fund, designed for expatriate superannuation members.
See template
See template
AUSTRALIAN ETHICAL SUPER PENSION APPLICATION FORM
PDF template
A comprehensive application form for establishing a pension account or transitioning to retirement with Australian Ethical Super.
See template
See template
Delinquent Tax Bill Sale Affidavit Form
PDF template
Official form for declaring non-related party status in a county tax bill sale process.
See template
See template
WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
PDF template
Residency verification form for children and spouses of veterans seeking Wisconsin GI Bill educational benefits based on veteran's 5-year state residency.
See template
See template
Affidavit Of Indigency Form Ohio
PDF template
A legal document used to request a waiver of court fees for individuals who cannot afford legal expenses.
See template
See template
Continuing Disability Claim Form
PDF template
A claim form for filing a continuing disability insurance claim with Aflac, requiring detailed patient and policyholder information.
See template
See template
Initial Disability Claim Form
PDF template
Comprehensive form for filing a disability insurance claim covering various types of disability including accidents, sickness, pregnancy, and cancer.
See template
See template
Large Alcohol Fuel Plant Information
PDF template
Instructions and required forms for obtaining a permit as a large alcohol fuel producer from the Alcohol and Tobacco Tax and Trade Bureau.
See template
See template
AFSCME Local 127 PPO Benefits Matrix
PDF template
Comprehensive dental insurance plan detailing coverage levels for various dental treatments and services.
See template
See template
RV F1308401
PDF template
Form for agricultural entities to apply for tax exemption by demonstrating farming activities or land ownership.
See template
See template
Benefits Committee Meeting Agenda
PDF template
Agenda for a Benefits Committee meeting discussing various benefits-related topics and goals for 2018/2019.
See template
See template
Benefits Committee Meeting Agenda
PDF template
Agenda for Benefits Committee meeting detailing review of minutes, old and new business items related to employee benefits.
See template
See template
AGMA Health Fund Retirement Plan Consent To Electronic Delivery
PDF template
A form allowing members to receive AGMA Health Fund and Retirement Plan notices electronically via email.
See template
See template
Services Agreement
PDF template
Agreement for individuals to perform data collection tasks for Datoid's AI research and development, involving text, speech, and media labeling and processing.
See template
See template
APPLICATION FOR REGISTRATION AGRICULTURAL SALES AND USE TAX CERTIFICATE OF EXEMPTION
PDF template
Application for obtaining a Tennessee agricultural sales or use tax exemption certificate for qualified agricultural purchases.
See template
See template
Change Of Address Or Contact Information
PDF template
Form for students to update their contact and address information with the educational institution.
See template
See template
PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for collecting patient's personal and family health information, past medical conditions, and surgical history.
See template
See template
Airport Contact Information
PDF template
A form for collecting contact details for airport staff and managers in the FAA Southern Region.
See template
See template
Patient Intake Form
PDF template
A comprehensive form for new patients to provide medical history and contact information for a naturopathic wellness center.
See template
See template
2020 Application For Senior Citizen Sales Tax Exemption Card
PDF template
An application for seniors in Petersburg Borough to obtain a sales tax exemption card with specific residency and usage requirements.
See template
See template
Alabama Medicaid Agency Referral Form (Form 362)
PDF template
Instructions for completing the Alabama Medicaid Agency Referral Form, detailing requirements for patient referrals and screening processes.
See template
See template
ALA Interlibrary Loan Request Form
PDF template
Form for requesting loan or copying of library materials between different library systems.
See template
See template
Alabama EWIC Vendor Kickoff Meeting
PDF template
Presentation explaining the electronic WIC benefits system for vendors in Alabama, detailing transaction processing and program benefits.
See template
See template
Change Of Address Form
PDF template
A form used to update an individual's personal contact information and record a change of address.
See template
See template
Alfred State Workshop AllergyMedical Form
PDF template
A comprehensive medical form for documenting a camper's allergies, medical conditions, and emergency contact information.
See template
See template
Allied, Therapeutic And Psychology Extender Benefit Application Form For 2024
PDF template
Application form for healthcare benefit coverage under the Retail Medical Scheme's Essential Plus Option for allied, therapeutic, and psychology services.
See template
See template
Accident Coverage Claim Form
PDF template
Insurance claim form for reporting accidental injuries and seeking coverage benefits from American Heritage Life Insurance Company.
See template
See template
Blue Cross Medical Travel Benefit Claim
PDF template
A claim form for medical travel expenses for members of the Arrow Lakes Teachers' Association submitted to Pacific Blue Cross.
See template
See template
Enrollment Form
PDF template
A comprehensive enrollment form for dental and vision insurance coverage through an employer's benefit plan.
See template
See template
Enrollment Form
PDF template
A comprehensive form for enrolling in dental insurance coverage, including subscriber and dependent information, coverage options, and coordination of benefits.
See template
See template
ENROLLMENT FORM VISION ONLY
PDF template
A comprehensive enrollment form for vision insurance coverage, allowing employees to add or modify vision insurance benefits.
See template
See template
Dental Claim Form
PDF template
A comprehensive form for submitting dental insurance claims, requiring patient and employee information, treatment details, and authorization signatures.
See template
See template
Enrollment Change Waiver Group Insurance Form
PDF template
Insurance form for enrolling, changing, or waiving group dental insurance coverage for employees and their dependents.
See template
See template
Hearing Insurance Enrollment Form
PDF template
A comprehensive form for employees to enroll in or modify hearing insurance coverage for themselves and dependents.
See template
See template
Multiple Jurisdiction Tax Exemption Form
PDF template
Form for rail carrier employees to claim tax exemptions for work performed in multiple jurisdictions under federal law.
See template
See template
AMUSEMENT TAX EXEMPTION REGISTRATION FORM
PDF template
Registration form for tax-exempt organizations seeking exemption from amusement tax in the Town of Bloomsburg, Pennsylvania.
See template
See template
Missouri Department Of Agriculture Animal Care Program Inquiry
PDF template
Official form for filing an inquiry or complaint related to animal care with the Missouri Department of Agriculture's Animal Care Program.
See template
See template
Indiana DowngradePolicy Change Form
PDF template
A form for making changes to an individual Anthem Blue Cross and Blue Shield insurance policy, excluding certain types of modifications.
See template
See template
NJ ANNUAL REPORT (CAR 100 M)
PDF template
Official state document for annual business reporting and corporate information verification in New Jersey
See template
See template
Employee Special Tax Exemption Annual Declaration
PDF template
Annual tax declaration form for employees providing domestic services, focusing on potential tax exemptions based on residential status and caregiver relationships.
See template
See template
I.B.E.W. LOCAL UNION 363 MONEY PURCHASE PENSION PLAN Annuity Benefit Application Form
PDF template
A comprehensive form for members of I.B.E.W. Local Union #363 to apply for pension or annuity benefits, collecting personal, marital, and employment information.
See template
See template
Ohio DowngradePolicy Change Form
PDF template
A form for making changes to an individual insurance policy with Anthem Blue Cross and Blue Shield, excluding certain types of modifications.
See template
See template
Anthem Blue Cross Enrollment Form
PDF template
Comprehensive enrollment form for selecting medical and dental insurance coverage through Anthem Blue Cross for employers and employees.
See template
See template
Medical Insurance Claim Form
PDF template
A standard medical insurance claim form for submitting patient information and medical service details to an insurance provider.
See template
See template
Medical Claim Form
PDF template
A comprehensive medical claim form for submitting healthcare service details and patient information to Anthem Blue Cross insurance.
See template
See template
Medical Claim Form
PDF template
A comprehensive form for submitting medical insurance claims, collecting patient, subscriber, and medical service information.
See template
See template
Medical Claim Form
PDF template
A comprehensive medical claim form for submitting healthcare service reimbursement claims to Anthem Blue Cross and Blue Shield insurance.
See template
See template
PPO Dental Blue Complete
PDF template
Comprehensive dental insurance plan offering flexible network options and preventive care coverage for active and retired police association members.
See template
See template
Short Term Disability Claim Form
PDF template
A form for employees to file a claim for short-term disability benefits with insurance details and authorization.
See template
See template
Medical Claim Form
PDF template
A standard medical insurance form for submitting healthcare service claims and patient information to an insurance provider.
See template
See template
Out Of Network Vision Services Claim Form
PDF template
A claim form for submitting vision care expenses to Blue View Vision when receiving services from out-of-network providers.
See template
See template
AO 140 (1020) Victim Address Change Form
PDF template
A form for victims or their authorized representatives to update the address for receiving criminal restitution payments.
See template
See template
Texas Application For Exemption Federal And All Others
PDF template
Application for obtaining tax exemptions from sales, franchise, and hotel taxes for qualifying organizations in Texas.
See template
See template
SAN BERNARDINO COMMUNITY COLLEGE DISTRICT STUDENT GRADE APPEAL FORM
PDF template
Formal process for students to appeal a course grade through multiple administrative steps within the college district.
See template
See template
AP 7380 Retiree Health Benefits All Employees
PDF template
Policy document outlining health benefits continuation for eligible employees upon retirement from the College.
See template
See template
AP Payment Compliance Form IRS Substitute W 9
PDF template
A form for collecting taxpayer identification information for individuals and businesses receiving payments from Ohio State University.
See template
See template
Sample Presenter Registration Form
PDF template
A registration form for presenters at Washburn University, including personal information, guest details, and presentation specifics.
See template
See template
PARTICIPANT MEDICAL HISTORY FORM
PDF template
Confidential medical history form for collecting participant health information for trips and activities by APEX
See template
See template
Application For A ConsumerS Certificate Of Exemption
PDF template
Instructions for nonprofit organizations and governmental entities to obtain a sales and use tax exemption certificate in Florida.
See template
See template
Schwab Personal Choice Retirement Account (PCRA) Limited Power Of Attorney (LPOA) Form
PDF template
A form for establishing a Personal Choice Retirement Account with limited trading authorization at Charles Schwab.
See template
See template
WAITING LIST CHANGE OF ADDRESS FORM
PDF template
A form for updating contact information for individuals on a housing authority waiting list to ensure proper communication.
See template
See template
Phased Retirement Application And Reemployment Agreement
PDF template
A voluntary program allowing faculty to transition to half-time employment while beginning retirement benefits and maintaining institutional connection.
See template
See template
Application For Member Survivor Allowance
PDF template
Form for survivors to apply for allowance benefits under Massachusetts General Laws, Chapter 32, Section 12A, pending approval of accidental death benefits.
See template
See template
Application Form For Extra Increase Single Pensioners
PDF template
A form for single pensioners in the Caribbean Netherlands to apply for an additional pension increase based on specific eligibility criteria.
See template
See template
Pension Application Form
PDF template
Comprehensive form for individuals applying for pension benefits, collecting personal, marital, and employment information.
See template
See template
Application For Old Age Security Pension Canada
PDF template
An official government application form for seniors to apply for Old Age Security pension benefits in Canada.
See template
See template
APPLICATION FOR NON RESIDENT TAX EXEMPTION FORM
PDF template
A comprehensive form for international employees or students to provide immigration and tax residency details for tax exemption purposes.
See template
See template
Application Form And Education Planning Form Submittal Process
PDF template
Detailed workflow for submitting application and education planning forms through Smartsheet, involving multiple steps and document attachments.
See template
See template
Service Request Form
PDF template
A form for submitting and tracking information technology service requests within an organization.
See template
See template
How To Apply For An SVF Plan Retirement Benefit Or Survivor Benefit
PDF template
Detailed instructions for volunteer firefighters applying for retirement or survivor benefits through the PERA Statewide Volunteer Firefighter Plan.
See template
See template
APPLICATIONS Service Request Form
PDF template
Internal form for requesting IT service and system modifications within an organization's technology infrastructure.
See template
See template
APTA Technology Terms And Conditions White Paper
PDF template
A white paper discussing technology-related terms and conditions for IT procurement contracts in public transit agencies.
See template
See template
Refund Direct Deposit Form ARDD 100
PDF template
A form for taxpayers to provide bank account details for receiving tax refunds from the State of Oklahoma
See template
See template
Arizona State Carpenters Annuity Plan
PDF template
A defined contribution retirement plan for covered employees of the Arizona State Carpenters Retirement Fund, providing financial security and tax-deferred benefits.
See template
See template
Federal Resource Guide Real Life Considerations For Older Adults Taxes
PDF template
A comprehensive guide providing federal resources and benefits information to help older adults understand tax-related issues and make informed decisions.
See template
See template
Pennsylvania State System Of Higher Education Alternative Retirement Plan Summary Plan Description
PDF template
Comprehensive summary of retirement plan details for Pennsylvania State System of Higher Education employees, covering participation, contributions, investments, and benefits.
See template
See template
Appendix 1 Worksheet Annual Report Not A Public Record
PDF template
A detailed worksheet for listing and calculating total assets located and employed in Wyoming for tax reporting purposes.
See template
See template
Retirement Plan Consulting Agreement
PDF template
An agreement between a plan sponsor, Commonwealth Equity Services, and an investment advisor for retirement plan consulting services.
See template
See template
MEDICALVISION CLAIM FORM
PDF template
A comprehensive claim form for submitting medical and vision insurance claims, requiring detailed employee and patient information.
See template
See template
Asset Declaration Form
PDF template
A comprehensive form for taxpayers to declare personal assets, business assets, liabilities, and financial holdings in Fiji.
See template
See template
Accessible Technology Purchase Form
PDF template
Form for requesting electronic and information technology purchases to ensure accessibility for students and users in academic settings.
See template
See template
COMPLAINT FORM
PDF template
A form for participants to file complaints related to the Commodity Supplemental Food Program (CSFP)
See template
See template
Form FMS PY1 Direct PaymentInvoice Form
PDF template
A form for teachers to request reimbursement for PRAXIS exam costs through their school or district office.
See template
See template
Fund Eligibility And Membership
PDF template
Document detailing eligibility requirements, enrollment procedures, and membership conditions for a health benefits fund.
See template
See template
ATTENDANCE FORM FOR SCHOLARSHIP
PDF template
A comprehensive form for students to record personal details, family information, scholarship history, class attendance, and academic record for scholarship purposes.
See template
See template
Attorney Change Of Address
PDF template
Form for attorneys to update their contact and firm information with the Franklin County Clerk of Courts.
See template
See template
Audit Application Form
PDF template
A form for students to request auditing a class without receiving academic credit or affecting their GPA.
See template
See template
Official Record Of Audit Form (Full Time Student)
PDF template
A form for full-time students to audit one course per term without earning academic credit, requiring 75% class attendance.
See template
See template
Postal Services Authorization Form
PDF template
A form for departments to request and document postal mailing services for batches over 200 pieces.
See template
See template
Authorization Form For Payroll Check(S) To Be Mailed
PDF template
A form allowing employees of Bronx Community College to authorize mailing of their payroll checks to a specified address.
See template
See template
AutoDraft Cancellation Form
PDF template
Form for members to cancel participation in the New York City Bar Association's AutoDraft Payment Plan.
See template
See template
Award Agreement (Agreement To Pay Benefits)
PDF template
Official form documenting workers' compensation benefits agreement between an injured worker and employer/insurance carrier.
See template
See template
Award, Prize And Scholarship Form
PDF template
Official form for documenting and processing student awards, prizes, and scholarships at the University of California, Berkeley.
See template
See template
Arizona Form 5000
PDF template
A tax form used to claim exemption from Arizona Transaction Privilege Tax for specific transactions or entities.
See template
See template
Change Of Address Form
PDF template
A form for updating property owner contact information in county tax records for real estate and personal property.
See template
See template
Los Angeles Community Colleges Personnel Guide B382 Reduced Workload Leave
PDF template
Guidance for certificated faculty to reduce workload while maintaining full-time retirement benefits under specific conditions.
See template
See template
Form B5
PDF template
A standardized form designated as B5, likely used for administrative or regulatory purposes.
See template
See template
Benefit Application Form (BA1)
PDF template
Application form for members of the New Zealand Firefighters Welfare Society to claim benefits and reimbursements.
See template
See template
OP 95 5 02 Backward Deferred Retirement Option Plan (Back DROP)
PDF template
Operational policy detailing the process for Fire and Police Pension Plan members to apply for retirement using the Backward Deferred Retirement Option Plan.
See template
See template
Medical History Form
PDF template
A comprehensive medical history form for collecting student health information, emergency contacts, and family medical history.
See template
See template
Chronic Appliance Benefit Application Form
PDF template
Medical application form for patients seeking insurance coverage for chronic medical appliances and equipment through Bankmed.
See template
See template
BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
PDF template
Form for employees to request access to various Banner modules and Unix accounts at Texas Southern University
See template
See template
BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
PDF template
Form for requesting access to Banner and Unix system modules for Texas Southern University employees
See template
See template
Business Application And Registration
PDF template
Official form for registering a new business in Rhode Island, including details about business type, ownership, and required permits or licenses.
See template
See template
Medical History Form
PDF template
Comprehensive medical history form for patients seeking weight loss treatment, collecting personal, medical, and insurance information.
See template
See template
Health Is Wealth Patient Intake Form
PDF template
Comprehensive medical intake form collecting patient personal, employment, emergency contact, and insurance information.
See template
See template
BASIC PENSION APPLICATION
PDF template
A comprehensive pension application form for members of the Southern California Pipe Trades Retirement Fund seeking to apply for retirement benefits.
See template
See template
Basic Plan Monthly Payment Tax Withholding Form
PDF template
Form for changing or revoking tax withholding for monthly payments from the DGA-Producer Pension Plan.
See template
See template
Bayswater Change Of Address Form
PDF template
A form for Bayswater property owners to update their contact and mailing information.
See template
See template
Bayswater Change Of Address Form
PDF template
A form for vendors to update their mailing address and contact information with Bayswater.
See template
See template
Patient Insurance Information Form
PDF template
Comprehensive form for collecting patient medical insurance and health coverage details for claims processing.
See template
See template
Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive insurance claim form for documenting medical treatment, injury, or preventive care for reimbursement purposes.
See template
See template
Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient details, treatment information, and other coverage details.
See template
See template
Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive insurance claim form for submitting medical treatment claims with detailed patient and treatment information.
See template
See template
Member Claim Form
PDF template
A form for filing healthcare claims with Blue Cross Blue Shield of North Carolina, detailing patient and insurance information for reimbursement of medical services.
See template
See template
Change Of Address Form
PDF template
Form for updating a customer's address with Blue Cross Blue Shield of Mississippi to ensure proper mail delivery.
See template
See template
Transfer Request Form
PDF template
Form for international students to request transfer of their SEVIS immigration record from Bergen Community College to another educational institution.
See template
See template
My Benefit Plan Summary
PDF template
Comprehensive health benefits summary for full-time employees of Brant Community Healthcare System through Green Shield Canada.
See template
See template
Consumer Complaint Form
PDF template
Official form for filing consumer complaints with the Pennsylvania Attorney General's Bureau of Consumer Protection.
See template
See template
BCS Fellow (FBCS) Application Guidance For OMs
PDF template
Comprehensive guidance for professionals applying to become a BCS Fellow, detailing application requirements and criteria.
See template
See template
BeerePurves Ongoing Maintenance Request Form
PDF template
Form for setting up ongoing maintenance of EaseCentral groups with Beere&Purves broker services.
See template
See template
Beneficiary Distribution Claim Form
PDF template
A form for beneficiaries to claim and distribute funds from a deceased participant's deferred compensation account.
See template
See template
BENEFIT APPLICATION FORM
PDF template
Application form for pension fund withdrawal with personal and employment details
See template
See template
Benefit Application Form
PDF template
A form for youth members of the Sipekne'katik First Nation to apply for benefits from their trust.
See template
See template
Benefit Distribution Request
PDF template
A comprehensive guide for participants to understand their 457 Deferred Compensation Plan distribution options and retirement benefit payments.
See template
See template
Direct Deposit Form
PDF template
Form for employees to set up direct deposit for benefits reimbursements with bank account details and authorization.
See template
See template
M NCPPC BENEFITS ENROLLMENTCHANGE FORM
PDF template
Form for employees to enroll or change benefits, covering medical, dental, and prescription plans for new hires or those experiencing qualifying life events.
See template
See template
Benefits Billing Form
PDF template
A form for employees to elect benefits continuation options during FMLA or general leave of absence
See template
See template
Benefits Cancellation Form
PDF template
Form used to remove dependents from an employee's benefits plan and modify coverage options.
See template
See template
Benefits Cancellation Form
PDF template
Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
See template
See template
Dental Insurance Plan
PDF template
Insurance plan detailing dental coverage eligibility for employees and their dependents at the University of Nebraska.
See template
See template
Benefits Enrollment Form
PDF template
A comprehensive form for employees to select and enroll in medical, dental, and optional insurance benefits
See template
See template
COMPLAINT Stanley E. McGlothlin V. Benefits For Corporate America, Inc., Et Al.
PDF template
A legal complaint filed by Stanley E. McGlothlin against Benefits for Corporate America, Inc. and related entities under ERISA and Texas common law.
See template
See template
ENERGY BENEFIT TRANSFER REQUEST FORM
PDF template
A form for transferring energy benefits between utility vendors and documenting account changes.
See template
See template
BESA ENG Concentration Declaration Form
PDF template
A form for BESA students to declare or change their Engineering concentration within their academic program.
See template
See template
Benefits 2 Work Enrollment Form
PDF template
A comprehensive form for San Francisco residents seeking employment benefits and counseling, particularly targeting seniors, disabled individuals, and those with limited employment prospects.
See template
See template
Discharge Form
PDF template
A form used to document and track patient discharge details for behavioral health clinical services.
See template
See template
Patient Medical History Form
PDF template
Comprehensive medical history form collecting patient's personal health information, medical history, symptoms, and current health status.
See template
See template
Post DocTrainee Billing Form
PDF template
A form for managing billing and payment details for post-doctoral trainees and their associated departments at the University of Utah.
See template
See template
We CanT Wait Act Of 2023
PDF template
A bill to allow disabled individuals to elect to receive disability insurance benefits during the mandatory waiting period.
See template
See template
We CanT Wait Act Of 2024
PDF template
A bill to permit disabled individuals to elect to receive disability insurance benefits during the waiting period.
See template
See template
Biology Department Request For Purchase Requisition Form
PDF template
A departmental form for requesting and tracking purchases of scientific materials or equipment.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical form for collecting patient personal, contact, medical, and insurance information with consent authorization.
See template
See template
Douglas County SheriffS Office Address Change Permit Lost Or Destroyed Form
PDF template
Official form for changing address or replacing a lost/destroyed permit, typically related to concealed handgun permits in Douglas County, Colorado.
See template
See template
Health Savings Account (HSA) Payroll Deduction Form
PDF template
Form for employees to authorize automatic payroll deductions into their health savings account (HSA)
See template
See template
Request For Purchase
PDF template
A form used by the New Mexico State University Department of Chemistry & Biochemistry to request purchasing of scientific or laboratory materials.
See template
See template
Blue Cross Blue Shield Change Of Address Form
PDF template
A form for Blue Cross Blue Shield members to update their contact information and address details.
See template
See template
Santa Monica College Confidential Medical History
PDF template
A comprehensive medical history form for students to document personal health information and medical background.
See template
See template
Request For Change Of Address
PDF template
Official form for updating address with Ohio Bureau of Motor Vehicles that also provides voter registration notification option
See template
See template
Foreign Status For Federal Tax Withholding Form
PDF template
A form for foreign individuals to provide tax and immigration information for payment processing at South Texas College
See template
See template
Termination Of Membership Form
PDF template
A form for members to officially resign from the Bonitas Medical Fund and terminate their medical scheme membership.
See template
See template
BOOKING FORM
PDF template
Registration and booking form for the 7th International Oak Society Conference in Bordeaux, France, including conference and tour details.
See template
See template
Unemployment Insurance Benefit Payment Guidance
PDF template
Instructions for employers on preventing improper unemployment insurance benefit payments and reducing potential tax impacts.
See template
See template
Camp Medical Form
PDF template
A medical form for parents/guardians to provide health information and medical history for children attending summer camp.
See template
See template
Pension Plan Benefit Application Form
PDF template
A comprehensive form for union members to apply for pension benefits, covering member information, reason for benefit request, and required certifications.
See template
See template
Accountancy And Tax Booking Form
PDF template
Registration form for UK and international students enrolling in accountancy and tax courses with details for course selection and personal information.
See template
See template
BRASSEl Pilar Program Medical Form
PDF template
Confidential medical history form for participants in an archaeological research program at El Pilar, collecting personal health information and emergency contact details.
See template
See template
Patient Intake Form
PDF template
Comprehensive form for collecting patient and family medical contact information for pediatric medical practice.
See template
See template
REQUISITION FORM
PDF template
A form for patient information, billing details, and physician consent for medical testing by BillionToOne.
See template
See template
Budget Transfer Request Form
PDF template
A form for requesting and documenting internal budget transfers between accounts with required signatures and justification.
See template
See template
Building Compliance Letter REQUEST FORM
PDF template
A municipal form for requesting a building compliance letter from the Building Standards Department of New Tecumseth.
See template
See template
Aflac Dental Claim Form
PDF template
A claim form for submitting dental insurance details and patient information to Aflac.
See template
See template
COPPERAS COVE POLICE DEPARTMENT BUSINESS CONTACT FORM
PDF template
Form for collecting business contact information to be used by local police in emergency situations
See template
See template
Business Credit Application Agreement
PDF template
A comprehensive credit application form for businesses seeking to establish a credit account with Commercial Tire.
See template
See template
BUSINESS REGISTRATION FORM
PDF template
Official form for registering a new business or reporting changes in business ownership in Juneau, Alaska.
See template
See template
NEW FURNITURE PURCHASE FORM
PDF template
Official form for state agencies to request new furniture purchases, documenting necessity and surplus property evaluation.
See template
See template
REGISTRATION AGREEMENT FORM FOR ENTRY
PDF template
A school registration form for parents or guardians to request admission of a child to Bridgewater School
See template
See template
Form SSA 634 Request For Change In Overpayment Recovery Rate
PDF template
A form for individuals to request adjustment of Social Security overpayment recovery based on financial hardship and inability to meet necessary living expenses.
See template
See template
Application For Dissolution, Without A Meeting Of Shareholders
PDF template
Official form for domestic profit corporations to dissolve without a shareholders' meeting, as prescribed by New Jersey law.
See template
See template
Installment Payment Request
PDF template
A form for requesting an installment payment plan for tax liabilities with the Alabama Department of Revenue
See template
See template
CEDS Project Form
PDF template
A form for submitting project details with guidelines for completion and two submission standards.
See template
See template
Limited Power Of Attorney And Tax Information Authorization (Business, Estate Or Trust)
PDF template
A form allowing businesses to appoint an agent to handle unemployment insurance tax and benefit-related matters with the Vermont Department of Labor.
See template
See template
Opinion Of Trustees ROD Case No. CA 0097
PDF template
A legal opinion addressing a dispute over prescription pre-authorization requirements for Viagra benefits under the Coal Industry Retiree Benefit Act.
See template
See template
California Partnership Return Of Income (Form 565)
PDF template
Official tax booklet containing instructions and forms for partnership income tax returns in California for the 2010 tax year.
See template
See template
CalPERS 1008 Direct Payment Authorization
PDF template
A form for California Public Employees' Retirement System members to authorize direct premium payments for health insurance coverage.
See template
See template
Special Power Of Attorney
PDF template
A legal document allowing individuals to designate representatives for retirement-related decisions within CalPERS, LRS, and JRS systems.
See template
See template
CalPERS Special Power Of Attorney
PDF template
A comprehensive guide explaining the process and usage of a special power of attorney document for CalPERS members.
See template
See template
MEMBERSHIP FORM
PDF template
A membership form for joining the Cal State LA Emeriti Association with various membership categories and donation options.
See template
See template
Camp Potlatch 2020 Medical Form
PDF template
A comprehensive medical form for parents/guardians to provide health information for children attending Camp Potlatch summer camp.
See template
See template
Camp Potlatch 2022 Medical Form
PDF template
A comprehensive medical form for parents to provide health details about their child attending Camp Potlatch summer camp.
See template
See template
Campus Volunteer PeopleSoft Entry Information Form
PDF template
Form for collecting volunteer information and contact details for campus-based volunteer programs.
See template
See template
Canada Manitoba Housing Benefit Homelessness Stream Application
PDF template
Application for financial housing support for individuals at risk of or experiencing homelessness in Manitoba.
See template
See template
Request To Cancel Coverage Form
PDF template
A form detailing reasons and documentation required for canceling health insurance coverage with specific qualifying events.
See template
See template
Course Contract Cancellation Form
PDF template
A form used by students to cancel an existing honors course contract and provide details about the cancellation.
See template
See template
Voter Registration Cancellation Request Form
PDF template
A form for cancelling voter registration in New Mexico when moving to another county or state, or upon voter's written request.
See template
See template
RI 2625 Account Cancellation Form
PDF template
Official state form for canceling various business and tax-related accounts with the Rhode Island Division of Taxation.
See template
See template
Cancellation Form
PDF template
A form for members to request cancellation of their fitness center membership with specified policy and fee requirements.
See template
See template
Miscellaneous Deductions And Insurances Cancellation Form
PDF template
Form for cancelling optional insurance plans and miscellaneous deductions not subject to pre-tax restrictions.
See template
See template
New Consultation Referral Form
PDF template
Medical referral form for new patient consultation at an oncology clinic, collecting patient diagnosis, referral details, and medical history.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient health history, contact information, and current medical status.
See template
See template
CLAIM FORM AND INSTRUCTIONS
PDF template
A comprehensive insurance claim form for filing wellness exam benefits with instructions for submission and processing.
See template
See template
MEDICAL HISTORY FORM
PDF template
A comprehensive form for patients to provide detailed medical information relevant to dental treatment and health assessment.
See template
See template
Caregiver Medical History Form
PDF template
A medical history form for caregivers to provide health background information for TNT staff review
See template
See template
Pre Authorisation Form Care
PDF template
A detailed medical insurance form for patients seeking cashless hospitalization, capturing personal, medical, and insurance details.
See template
See template
Mail Service Order Form
PDF template
A form for ordering prescriptions through mail service with health history and participant information collection.
See template
See template
Research Equipment Sales Tax Exemption Form
PDF template
A form to claim sales tax exemption for research and development equipment in South Carolina based on specific legal criteria.
See template
See template
Cash2Card Deposit Inquiry Form
PDF template
Form for researching and responding to deposit inquiries related to the University of San Francisco's Cash2Card machine service.
See template
See template
CASH ORDER REQUEST FORM
PDF template
A form for requesting cash and currency order from AdelFi Banking for ministry or member use.
See template
See template
Check Cash Request Form
PDF template
A document for requesting cash or check payments, with options for mailing, direct deposit, and reimbursement details.
See template
See template
Quick Casting Order Form
PDF template
Order form for selecting metal alloys and shipping options for casting services.
See template
See template
Withholding Certificate For Pension Or Annuity Payments
PDF template
A form for selecting tax withholding options for pension or annuity payments in California
See template
See template
Refund Request
PDF template
Official form for requesting a refund of Catcard balance at University of California, Merced, subject to a $5 processing fee.
See template
See template
Community Benefit Application Form
PDF template
An annual application process for community facilities and small businesses to receive support for community development projects from Sennit Construction.
See template
See template
CarerS Credit Application Form
PDF template
An application form for individuals providing care to claim Carer's Credit, a National Insurance credit for carers.
See template
See template
STATE OF NEW JERSEY FORMAL COMPLAINT FORM
PDF template
Official form for filing formal complaints related to state contracts, purchases, and services with the New Jersey Department of the Treasury's Contract Compliance & Audit Unit.
See template
See template
Average Adjusted Gross Income (AGI) Certification And Consent To Disclosure Of Tax Information
PDF template
A form for farmers to certify their average adjusted gross income and consent to tax information disclosure for USDA program eligibility.
See template
See template
Average Adjusted Gross Income (AGI) Certification And Consent To Disclosure Of Tax Information
PDF template
Form for farmers to certify average adjusted gross income and consent to tax information disclosure for USDA program eligibility.
See template
See template
Average Adjusted Gross Income (AGI) Certification And Consent To Disclosure Of Tax Information
PDF template
Form for certifying average adjusted gross income and consenting to tax information disclosure for USDA program eligibility.
See template
See template
New Patient Intake Patient Medical History
PDF template
Comprehensive medical intake form for new patients collecting detailed personal and health information.
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal information, medical history, lifestyle details, and emergency contacts.
See template
See template
CDC Consultant Advisory 2019 009 Updated VendorIndependent Contractor Form
PDF template
Update to the CDC+ vendor form requiring Medicaid ID and license number, with new requirements for direct care providers.
See template
See template
SEAFARER COMPLAINT RESOLUTION FORM
PDF template
A maritime administration form for seafarers to document and file complaints about working or living conditions on a vessel.
See template
See template
APPLICATION FOR DISABILITY BENEFIT
PDF template
Application form for disability benefits from the Central States, Southeast and Southwest Areas Pension Fund for eligible participants.
See template
See template
Central States Pension Fund Retirement Declaration
PDF template
A document for declaring retirement date, employment status, and receiving pension benefits from the Central States Pension Fund.
See template
See template
California Employers Retiree Benefit Trust Sub Account Contribution Form
PDF template
A form for making contributions to multiple California Employers' Retiree Benefit Trust sub-accounts for different employee bargaining units.
See template
See template
Certificated Employee Resignation Form
PDF template
A form for certificated employees of Vacaville Unified School District to resign from their position and document retirement benefits election.
See template
See template
Certificated Resignation Form
PDF template
A form for certificated employees to resign from their positions, with options for standard resignation or retirement through CalSTRS.
See template
See template
CERTIFICATION AGREEMENT
PDF template
A certification form for veterans and dependents seeking educational benefits through VA programs at Santa Monica College.
See template
See template
Florida Department Of Highway Safety And Motor Vehicles Certification Of Address
PDF template
Form for certifying residential address when obtaining a Florida Class E driver license or identification card
See template
See template
Certified Address Request Form
PDF template
A form for requesting a certified address for various types of properties in Columbus, Ohio
See template
See template
BDA Travel Form
PDF template
A travel request and expense tracking form for travelers within the Bureau of Disability Adjudication
See template
See template
MEDICAL FORM
PDF template
Confidential medical history form for collecting patient personal and health information for medical examination purposes.
See template
See template
PAYROLL DEDUCTION FORM
PDF template
Form for employees to update or initiate payroll deductions for Cat PowerInvestment note investments.
See template
See template
CHANGE OF ADDRESS FORM
PDF template
A form used to update personal contact information and residential address with proof of documentation required.
See template
See template
WV Income Maintenance Manual Chapter 2
PDF template
Guidelines for reporting changes and maintaining SNAP (Supplemental Nutrition Assistance Program) case eligibility in West Virginia.
See template
See template
Change Of Address Information
PDF template
A form for updating contact information in a child support case, requiring personal and identification details.
See template
See template
Change Of Address Form
PDF template
A form for updating personal contact information with the Cambridge Retirement System.
See template
See template
Change Of Address Form
PDF template
A form for employees of Chicago State University to update their official address in the university system.
See template
See template
BlackRock Change Of Address Form
PDF template
A form for updating account address information with BlackRock for registered shareholders.
See template
See template
Change Of Address Form
PDF template
Form for updating mailing address for housing assistance programs administered by Way Finders.
See template
See template
Request For Change Of AddressName Change
PDF template
A form for Yosemite Community College District employees to update their personal contact information and legal name.
See template
See template
NH Office Of Professional Licensure Certification Technical Division CHANGE OF ADDRESS FORM
PDF template
Form for licensed professionals to update their contact and professional information with the New Hampshire Office of Professional Licensure & Certification.
See template
See template
Change Of Address Form
PDF template
A form to update contact information for legal professionals or court-related individuals with the Eighth Circuit Court of Appeals.
See template
See template
Change Of Address And Power Of Attorney
PDF template
A form for members of Sovereignty Education and Defense Ministry to notify tax authorities about address changes and taxpayer status
See template
See template
Sales Order Form
PDF template
A form for capturing customer order details, item quantities, and pricing information.
See template
See template
Change Of Contractor
PDF template
A form for requesting a change of contractor for a building permit in Johns Creek, Georgia, documenting the withdrawal or replacement of a previous contractor.
See template
See template
Change Direct Deposit
PDF template
Instructions for changing direct deposit payment method by completing and uploading a form to the Benefits Portal.
See template
See template
STANDARD CHANGE FORM
PDF template
A form used for updating employee payroll information, deductions, and status for existing employees or new hires.
See template
See template
GROUP POLICY CHANGE FORM
PDF template
A form for employees to request changes to their group insurance policy details and dependent status.
See template
See template
Change Of Address Form
PDF template
A form for international students to report address changes as required by U.S. Immigration Law within ten business days.
See template
See template
Change Of Address Or Name Form
PDF template
A form for TRS members to update personal contact information and address details.
See template
See template
Member Change Of Address Form
PDF template
A form for credit union members to update their personal contact information and account details.
See template
See template
Change Of Address Form
PDF template
Official form for requesting an address change for property assessment purposes in Acadia Parish, Louisiana.
See template
See template
ADDRESSNAME CHANGE NOTIFICATION
PDF template
Form for updating personal contact information and name changes for environmental operator licensees in Florida.
See template
See template
Ho Chunk Nation Office Of Tribal Enrollment Change Of Address Form
PDF template
Form used by Ho-Chunk Nation tribal members to update personal contact and residential information.
See template
See template
Change Of Address Form
PDF template
Form for updating personal contact information for 1199SEIU Benefit Funds members.
See template
See template
Town Of Washington Change Of Address Form
PDF template
A form for property owners to update their mailing address and tax escrow information for real property in Dutchess County, New York.
See template
See template
Change Of Address Form
PDF template
A form for updating personal contact information for legal proceedings or court records in Harris County, Texas.
See template
See template
NEW ADDRESS CHECKLIST (ACTIVE RETIRED)
PDF template
Guide for active and retired members of the Uniformed Firefighters Association to update their contact information and address.
See template
See template
COURT REGISTRY CHANGE OF ADDRESS FORM
PDF template
A form for updating contact information for a minor through the court registry system.
See template
See template
How To Notify USCIS Of Change Of Address For DACA ApplicantsRecipients
PDF template
Instructions for DACA applicants and recipients to update their address with U.S. Citizenship and Immigration Services when they move.
See template
See template
Change Of Address Form
PDF template
Form for updating student and family address information with school district administrative office.
See template
See template
Change Of Address Form
PDF template
A form for property owners to update their mailing address with the St. Tammany Parish Assessor's Office.
See template
See template
Change Of Address
PDF template
A form for updating a student's residential address with official documentation requirements.
See template
See template
Change Of Address Form
PDF template
A form for students to update their local, permanent, billing, and parent contact information with the university.
See template
See template
STATE BAR OF NEVADA CHANGE OF ADDRESS PER SCR 79
PDF template
A form for Nevada State Bar members to update their public and alternate contact information as required by SCR 79 regulations.
See template
See template
Change Of Address Form
PDF template
A form for TRS members to update their personal contact information and address details
See template
See template
Change Of Address Form
PDF template
A form for updating personal contact and account information with a municipal or local government agency.
See template
See template
CHANGE OF ADDRESS FORM
PDF template
A form used to update personal contact information and address details for a participant.
See template
See template
Change Of Address Form
PDF template
Form for updating personal contact information with the Florida United Methodist Foundation.
See template
See template
Change Of Address Form Name Change Form
PDF template
Form for updating personal contact information and name changes for students or employees.
See template
See template
Change Of Address Form
PDF template
A form for members of 1st Northern California Credit Union to update their residential address and contact information.
See template
See template
Change Of Address Form
PDF template
A form used to update personal contact information and address details for an individual.
See template
See template
Address Change Request
PDF template
Form for employees to update their contact information in the company's HR system (PeopleSoft)
See template
See template
Change Of Address Form
PDF template
A form for updating contact and mailing information for licensed professionals through the Department of Health's Office of Professional Licensure and Health Planning.
See template
See template
Change Of Address Form
PDF template
Official form for students to update their contact and residential information with Luzerne County Community College.
See template
See template
Change Of Address Form
PDF template
Form for members to update personal contact and address information with a credit union or organization.
See template
See template
Updated Address Form
PDF template
A form for tribal members to update their contact information with the Apache Tribe of Oklahoma.
See template
See template
Change Of Address Form
PDF template
A form for students to update their local and home contact information with the university registrar's office.
See template
See template
Change Of Address Form
PDF template
Official form for updating property owner's mailing address with local tax assessor's office.
See template
See template
Declaration Of Address Change By Defendant Or Surety
PDF template
Legal document for defendants or sureties to update their current address with the court.
See template
See template
Change Of Address
PDF template
A form for updating a student's address with Seattle Public Schools, requiring verification documents.
See template
See template
Student Contact Information Change
PDF template
Form for students to update personal contact details with the Koniag Education Foundation.
See template
See template
Change Of Address Form
PDF template
A form for students and parents to update address information and verify residency for Indianola Community Schools.
See template
See template
Change Of Address Form
PDF template
A form for Erie Water Works customers to update their contact and service address information.
See template
See template
Change Of Address Form
PDF template
A municipal form for updating property owner contact and mailing information for tax and utility purposes.
See template
See template
Change Of Address Form
PDF template
A form for customers to update their contact and service address information with Erie Water Works utility.
See template
See template
ANNVILLE CLEONA SCHOOL DISTRICT ADDRESSPARENT CONTACT CHANGE FORM
PDF template
A form for updating student address and contact information for the Annville-Cleona School District.
See template
See template
Change Of Address Request
PDF template
A form for credit union members to update their personal contact information and address details.
See template
See template
Change Of Address Form
PDF template
Form for Metis Citizens to update their personal and family contact information with the Metis NationSaskatchewan registry.
See template
See template
Change Of Address Form
PDF template
Official form for requesting address changes or modifications within the City of Miami zoning system.
See template
See template
Declaration Of Address Change By Defendant Or Surety
PDF template
Legal document for defendants or sureties to update their current address with the court
See template
See template
Change Of Address Form
PDF template
Official form for updating property owner's address with local county assessment office.
See template
See template
Change Of Address Form
PDF template
Official form for employees to update personal contact information and address details with the City University of New York (CUNY) Office of Human Resources.
See template
See template
Change Of Address Form
PDF template
A form used by students to update their contact information with the university registrar's office.
See template
See template
Change Of Address Form
PDF template
A form for license holders to notify the Nevada Radiation Control Program of a change in mailing address within 10 business days.
See template
See template
Basic Educational Data System (BEDS) Change Of Address Form Nonpublic Schools
PDF template
A form for nonpublic schools to update their address in the New York State Education Department's Basic Educational Data System (BEDS)
See template
See template
City Of Decatur Municipal Court Change Of Address Form
PDF template
A form for updating personal contact information with the Decatur Municipal Court through online submission.
See template
See template
Change Of Address Form
PDF template
Form for University of Central Florida graduate students to update their official contact information.
See template
See template
Change Of Address Form
PDF template
A form for students to update their contact information and address details.
See template
See template
Change Of Address Form
PDF template
Form for United States Bowling Congress (USBC) members to update their contact information and mailing address.
See template
See template
Change Of Address Form
PDF template
A form for updating personal contact information and membership details across multiple accounts.
See template
See template
CHANGE OF ADDRESS FORM
PDF template
Form for members to update their contact and address information for their credit union accounts
See template
See template
Change Of Address Form
PDF template
A form for updating contact information for licensed professionals with the Department of Health in the U.S. Virgin Islands.
See template
See template
Employee Change Of Address Form
PDF template
A form for employees to update their personal contact and address information with their employer.
See template
See template
Albion College Change Of Address Form
PDF template
A form for Albion College students to update their personal contact information and emergency contact details.
See template
See template
Change Of Address Form
PDF template
A form for updating personal contact information and address details.
See template
See template
Change Of Address
PDF template
A municipal form for updating property owner contact information for tax and assessment purposes.
See template
See template
Change Of Address Form
PDF template
A form for union members to update their personal contact information and address details.
See template
See template
Change Of Address Form
PDF template
Form for lawyers to update primary and alternate contact information with the Maryland Bar Association.
See template
See template
Change Of Address For Inactive Members
PDF template
A form for inactive retirement system members to update their contact and mailing information with the Montana Public Employee Retirement Administration.
See template
See template
Change Of Address Instructions Form
PDF template
A form for updating personal contact and address information for Directions account holders through online or paper submission.
See template
See template
Change Of Address Notification
PDF template
A form for participants to update their contact information with the Laborers Funds Administrative Office of Northern California.
See template
See template
Exception Form For Demographic Update Error
PDF template
A form used by healthcare providers to update their demographic information and address when online changes are unsuccessful
See template
See template
Change Of Address Form
PDF template
A municipal form for updating personal contact information with the City of Burbank government.
See template
See template
CHANGE OF ADDRESS FORM
PDF template
A form for employees to update their mailing address with the Office of Human Resources.
See template
See template
CHANGE OF ADDRESS FORM
PDF template
A form for nursing home administrators to update their personal and professional contact information with the NC State Board of Examiners.
See template
See template
Change Of Address Form
PDF template
A municipal form for updating address information with the Town of Campton, New Hampshire.
See template
See template
Change Of Address For Retirees
PDF template
A form for Montana Public Employee Retirement Administration retirees to update their mailing address and contact information.
See template
See template
Change Of Address Form
PDF template
Form for updating personal contact information for employees of the Miami Beach Employees' Retirement Plan.
See template
See template
Change Of Address Form
PDF template
Official document for updating personal address information with an organization.
See template
See template
Change Of Address Form
PDF template
A form for members to update their contact and mailing address information with an organization.
See template
See template
Change Of Address Form
PDF template
A form for members to update their contact and home address information with the Managed Health Care Trust Fund.
See template
See template
Employee Change Of Address Form
PDF template
A form for Puyallup Tribe of Indians employees to update their personal contact and address information with Human Resources.
See template
See template
Change Of Address Form
PDF template
A form for updating property owner's mailing address with the county assessor's office.
See template
See template
SAM HOUSTON STATE UNIVERSITY BANNER BUDGET CHANGE REQUEST
PDF template
A university form for requesting budget modifications, transfers, or increases with multiple levels of approval.
See template
See template
Change Of Circumstances (HCVP ApplicantParticipant)
PDF template
Form for reporting changes in income, assets, household members, or status for housing assistance program participants.
See template
See template
Change Of Contractor Form
PDF template
Official form for changing contractors for a building or improvement project in the Town of Yorktown, New York.
See template
See template
Department Changing Liaisons Contact Form
PDF template
A form for designating a full-time staff member as a liaison for software licensing within a university department.
See template
See template
Change Of Sub Contractor Form
PDF template
A form used to document and notify parties of a change in sub-contractors for a specific job or contract.
See template
See template
2020 States 4 H OB Medical Form (Non Japan)
PDF template
Medical evaluation form for chaperones participating in a cross-cultural exchange program, assessing health status and medical conditions.
See template
See template
VA Form 22 1990 Application For VA Education Benefits
PDF template
Official application form for veterans seeking educational assistance benefits through VA programs like Montgomery GI Bill.
See template
See template
2024 FSA Enrollment Form
PDF template
Annual enrollment form for flexible spending accounts covering healthcare, limited healthcare, and dependent daycare expenses for the 2024 plan year.
See template
See template
Chargeback Notification Delivery Form
PDF template
A form for merchants to specify their preferred method of receiving chargeback dispute notifications via fax or email.
See template
See template
Retirement Checklist
PDF template
Comprehensive checklist for teachers preparing to retire, detailing required documentation and steps to complete before retirement.
See template
See template
Checklist For ResigningRetiring Employees
PDF template
A comprehensive checklist for employees of the School District of Philadelphia planning to resign or retire, providing guidance on pension and separation procedures.
See template
See template
Checklist For ResigningRetiring Employees
PDF template
A comprehensive guide for employees of the School District of Philadelphia who are resigning or retiring, outlining required steps and pension processing information.
See template
See template
Checklist To Enroll In Retiree Health Insurance
PDF template
Step-by-step instructions for Dutchess County employees enrolling in retiree health insurance and Medicare
See template
See template
NACCS Check Requisition 2010
PDF template
A form for requesting and documenting check issuance within the NACCS organization, including details about the payee, amount, and funding source.
See template
See template
COPERS Change Of Address Form
PDF template
A form for retired city employees to update their contact information with the City of Phoenix Employees' Retirement System.
See template
See template
Academic Student Employee (ASE) And Graduate Student Researcher (GSR) Childcare Reimbursement
PDF template
Form for UAW-represented student employees to request reimbursement of eligible childcare expenses at the University of California.
See template
See template
PASADENA CHDP ORDER REQUEST FORM
PDF template
Form for ordering CHDP pre-enrollment applications, screening billing reports, and envelopes for healthcare providers in Pasadena.
See template
See template
Child Registration Form
PDF template
A comprehensive form for registering a child, collecting personal and insurance information for medical or childcare purposes.
See template
See template
MEDICAL HISTORY CHILD
PDF template
Comprehensive medical history questionnaire for collecting pediatric health information and previous medical conditions.
See template
See template
Health Information Form
PDF template
Confidential health information form for participants in an international research program between Alabama A&M University and Nanjing Forestry University.
See template
See template
Concealed Handgun License Change Of Address Form
PDF template
Form for updating address for Concealed Handgun License holders in Deschutes County, Oregon.
See template
See template
Choice PCA Paid Time Off Request Form
PDF template
A form for Choice PCA employees to request paid time-off from their client, requiring approval and submission to payroll.
See template
See template
Chronic Illness Benefit Application Form
PDF template
An application form for patients seeking chronic illness benefits through the Glencore Medical Scheme, detailing submission requirements and contact information.
See template
See template
Student Loan Repayment Program
PDF template
Official instruction establishing Coast Guard policy for student loan repayment benefits for civilian employees.
See template
See template
Countermeasures Injury Compensation Program Request For Benefits Form
PDF template
Form for individuals seeking medical and employment benefits after experiencing a serious injury from a covered countermeasure such as vaccines or medical equipment.
See template
See template
Cigna Claim Form (Rev. 72015)
PDF template
A comprehensive form for submitting healthcare service reimbursement claims with patient, provider, and payment information.
See template
See template
Enrollment Change Form (Consolidated)
PDF template
A comprehensive form for employees to enroll or change health insurance and related benefits with multiple coverage options.
See template
See template
CIMERLI Solutions Enrollment Form
PDF template
Comprehensive enrollment form for healthcare services, insurance verification, and patient assistance programs offered by CIMERLI Solutions
See template
See template
Order For City Of Virginia Beach Cigarette Stamps
PDF template
Official form for ordering cigarette tax stamps from the Commissioner of the Revenue in Virginia Beach
See template
See template
City Of Hartford TaxFinancial Certification And Declaration Form
PDF template
Official municipal form for verifying tax status, financial obligations, and federal compliance for business owners in Hartford.
See template
See template
HotelMotel Room Tax Exemption Form
PDF template
A form for claiming exemption from hotel and motel room taxes in the City of Moore.
See template
See template
Change Of Address Form
PDF template
Official form for updating personal address details for the City of San Francisco Settlement
See template
See template
City Of Takoma Park MD Enrollment And Contribution Form
PDF template
Form for employees to enroll in and contribute to the City of Takoma Park's 457 Deferred Compensation Plan at MissionSquare Retirement.
See template
See template
Statement Regarding Allocation Of Services And Partial Exemption From St. Louis City Tax Withholding
PDF template
A form for nonresident employees of Washington University to claim partial tax exemption for wages earned outside St. Louis City
See template
See template
Military Connected New Student Checklist
PDF template
A comprehensive guide for military-connected students transitioning to Northern Arizona University (NAU), covering benefit applications and campus resources.
See template
See template
Virginia Workers Compensation Commission Claim Form
PDF template
Official form for filing a workers' compensation claim in Virginia, documenting workplace injury details and requesting benefits.
See template
See template
Dental Insurance Claim Form
PDF template
Insurance claim form for submitting dental treatment and patient information for reimbursement or coverage verification.
See template
See template
Student Insurance Claim Form
PDF template
Insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
See template
See template
VSP Member Reimbursement Form
PDF template
A form for VSP vision care members to request reimbursement for vision-related services and expenses.
See template
See template
Revised Claims Inquiry Form Process
PDF template
Guidelines for healthcare providers to submit and resolve claim payment disputes with Partnership HealthPlan of California.
See template
See template
Claims Reimbursement Form
PDF template
A comprehensive form for submitting medical claims for reimbursement, used by patients or healthcare providers to request payment for medical services.
See template
See template
Classification Declaration Form
PDF template
A form for property owners to declare changes in property classification between residential and nonresidential for tax purposes in New Mexico.
See template
See template
Patient Information Form
PDF template
Comprehensive patient intake form collecting personal, contact, medical, and insurance information for dermatology services.
See template
See template
Cancer Services Client Intake Form
PDF template
Confidential intake form for cancer patients seeking free services in Erie, Huron, and Ottawa counties in Ohio.
See template
See template
Account Holder Authorization And Consent Form
PDF template
A consent form allowing the Department of Community Services and Development to share utility account information for energy assistance program evaluation.
See template
See template
CLIENT TRANSFER REQUEST FORM
PDF template
A form used to request transfer of client services between service providers with tracking and approval process.
See template
See template
CLIMBucknell MEDICAL FORM
PDF template
Medical history and emergency contact form for participants in a university climbing/ropes course activity
See template
See template
HARKNESS CENTER FOR DANCE INJURIES PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form specifically designed for documenting dance-related injuries across multiple body regions.
See template
See template
PO Box Forwarding And Closure Instructions
PDF template
Instructions for managing University of Alaska Fairbanks PO box forwarding and closure procedures for students and staff.
See template
See template
Clothing Purchase Form
PDF template
Form for documenting clothing purchases by State of Wyoming employees, tracking taxable and non-taxable clothing items for IRS reporting purposes.
See template
See template
Change Of Address Form
PDF template
Form for updating address information for an ABLE account beneficiary or account holder.
See template
See template
ClubSocietyProject Catering Booking Form
PDF template
A form for booking catering services for club, society, or project events at an institution
See template
See template
Medical History Form
PDF template
Comprehensive medical history form collecting patient's personal health details, family medical history, and lifestyle information.
See template
See template
OFFER IN COMPROMISE
PDF template
Official form for taxpayers to propose a compromise of tax liabilities with the Hawaii Department of Taxation
See template
See template
Widow Pension Application
PDF template
A pension application form for widows of cement masons seeking survivor benefits from Local 783 Pension Plan in Houston, Texas.
See template
See template
Health And Emergency Contact Form
PDF template
A comprehensive form for collecting student medical history, emergency contact details, and healthcare consent at Central Maine Community College.
See template
See template
HEALTH INSURANCE CLAIM FORM
PDF template
Standard medical insurance form for submitting healthcare claims and patient information for reimbursement purposes.
See template
See template
Health Insurance Claim Form
PDF template
Official form for submitting medical insurance claims and capturing patient and insured party information.
See template
See template
Medicare Redetermination Request Form 1st Level Of Appeal
PDF template
Official form for Medicare beneficiaries to request a first-level appeal of a Medicare claim determination.
See template
See template
Medicare Reconsideration Request Form 2nd Level Of Appeal
PDF template
A form for Medicare beneficiaries or providers to request a second-level appeal of a Medicare claim determination.
See template
See template
Privacy Impact Assessment Benefits Coordination And Recovery Center
PDF template
Privacy impact assessment documenting the data collection and processing system for Medicare benefits coordination and recovery processes.
See template
See template
CMSP 215 Supplemental Application
PDF template
Application form for individuals seeking medical services coverage through the County Medical Services Program with rights and responsibilities outlined.
See template
See template
Medicaid Drug Rebate Program Electronic State Invoice
PDF template
Technical specification for electronic invoicing format for Medicaid drug rebate submissions to CMS and manufacturers.
See template
See template
Instructions For Ordering A Mortgage Form
PDF template
Detailed guide for ordering a mortgage form, including payment processing and submission requirements.
See template
See template
Adult Medical History Form
PDF template
Comprehensive medical history form for collecting patient health information, symptoms, and medical conditions.
See template
See template
Infant Medical History Form
PDF template
Comprehensive medical history form for pediatric patients covering medical tests, therapies, medications, developmental milestones, and birth history.
See template
See template
Change Of Address Form
PDF template
Form for updating property owner's address in tax records for real estate and personal property in Marion County, West Virginia.
See template
See template
Change Of Address Form
PDF template
A form for updating personal contact and address information for an account or organization
See template
See template
Change Of Address
PDF template
A form for royalty owners to update their mailing address with contact and verification details.
See template
See template
Change Of Address Form
PDF template
Official form for updating investor contact information and permanent address for mutual fund accounts, compliant with USA PATRIOT Act requirements.
See template
See template
CHANGE OF ADDRESS FORM
PDF template
A form for updating owner contact and mailing information for Range Resources Appalachia, LLC
See template
See template
Complaint Form (Level I)
PDF template
A formal complaint form for students to document and submit grievances within the College of Education at Concordia University Texas.
See template
See template
Employee Flexible Spending Account (FSA) Enrollment Form
PDF template
Form for employees to enroll in Flexible Spending Account (FSA) options for healthcare and dependent care expenses.
See template
See template
COIN CURRENCY ORDER GUIDE
PDF template
A form for requesting specific coin and currency denominations from a cashier with advanced notice requirement.
See template
See template
Account Information Tax Advantage Wellness Programs
PDF template
Form for establishing a new account for Tax Advantage Wellness Programs with Colonial Life insurance services.
See template
See template
Colorado State Withholding Certificate For Pension Or Annuity Payments
PDF template
A form for selecting state tax withholding options for monthly pension distributions from the Fire & Police Pension Association.
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients to collect personal, contact, and health information for medical providers.
See template
See template
Course Grade Appeal Form
PDF template
A formal document allowing students to appeal course grades through a structured review process with the Office of Academic Affairs.
See template
See template
2nd 8th Grade Common Student Evaluation Form
PDF template
Confidential evaluation form for student applicants to independent schools in the San Francisco Bay Area for grades 2-8.
See template
See template
Marquette University ComMUnity Physical Therapy Clinic Referral Form
PDF template
A referral form for patients seeking physical therapy services at Marquette University's Community Physical Therapy Clinic.
See template
See template
Project Submission Form
PDF template
Form for students to submit project details in both paper and online formats for academic documentation.
See template
See template
USA Gymnastics Competition Entry Form
PDF template
Entry form for registering gymnasts at various competition levels for a gymnastics meet.
See template
See template
Complaint Report
PDF template
A form for submitting complaints to the local health department, allowing individuals to report health or nuisance-related issues.
See template
See template
USDA Program Discrimination Complaint Form Instructions
PDF template
Instructions for filing a discrimination complaint with the United States Department of Agriculture (USDA) regarding program discrimination.
See template
See template
COMPLAINT RESOLUTION FORM
PDF template
A form for documenting and resolving complaints within the West Central School District.
See template
See template
The Wellness Plan ComplaintResolution Form
PDF template
A form for documenting patient complaints, concerns, and their resolution within a medical center's wellness plan.
See template
See template
Complaint Resolution Form
PDF template
Instructions for using the electronic Complaint Resolution form within Rehab Advisor to record and track client issues and complaints.
See template
See template
Complaint Resolution Form
PDF template
A formal document for lodging complaints against members of the Opticians of Manitoba professional organization.
See template
See template
Emergency Contact Form
PDF template
A form for students to provide emergency contact details and medical authorization for University of Detroit Mercy.
See template
See template
Governmental Employees Travel SalesUse Tax Exemption Certificate
PDF template
A tax exemption certificate for government employees traveling on official business, allowing exemption from state and local sales taxes.
See template
See template
Confidential Medical History Form
PDF template
Comprehensive medical symptoms and conditions checklist for patient intake, covering multiple body systems and health concerns.
See template
See template
Filling In Submitting A Consent Form 101
PDF template
A detailed guide for creating and completing consent forms in RSS, explaining form configuration and submission process.
See template
See template
Consentimiento Para Recibir Tratamiento, Cesin De Beneficios Y Garanta De Pago
PDF template
A Spanish-language medical consent and insurance benefits assignment form for Northwell Health Dental Medicine patients.
See template
See template
Construction Equipment Declarations
PDF template
A form for taxpayers to declare construction equipment brought into the City of Boulder and report potential use tax obligations.
See template
See template
Construction Excise Tax Exemption Form
PDF template
A form for developers or property owners to claim exemptions from construction excise tax in the Newberg School District for specific types of improvements.
See template
See template
NYC Department Of Consumer And Worker Protection Complaint Form
PDF template
A form for filing consumer complaints with the New York City Department of Consumer and Worker Protection (DCWP)
See template
See template
Federal RetireeS Master Contact List
PDF template
Comprehensive contact list for federal retirees to manage benefits, services, and important resources.
See template
See template
Florida Building Commission Building Safety Inspection Program Forms And Support
PDF template
Detailed project plan for developing standardized building safety inspection forms and electronic reporting tools for Florida condominium and cooperative buildings.
See template
See template
Contract Details Register
PDF template
Compilation of multiple IT, services, and procurement contracts with details of suppliers, dates, and values.
See template
See template
Enrollment And Contribution Form
PDF template
A form for employees to enroll in or modify contributions to a 457 deferred compensation retirement plan.
See template
See template
Payroll Deduct Roth IRA Contribution Form
PDF template
Form for employees to authorize payroll deductions for Roth IRA contributions with specific contribution limits and guidelines.
See template
See template
Account No. Contribution Form
PDF template
A form for making contributions to various types of retirement and investment accounts with multiple contribution methods.
See template
See template
Contribution Form Building Service 32BJ Supplemental Retirement Savings Plan
PDF template
A form for employees to start, change, or stop pre-tax contributions to a supplemental retirement savings plan
See template
See template
Contribution Form
PDF template
Comprehensive form for making contributions to various retirement and investment accounts including IRA, SEP, SIMPLE, and 401(k)
See template
See template
CONTRIBUTORY PENSIONGRATUITY APPLICATION FORM
PDF template
An official form for individuals applying for contributory pension benefits in Bermuda, to be submitted within 13 weeks of eligibility.
See template
See template
Request For Group Life Conversion Materials
PDF template
Form for obtaining individual life insurance policy after group coverage cessation or reduction
See template
See template
ING Premier Disability Cancellation Form
PDF template
A form for employees to cancel their ING Premier Short Term Disability insurance policy and associated payroll premium deduction.
See template
See template
Form 4506 T
PDF template
IRS form used to request a transcript or other tax return information free of charge.
See template
See template
Copy Refund Request Form
PDF template
A form for University of Memphis patrons to request refunds for copy card transactions or bad copies.
See template
See template
County Officer Contact Form
PDF template
Form for collecting contact information for county-level officers in the Missouri Cattlemen's Association.
See template
See template
Request For Penalty Cancellation
PDF template
Form for requesting cancellation of tax penalties due to extenuating circumstances in Fresno County.
See template
See template
SCHOOL OF NURSING COURSE GRADE APPEAL FORM
PDF template
Official form for students to appeal a course grade through the School of Nursing's grade appeal process.
See template
See template
Course Inventory Form
PDF template
A comprehensive form for proposing, modifying, or discontinuing an academic course with detailed instructional and administrative information.
See template
See template
Course Inventory Form
PDF template
A form used by academic departments to add, modify, or discontinue courses in an educational institution's curriculum.
See template
See template
Course Registration Form
PDF template
Official form for students to register for courses at Ramapo College, documenting course selections and credits.
See template
See template
Court Declaration Form Washington State
PDF template
A legal document used for filing declarations in Washington state court proceedings, potentially involving various legal matters.
See template
See template
Things To Think About From A Benefits Perspective During The COVID 19 Pandemic
PDF template
A document outlining COVID-19 test reimbursement, free test kit options, and virtual care services for MUSC Health Plan members.
See template
See template
CLIENT ACKNOWLEDGMENT FORM AGREEMENT CARES ACT EMPLOYEE RETENTION CREDIT
PDF template
Form for businesses to acknowledge eligibility and terms for Employee Retention Credit under the CARES Act during COVID-19 pandemic.
See template
See template
Request For COVID 19 Employer Paid Leave Of Absence
PDF template
A form for employees to request paid leave related to COVID-19 circumstances including personal illness, vaccination, or childcare needs.
See template
See template
Medical Form For Campers
PDF template
A comprehensive medical form for documenting a camper's health status, medical history, and physical examination details for participation in Camp Promise/Jett Foundation programs.
See template
See template
Completion Of Project Thesis Form
PDF template
Form for documenting a master's thesis or project completion in the Computer Engineering program at California State University, Sacramento.
See template
See template
The UPS Store Shipping Form
PDF template
Shipping instructions and form for artists submitting paintings to the 2018 Renaissance in Pastel exhibition at UConn Stamford Art Gallery.
See template
See template
Tax Type Selection Form
PDF template
A comprehensive tax registration form allowing selection of multiple tax types and associated licenses for business entities.
See template
See template
LogoBrand Usage Approval Form
PDF template
A form required for using Thiel College logos, wordmarks, or brand identity in promotional materials or items, which must be approved by the Office of Communications & Marketing.
See template
See template
CUSTOMER ACCOUNT APPLICATION
PDF template
A comprehensive form for creating a new customer account with sections for personal information, tax status, bank references, and credit references.
See template
See template
Credit Card Purchase Form
PDF template
A form for documenting and tracking credit card purchases, requiring details such as purchase date, amount, and event information.
See template
See template
Department Credit Card Purchase Form
PDF template
Form for documenting individual credit card purchases by department personnel with receipt and authorization details.
See template
See template
Credit To Audit Form
PDF template
A form for students to request changing a course registration from credit to audit status within the first two weeks of the semester.
See template
See template
MLSA Member Cheque Requisition Form
PDF template
A form for submitting expense reimbursement requests for MLSA members with required documentation and payment details.
See template
See template
The Belfry Theatre AuditionContact Form
PDF template
A comprehensive form for actors to submit personal and performance information for theatrical auditions at the Belfry Theatre.
See template
See template
Cross Enrollment Form Within UT Health San Antonio Schools
PDF template
A form allowing students to take courses across different schools within the UT Health San Antonio academic system.
See template
See template
HVCC Hudson Mohawk Cross Registration Form
PDF template
A form for students to request cross-registration at another educational institution during a specific semester or quarter.
See template
See template
DeclarationChange Of Major
PDF template
Academic form for students to declare or change their academic major at a university or college.
See template
See template
Colorado State University Pueblo Event ParticipationMedical Form
PDF template
Comprehensive medical form for capturing participant health information, emergency contacts, and medical history for Colorado State University Pueblo events.
See template
See template
SHORT TERM DISABILITY CLAIM FORM
PDF template
Form for employees to file a claim for short-term disability benefits, including personal and employment details.
See template
See template
Dependent Care Reimbursement Form
PDF template
Form for submitting out-of-pocket dependent care expenses for reimbursement through Peak1 benefits program.
See template
See template
Audit A Course Request
PDF template
A form for current UF students to request auditing courses without formal registration, requiring instructor and dean signatures.
See template
See template
Customer Change Of Address Form
PDF template
A form used by customers to update their mailing address and contact information for property-related records.
See template
See template
Customer Inquiry Form
PDF template
A form for customers to submit water, wastewater, or other inquiries to the Amador Water Agency.
See template
See template
Customer Tax Exemption Form
PDF template
Form for claiming tax exemptions on TELUS services for First Nations individuals, consular officials, and diplomats.
See template
See template
CVS Caremark Prescription Benefits Guide
PDF template
A guide providing six strategies for saving money and time on prescription medications through CVS Caremark's pharmacy benefits program.
See template
See template
Unemployment Insurance Benefits Referral Form
PDF template
A California state form requiring individuals to apply for Unemployment Insurance Benefits before becoming eligible for CalWORKs.
See template
See template
D 4 DC Withholding Allowance Worksheet
PDF template
Tax form for employees to claim withholding allowances in the District of Columbia
See template
See template
Salary AssignmentCancellation (Form D 60)
PDF template
Detailed instructions for completing a salary assignment or cancellation form for University of Hawaii employees
See template
See template
DA 104 Print Requisition Form
PDF template
Official form for requesting printing services from the Kansas Department of Administration - Office of Printing & Mailing
See template
See template
Claim Form
PDF template
A formal document for filing claims against Desert Community College District for damages, injuries, or property losses
See template
See template
ENROLLMENT FORM
PDF template
Medical prescription enrollment form for Daraprim medication, collecting patient, prescriber, and insurance information.
See template
See template
DocuSign Analyzer Datasheet
PDF template
An AI-driven tool that helps organizations analyze, negotiate, and review incoming agreements more efficiently by extracting key terms and generating risk scorecards.
See template
See template
Direct Reimbursement Claim Form
PDF template
A form for requesting reimbursement from Davis Vision for out-of-network vision services and eyewear expenses.
See template
See template
Compensation Policy
PDF template
A comprehensive policy outlining compensation principles, employment classifications, and contractor relationship criteria.
See template
See template
DB 450 Notice And Proof Of Claim For Disability Benefits
PDF template
Instructions for filing a disability benefits claim in New York State, detailing submission requirements and process for employees and recently unemployed individuals.
See template
See template
New York State Disability Benefits Rights Statement
PDF template
Informational document outlining disability benefits rights for employees in New York State under Section 229 of the Disability and Paid Family Leave Benefits Law.
See template
See template
Employment Contact Form
PDF template
Form for tracking employment contacts and job search activities for retirement system participants.
See template
See template
Adult Patient Intake Form
PDF template
A comprehensive form for collecting patient medical history, personal information, and health details for treatment planning.
See template
See template
Title 32 Employee Benefits Part VII Public Employee Deferred Compensation
PDF template
Comprehensive definitions for Louisiana's public employee deferred compensation plan, detailing account balances, administrators, beneficiaries, and related terms.
See template
See template
DD FORM 2656
PDF template
A military form for establishing retired pay accounts, beneficiary designations, and Survivor Benefit Plan elections for military personnel.
See template
See template
DD FORM 2876 TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
PDF template
A Department of Defense form for enrolling, disenrolling, or changing primary care managers in the TRICARE Prime healthcare program.
See template
See template
VA Fiduciary Hub Financial Institution Information Form
PDF template
A document for veterans' fiduciaries to establish or update direct deposit and account titling with the Department of Veterans Affairs.
See template
See template
Affidavit To Request Replacement Of SNAP Benefits
PDF template
Form for requesting replacement of SNAP benefits lost due to household misfortune or electronic benefit theft in Oregon.
See template
See template
Claim For Disability Insurance (DI) Benefits
PDF template
Authorization form for releasing medical information to process a disability insurance claim with the California Employment Development Department (EDD).
See template
See template
EmployeeS Withholding Allowance Certificate (DE 4)
PDF template
A form for employees to specify their state income tax withholding allowances and exemption status for California tax purposes.
See template
See template
EmployeeS Withholding Allowance Certificate (DE 4)
PDF template
A form for employees to specify state income tax withholding allowances for California employers.
See template
See template
DEATH BENEFIT APPLICATION FORM
PDF template
A form for processing retirement and terminal benefits for deceased retirement savings account (RSA) holders and their next of kin.
See template
See template
Decrease Election Form For Supplemental Life Insurance
PDF template
A form for active state employees to reduce their supplemental life insurance coverage in prescribed increments.
See template
See template
Payroll Deduction Cancellation Form
PDF template
Form for employees to cancel various payroll deductions for insurance, benefits, and voluntary contributions.
See template
See template
STATE EMPLOYEES DEFERRED COMPENSATION PLAN ENROLLMENT FORM
PDF template
Official form for Illinois state employees to enroll in or modify their deferred compensation retirement plan contributions and investment selections.
See template
See template
STATE OF VERMONT STATE EMPLOYEE DEFERRED COMPENSATION PLAN EMPLOYEE REQUEST FOR PAYROLL DEDUCTION
PDF template
Form for Vermont state employees to request payroll deductions for a retirement investment program under Section 457(b)
See template
See template
DEFINED BENEFIT PLAN BENEFICIARY NOMINATION FORM
PDF template
Legal document for nominating beneficiaries for a defined benefit pension plan through the State Employees' Retirement System (SERS)
See template
See template
DEFINED BENEFIT PLAN CHANGE OF ADDRESS FORM
PDF template
A form for SERS members to update their mailing address for retirement benefits communication.
See template
See template
Defined Contribution Plan Division Form
PDF template
A legal document used to divide retirement plan assets during divorce or legal separation proceedings, capturing plan and participant details for asset division.
See template
See template
Designated Eligible Individual (DEI) Enrollment Form 2024
PDF template
Form for Michigan Tech employees to enroll a non-spouse individual for health coverage under specific eligibility criteria.
See template
See template
Trescal Norway AS Delivery Form
PDF template
A comprehensive form for customers to request delivery and calibration services from Trescal Norway AS across multiple locations.
See template
See template
Dental Claim Form
PDF template
A standardized form for submitting dental insurance claims, tracking patient treatment, and requesting predetermination or preauthorization.
See template
See template
Delta Dental EnrollmentChange Form
PDF template
A comprehensive form for enrolling in or modifying dental insurance coverage with Delta Dental plans
See template
See template
Delta Dental Of Minnesota Membership Enrollment Form
PDF template
Membership enrollment form for Delta Dental insurance coverage, allowing employees to select dental plan options and enroll dependents.
See template
See template
ORDER FORM
PDF template
A comprehensive order form for purchasing products from Demco, with options for shipping, billing, and payment methods.
See template
See template
UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS PRESTON LEE DENT V. ROBERT A. MCDONALD
PDF template
Legal document detailing an appeal regarding the overpayment of non-service-connected pension benefits and the effective dates of benefit reduction.
See template
See template
Dental Claim Form
PDF template
Standard form for submitting dental treatment and insurance claim details for reimbursement or predetermination.
See template
See template
ADA Dental Claim Form Instructions
PDF template
Comprehensive instructions for completing the ADA Dental Claim Form, including general instructions, coordination of benefits, and National Provider Identifier requirements.
See template
See template
Delta Dental Of Wisconsin EnrollmentChangeWaiver Form Dental
PDF template
A form for enrolling in, changing, or waiving dental insurance coverage through an employer's group plan with Delta Dental of Wisconsin.
See template
See template
COBRA Dental Insurance EnrollmentWaiver Form
PDF template
A form for employees to enroll in or waive dental insurance coverage, with options for adding or dropping dependent coverage under COBRA.
See template
See template
Dental Insurance EnrollmentWaiver Form
PDF template
A comprehensive form for employees to enroll or waive dental insurance coverage, including personal and dependent information.
See template
See template
Employee Enrollment Form
PDF template
Comprehensive form for employee insurance enrollment with personal information and coverage details.
See template
See template
Dental Insurance EnrollmentChange Form
PDF template
A form for employees to enroll in or modify dental insurance coverage, including dependent information and policy details.
See template
See template
WCTC Dental Hygiene Clinic MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for patients at a dental hygiene clinic, collecting personal information and medical conditions.
See template
See template
Dental Insurance Form
PDF template
A comprehensive form for collecting patient and insurance details for dental insurance claims.
See template
See template
Dental Waiver Form
PDF template
A form allowing civil service staff to waive enrollment in Genesee Community College's group dental insurance plan.
See template
See template
PATIENT MEDICAL HISTORY FORM
PDF template
A comprehensive medical and dental history form for patient intake, collecting personal health information and current medical status.
See template
See template
DentalVision Enrollment Form
PDF template
Detailed guide for completing a dental and vision insurance enrollment form with step-by-step instructions.
See template
See template
Medical History Form
PDF template
Comprehensive medical history form collecting personal health information, medical background, and current health status.
See template
See template
Departmental RechargeInterdepartmental Billing Form
PDF template
A form for processing internal departmental financial transfers and account recharging within an organization.
See template
See template
LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request various types of leave, including medical, personal, and family leave.
See template
See template
LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request various types of leave, including medical, personal, and family leave.
See template
See template
Health Insurance Enrollment Form
PDF template
A comprehensive form for active employees to enroll in health insurance plans, select medical providers, and manage flexible spending accounts.
See template
See template
DependantS Pension Application Form
PDF template
A form for Nestl European Pension Fund members to nominate a financial dependent to receive pension benefits in the event of the member's death.
See template
See template
DEPENDENT CHILD CERTIFICATION
PDF template
Form for certifying dependent child eligibility for Texas Employees Group Benefits Program, with multiple certification options based on child relationship and tax claiming status.
See template
See template
Kennesaw State University Approval Form For DepartmentSchool Bylaws
PDF template
A multi-level approval form for departmental bylaws at Kennesaw State University, requiring signatures from faculty, department chair, college council, dean, and provost.
See template
See template
Departmental Software Order Form
PDF template
A form for ordering and tracking software licenses and media for Virginia Polytechnic Institute and State University departments.
See template
See template
Dermatology Medical History
PDF template
Comprehensive medical history form for dermatology patients to document health conditions, medications, and allergies.
See template
See template
Service Credit Purchase
PDF template
A comprehensive guide for Denver employees about purchasing service credit to enhance retirement benefits through the Denver Employees Retirement Plan.
See template
See template
Design Request Form
PDF template
A form for requesting printing or design services from a university printing department.
See template
See template
Travel Request Form
PDF template
Step-by-step guide for completing a travel request form in TeamWorks system.
See template
See template
City Of Chicago Budget Form Instructions
PDF template
Instructions for completing the City of Chicago's standard budget form, including guidance on capturing agency and budget information.
See template
See template
DHA Form 131, TRICARE Prime Travel BenefitCombat Related Disability Travel Patient Information Works
PDF template
Form for documenting specialty care and non-medical attendant travel requirements for TRICARE Prime enrollees.
See template
See template
Patient Medical History Form
PDF template
Comprehensive medical history form for collecting patient personal information, contact details, and health status.
See template
See template
DHS 2240 Change Report
PDF template
A form used to report changes in household composition, income, and other key life events within 10 days of occurrence.
See template
See template
Change Of Address Form
PDF template
Required form for updating contact information for international students in compliance with Department of Homeland Security regulations.
See template
See template
I 05
PDF template
An official immigration document used for identification or immigration processing.
See template
See template
Request For Diagnostic Imaging
PDF template
Medical form for requesting and scheduling diagnostic imaging procedures such as X-Ray, Ultrasound, CT, and Nuclear Medicine.
See template
See template
NWU2014 04 01 Participant Contact Form Data Dictionary
PDF template
A data dictionary for documenting participant contact form variables and metadata for a research study.
See template
See template
UDENYCA Solutions Enrollment Form
PDF template
Enrollment form for patients seeking information about UDENYCA medication and insurance verification services.
See template
See template
Veterans Certification Request (VCR)
PDF template
A form for veterans and military-affiliated students to request educational benefits and certification at Southeastern Louisiana University
See template
See template
COPERS Direct Deposit Form
PDF template
A form for Phoenix city employees to set up direct deposit for their pension checks with banking details and authorization.
See template
See template
Direct Deposit Authorization Manual Claim Reimbursement
PDF template
A form allowing employees to authorize direct deposit of claim reimbursements into a checking or savings account.
See template
See template
Direct Deposit Information And Instructions
PDF template
A form for electing electronic funds transfer for payments from Wespath, a general agency of The United Methodist Church.
See template
See template
Request For Direct Deposit Change Form
PDF template
A form for Haverhill Public Schools employees to establish or modify direct deposit banking information for payroll purposes.
See template
See template
Direct Deposit Enrollment Form And Policy
PDF template
Form for employees to enroll in or modify direct deposit banking information for payroll, with option for up to three bank accounts.
See template
See template
DIRECT DEPOSIT AUTHORIZATION AND INPUT FORM
PDF template
Official form for state employees to set up or modify direct deposit banking information for payroll services.
See template
See template
Authorization For Direct Deposit Of Retirement Payment
PDF template
Form for setting up direct deposit of retirement payments from the City of Cincinnati Retirement System
See template
See template
Direct Deposit Form
PDF template
Form for Los Angeles Fire & Police Pension members to establish, change, or cancel direct deposit of pension payments.
See template
See template
City Of Austin Employees Retirement System Direct Deposit Form
PDF template
Form for retired City of Austin employees to set up electronic monthly annuity payments to a chosen financial institution.
See template
See template
SBCERS Direct Deposit Authorization
PDF template
Form for authorizing direct deposit of retirement allowance with Santa Barbara County Employees' Retirement System
See template
See template
Direct Deposit Authorization Form
PDF template
A form for setting up electronic funds transfer for NEBF benefit payments to a participant's bank account.
See template
See template
Direct Deposit Authorization
PDF template
Form for setting up or modifying direct deposit banking information for employee payroll
See template
See template
Form 61 (Rev July 2021) UNITED ASSOCIATION NATIONAL PENSION FUND DIRECT DEPOSIT AUTHORIZATION FORM
PDF template
Form for authorizing direct deposit of pension fund benefits and providing bank account details for benefit payments.
See template
See template
Payroll Direct Deposit Request Form (For Retirees Beneficiaries)
PDF template
Form for retirees and beneficiaries to set up or change direct deposit for pension payments with Employees' and Elected Officials' Retirement Systems.
See template
See template
Direct Deposit Authorization Form
PDF template
Form for authorizing direct deposit of retirement benefits for Alameda County Employees' Retirement Association members.
See template
See template
ACHform 2022
PDF template
A form for pension plan members to set up or modify direct deposit banking information for retirement benefits.
See template
See template
Athlete Registration Form, Athlete Release Form Athlete Medical Forms
PDF template
Detailed guide for completing and submitting athlete registration and medical documentation for participation.
See template
See template
Direct RolloverTransfer To ICMA RC Form
PDF template
A form for transferring retirement plan assets between providers, specifically to an ICMA-RC account.
See template
See template
DIS 101C V7 EMPLOYEE STATEMENT DISABILITY CLAIM FORM
PDF template
A comprehensive form for employees to file a disability claim for short-term or long-term disability benefits.
See template
See template
Disability Allowance To Service Retirement Application
PDF template
A form for CalSTRS members transitioning from disability allowance to service retirement, providing instructions for benefit conversion.
See template
See template
Disability Benefit Application Form
PDF template
Official government form for applying for disability benefits in Bermuda, detailing eligibility requirements for contributory and non-contributory disability benefits.
See template
See template
PSOB Disability Benefits Program Checklist
PDF template
A comprehensive checklist for filing disability claims for public safety officers with the U.S. Department of Justice's PSOB Office.
See template
See template
SUPPLEMENTAL DISABILITY CLAIM FORM
PDF template
Claim form for submitting a disability benefit request for IUOE Local 132 Health and Welfare Fund participants
See template
See template
Group Disability Claim Filing Instructions
PDF template
Instructions for filing a disability insurance claim with American Fidelity Assurance Company, detailing the required steps and documentation.
See template
See template
DISABILITY HEALTH WELFARE HOURS CLAIM FORM
PDF template
A form for participants to claim disability hours and benefits through the Southwest Carpenters Health & Welfare Trust
See template
See template
Disability Coverage Claim Form
PDF template
Insurance claim form for filing a disability coverage claim with American Heritage Life Insurance Company.
See template
See template
Disability Claim Form
PDF template
A comprehensive form for submitting a disability insurance claim, detailing the policyholder's medical condition and disability status.
See template
See template
Delta Pilots Mutual Aid Disability Claim Form
PDF template
Disability claim form for Delta pilots to request benefits and authorize medical information release and payment processing.
See template
See template
Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a claim for short-term disability benefits, requiring input from the employee, employer, and attending physician.
See template
See template
Disability Claim Form Instructions
PDF template
Comprehensive instructions for filing a disability insurance claim with sections for physician, claimant, and employer statements.
See template
See template
New York State NOTICE AND PROOF OF CLAIM FOR DISABILITY BENEFITS
PDF template
Official New York State form for filing a disability benefits claim, to be used by employees who became disabled while employed or within four weeks of employment termination.
See template
See template
MetLife Disability Insurance Guide
PDF template
A comprehensive guide for reporting disability claims and absence procedures through MetLife insurance.
See template
See template
Disability Claim Form
PDF template
A comprehensive form for filing a disability claim with the Teamsters Joint Council No. 83 of Virginia Health & Welfare and Pension Funds.
See template
See template
Disability Application Glossary Of Terms
PDF template
A comprehensive guide defining key terms and requirements for disability retirement applications for public employees in Massachusetts.
See template
See template
Supplementary Disability Claim Form
PDF template
A form used to submit disability claims, requiring details from both the claimant and attending physician about an employee's inability to work.
See template
See template
Disability Support Pension Application Form
PDF template
A comprehensive form for individuals seeking financial support due to disability, covering eligibility, evidence requirements, and application process.
See template
See template
SI 11268 Your Disability Benefit Claim
PDF template
Application packet for submitting a long-term disability benefits claim, including instructions for completing required forms.
See template
See template
How To File A Claim For Weekly Disability Benefits
PDF template
Comprehensive guide for filing a disability benefits claim, including required documentation and medical certification requirements.
See template
See template
QP Distribution Notice
PDF template
A comprehensive notice explaining distribution options and tax consequences for retirement plan participants.
See template
See template
Retirement Scheme Divorce Benefit Information Form
PDF template
A form collecting member details for potential benefit distribution in the event of a divorce order affecting a retirement fund
See template
See template
Retirement Scheme Divorce Benefit Information Form
PDF template
A form for collecting member information related to potential benefit distribution in the context of a divorce order
See template
See template
Cerro Coso Community College Student Inquiry Form
PDF template
A form for incarcerated students to request information, educational plans, transcripts, or submit other academic inquiries with Cerro Coso Community College.
See template
See template
Accident Incident Report Form
PDF template
A form for reporting accidents or incidents that occur during National Tree Day events, requiring details about participants, injuries, and actions taken.
See template
See template
DOF 1 Change Of Business Information
PDF template
A document for businesses to update tax records and business information with the New York City Department of Finance.
See template
See template
DOF 1 Change Of Business Information
PDF template
A form for updating business tax records and reporting changes in business status for various tax types in New York City.
See template
See template
Good Fit Domestic Partner Affidavit
PDF template
A form for active and retired employees to add or terminate domestic partner and dependent coverage for various insurance plans.
See template
See template
Gift Aid Declaration Form
PDF template
A form for UK taxpayers to make tax-efficient charitable donations to the Bologna Center of Johns Hopkins University UK Charitable Trust.
See template
See template
Donor Leave Request Form
PDF template
A form for employees to request leave for organ, blood, or other donation activities under the Kansas State Donor Program.
See template
See template
Application For Temporary Tax Exemption Permit
PDF template
Application for claiming sales and use tax exemption for new or expanding businesses, spaceport, or mining activities in Florida.
See template
See template
DR 1A Application For Registered Businesses To Add A New Florida Location
PDF template
Form for registered businesses to add a new location or move an existing location within Florida for tax reporting purposes.
See template
See template
Disability Benefit Application Instructions
PDF template
Comprehensive instructions for submitting a disability benefit application, including eligibility requirements and submission guidelines.
See template
See template
DR 1 Florida Business Tax Application
PDF template
Official form for registering a business for tax purposes in the state of Florida, collecting identification and business activity information.
See template
See template
Application For Refund Of Tax Paid On Undyed Diesel Used For Off Road Or Other Exempt Purposes
PDF template
A form for claiming refunds on tax-paid diesel fuel used for off-road or exempt purposes in Florida.
See template
See template
DR 501SC Household Income Sworn Statement And Return
PDF template
A form for property owners aged 65 and over to claim a homestead exemption based on household income limits in Florida.
See template
See template
DR 501T Transfer Of Homestead Assessment Difference
PDF template
Form for transferring homestead assessment difference between properties in Florida, allowing tax benefits when changing primary residence.
See template
See template
DR 501T Transfer Of Homestead Assessment Difference
PDF template
Form for transferring homestead assessment difference when moving to a new property in Florida
See template
See template
Application For A ConsumerS Certificate Of Exemption
PDF template
Form for nonprofit organizations and governmental entities to obtain a sales and use tax exemption certificate in Florida.
See template
See template
POWER OF ATTORNEY And Declaration Of Representative
PDF template
A legal form allowing taxpayers to appoint representatives to act on their behalf before the Florida Department of Revenue for tax matters.
See template
See template
Change Of Address Form
PDF template
A form for changing the residential or mailing address for a beneficiary's college investment plan account.
See template
See template
DMV Change Of Address Form
PDF template
Form for Delaware residents to update their address for driver license, ID card, and vehicle registration with the Division of Motor Vehicles.
See template
See template
Integrative Medicine Intake Form
PDF template
Comprehensive medical intake form for patients seeking integrative medicine services, collecting medical history, current health concerns, and personal health information.
See template
See template
DROP Enrollment Form New Participant
PDF template
A form for qualifying members to enroll in the Municipal Fire and Police Retirement System of Iowa's Deferred Retirement Option Plan.
See template
See template
DROP Enrollment Form New Participant Enrollment
PDF template
Enrollment form for municipal firefighters and police officers to participate in the Deferred Retirement Option Plan (DROP) program.
See template
See template
U.S. Department Of State Discrimination Complaint Form
PDF template
Official form for filing discrimination complaints with the Department of State's Office of Civil Rights
See template
See template
DSB 0503 Driver Service Billing Form
PDF template
A billing form for recording driver service hours and requesting reimbursement for services provided through the NC Department of Health and Human Services Division of Services for the Blind.
See template
See template
Direct Deposit Enrollment Authorization Form
PDF template
Authorization form for electronic benefit payments through direct deposit for Social Services programs in North Carolina.
See template
See template
CONTRIBUTION FORM
PDF template
A detailed form inquiring about financial contributions and monetary support to specific individuals in a legal case.
See template
See template
DSS 9000 Policy Question Submission Form
PDF template
A form for local social services department staff to submit policy questions related to specific program areas and cases.
See template
See template
COMPLAINT RESOLUTION FORM
PDF template
A form for students to document and submit formal complaints about issues or concerns within an educational institution.
See template
See template
Complaint Against The Valuation Of Real Property
PDF template
A form for property owners to dispute the assessed value of their real estate for tax purposes.
See template
See template
Complaint Against The Valuation Of Real Property
PDF template
A form used by property owners to contest the assessed market value of their real estate for tax purposes.
See template
See template
Statement Of Transaction Sale Or Gift Of Motor Vehicle, Trailer, All Terrain Vehicle (ATV), Vessel
PDF template
A tax form used to document the sale or gift of a motor vehicle, trailer, ATV, boat, or snowmobile when sales tax was not collected at purchase.
See template
See template
Statement Of Transaction Sale Or Gift Of Motor Vehicle, Trailer, All Terrain Vehicle (ATV), Vessel
PDF template
New York State tax form for documenting the sale or gift of a motor vehicle or related vehicle type
See template
See template
Claim For Refund Of Overpayment Of Documentary Transfer Tax
PDF template
A form for requesting a refund of documentary transfer tax paid to San Bernardino County, California.
See template
See template
Richmond Retirement System Durable Power Of Attorney Fact Sheet
PDF template
A legal document explaining how Richmond Retirement System members can designate an agent to manage their retirement benefits under specific conditions.
See template
See template
Employee Benefit Enrollment Form
PDF template
A comprehensive form for employees to select and enroll in medical, dental, and vision benefit plans.
See template
See template
Certification Of Trust
PDF template
A form for certifying trust details when a trust is the owner of an American Equity annuity contract.
See template
See template
Employee Academic Tuition Waiver Request Form
PDF template
A form for Cameron University employees to request tuition waivers for themselves or their dependents for academic courses.
See template
See template
Certificate Of Foreign Status For United States Tax Withholding Forms
PDF template
Federal Register notice soliciting comments on IRS forms related to tax withholding for foreign entities and individuals.
See template
See template
Historic Commercial For Preservation Petition To Dedicate
PDF template
A petition form for designating and preserving historic commercial properties in Honolulu, Hawaii, seeking tax-related considerations.
See template
See template
Declaration For Testamentary Deposit (Multiple Grantors), Form 720009
PDF template
Federal document detailing FDIC forms used to collect information about depositors and deposit ownership for failed financial institutions.
See template
See template
DENTAL APPLICATION AND POLICY CHANGE
PDF template
A comprehensive form for enrolling in or modifying dental insurance coverage, including options for new employees, open enrollment, COBRA, and membership changes.
See template
See template
Federal Income Tax Withholding Per Capita
PDF template
A voluntary form for enrolled Cherokee tribal members to elect federal income tax withholding from per capita payments.
See template
See template
Federal Income Tax Withholding Per Capita
PDF template
Voluntary form for Eastern Band of Cherokee Indians members to authorize federal income tax withholding from per capita payments.
See template
See template
Commerce Payments Refund Request Form
PDF template
A form for processing payment refunds for various university departments and online services.
See template
See template
Claims Submission Form
PDF template
A form authorizing healthcare providers to submit and exchange personal information for insurance claims processing and benefits administration.
See template
See template
ECU School Of Dental Medicine Referral Form
PDF template
A comprehensive referral form for dental patients requiring specialized medical or dental services at East Carolina University School of Dental Medicine.
See template
See template
Employee Declaration Form (EDF) Pay As You Earn (PAYE)
PDF template
Tax declaration form for employees in Mauritius to claim various tax reliefs, deductions, and allowances for the income year 2024-2025.
See template
See template
New York Council Of Nonprofits, Inc. Enrollment Form
PDF template
Enrollment form for Health Care and Dependent Care Flexible Spending Accounts with options for salary reduction and reimbursement methods
See template
See template
ENROLLMENT INSTRUCTIONS OPEN YOUR RETIREMENT ACCOUNT
PDF template
Instructions for opening a retirement account, choosing investments, and completing enrollment with TIAA.
See template
See template
HSA Enrollment Form
PDF template
A form for enrolling in a Health Savings Account through an employer, allowing employees to set up contributions.
See template
See template
Power Of Attorney (POA)
PDF template
A form allowing participants or beneficiaries to designate an agent to act on their behalf with the Pension Benefit Guaranty Corporation (PBGC).
See template
See template
Electronic Funds Transfer Authorization Agreement For ACH Credit Payment Method
PDF template
Official form for taxpayers to authorize electronic funds transfer using ACH Credit payment method for tax payments.
See template
See template
EFT 1 Authorization Agreement For Certain Electronic Payments
PDF template
Form for authorizing electronic tax payment methods with the Illinois Department of Revenue for various tax types.
See template
See template
Deferred Compensation PlanNYCE IRA Direct Deposit Form
PDF template
Form for setting up direct deposit for various retirement account types, including 457, 401(k), and NYCE IRA accounts.
See template
See template
School District Of Philadelphia Student Registration Form (EH 40)
PDF template
Official form for registering a new student in the Philadelphia School District, capturing comprehensive student and educational background information.
See template
See template
Extended Health Care Claim Form
PDF template
A comprehensive form for submitting medical and health care expense claims to an insurance provider, requiring detailed personal and coverage information.
See template
See template
Form 1550 Cigarette Tax Return
PDF template
Detailed instructions for completing a cigarette tax return, focusing on reporting cigarette inventory, sales, and tax calculations for various distributor types.
See template
See template
EZ Retirement Plan Enrollment Form
PDF template
Enrollment form for Florida Retirement System employees to choose between Investment and Pension Plan options.
See template
See template
General Retirement Plan Enrollment Form
PDF template
Enrollment form for new employees to choose between retirement plan options in the Florida Retirement System for Regular, Special Risk, and Special Risk Administrative Support Class Employees.
See template
See template
Request For Quotes Election Services For PERS Board Positions
PDF template
Solicitation for blended election services for PERS Board positions representing Institutions of Higher Learning Employees and Retirees.
See template
See template
Request For Proposal Materials And Services For Elections Of Employees Retirement Systems And Teache
PDF template
A request for proposal to select a vendor to provide materials and services for administering retirement system board elections during a five-year period.
See template
See template
2023 ELECTRICAL SERVICE ORDER FORM
PDF template
A form for requesting electrical services and connections for events at the Duluth Entertainment Convention Center (DECC)
See template
See template
Electrical Service Order Form
PDF template
Order form for electrical services and power strips for event vendors at Sheraton Springfield Monarch Place
See template
See template
AIA FLORIDA 2016 ANNUAL TRADESHOW ELECTRICAL SERVICE ORDER FORM
PDF template
Order form for electrical services and connections for a tradeshow event with pricing and labor details.
See template
See template
Consent Form For Electronic Distribution Of Benefit Materials And Notices
PDF template
A consent form allowing employees to receive electronic copies of benefit materials and notices from Michigan State University.
See template
See template
Electronic Tax Assessment Notice Consent Form
PDF template
Form for property owners to consent to receiving tax and assessment notices electronically from the Town of Innisfail.
See template
See template
Address DesignationConsent To Electronic Delivery Form
PDF template
A form for unit owners to designate their postal and electronic contact information for a condominium association.
See template
See template
Electronic Payment Authorization Agreement Form
PDF template
A form for employers to set up electronic payment methods for various California State Teachers' Retirement System contributions and payments.
See template
See template
Electronic Payment Authorization Agreement Form
PDF template
Form for setting up electronic payment methods for California State Teachers' Retirement System contributions and payments
See template
See template
Electronic Purchase Order Request Form
PDF template
A form for vendors to provide contact information and email address for receiving electronic purchase orders from Ferris State University.
See template
See template
Instructions For Completing The Digital Records Transfer Inventory Form
PDF template
Detailed instructions for completing a digital records transfer inventory form for archival purposes.
See template
See template
Instructions For Salary AssignmentCancellation (Form D 60)
PDF template
Detailed guidance for completing a University of Hawaii salary assignment or cancellation form with specific instructions for payroll deductions.
See template
See template
Active Directory And Email Access Request Form
PDF template
Form for requesting and authorizing Active Directory and email system access for faculty, staff, and consultants
See template
See template
New Customer And Credit Application Form
PDF template
A comprehensive form for new customers to apply for credit and provide company contact, billing, shipping, and tax information.
See template
See template
Volunteer Emergency Contact Form
PDF template
A form for collecting emergency contact information for volunteers in case of accidents or emergencies.
See template
See template
Hickory Hill Member Family Emergency Contact Form
PDF template
A form for collecting emergency contact information and medical authorization for family members at a club or organization.
See template
See template
EMERGENCY CONTACT FORM
PDF template
A form for collecting personal, emergency contact, and medical information for students in case of emergency situations.
See template
See template
Volunteer Emergency Contact Form
PDF template
A form for collecting personal and emergency contact information for volunteers with the U.S. Department of Education.
See template
See template
Emergency Medical Treatment Form
PDF template
A comprehensive medical information form for emergency medical treatment and patient details, designed to be posted on a refrigerator for quick access.
See template
See template
Reimbursement Claim Form
PDF template
Instructions for submitting healthcare reimbursement claims through multiple methods including Rx debit card, online portal, and paper submission.
See template
See template
Emeriti Retirement Health Solutions Personal Contribution Form
PDF template
A form for making personal contributions to an employer-sponsored retirement health plan managed by TIAA-CREF.
See template
See template
Emeriti Reimbursement Benefit Claim Form
PDF template
Instructions for submitting healthcare reimbursement claims through Rx debit card, online portal, or paper submission.
See template
See template
Emeritus Nomination Form
PDF template
A formal process for nominating retiring faculty, staff, and administrators for emeritus recognition at Salt Lake Community College.
See template
See template
Empire Pipeline, Inc. Service Request Form
PDF template
A comprehensive form for requesting pipeline transportation and storage services from Empire Pipeline, Inc.
See template
See template
Sample Employment Application Form
PDF template
A comprehensive employment application form for job seekers to provide personal, educational, and professional information.
See template
See template
Employee Change Of Address Form
PDF template
Form for employees to update their personal contact information with the Department of Military Human Resources.
See template
See template
Employee Change Of Address Form
PDF template
A form for employees to update their address and telephone number with the school district.
See template
See template
BHSSC Employee Change Of Address Form
PDF template
A form for employees to update their personal contact information and address details with their employer.
See template
See template
Employee Complaint Resolution Form
PDF template
A form for employees to document and submit workplace complaints, detailing issues and requested resolutions.
See template
See template
Employee Course Registration Form
PDF template
Form for Gustavus employees to register for courses with tuition benefits, requiring HR and supervisor approvals.
See template
See template
NHRDeparture Employee Departure Information Sheet
PDF template
A comprehensive guide for faculty and staff leaving their position at the University of Wisconsin Madison, covering benefits, computer access, leave balances, and other departure-related information.
See template
See template
ENROLLMENT, CHANGE, CANCELLATION, OR OPT OUT EMPLOYEES ONLY HEALTH AND WELFARE PLANS
PDF template
A form for Lawrence Livermore National Security employees to enroll, change, cancel, or opt out of health and welfare benefit plans.
See template
See template
ENROLLMENT FORM FOR GROUP INSURANCE
PDF template
A comprehensive form for enrolling in group insurance benefits, capturing employee and dependent information, coverage selections, and authorization.
See template
See template
Employee Exit Checklist
PDF template
Comprehensive form documenting employee departure procedures, including credential return, benefits termination, and administrative tasks.
See template
See template
Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for Health Savings Account contributions with annual contribution limits and details.
See template
See template
Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for their Health Savings Account contributions with contribution limit details.
See template
See template
Employee Inquiry Form
PDF template
A form used by employees to submit inquiries to the Human Resource Services department at Newark Public Schools.
See template
See template
Virginia Tech Employee Software Sales Order Form
PDF template
Order form for Virginia Tech employees to purchase software and technology accessories at discounted rates.
See template
See template
Request For Prescription Delivery
PDF template
A form for employees to request prescription delivery with patient and delivery details.
See template
See template
Employee Profile And Travel Form
PDF template
A comprehensive form for employees to update personal information, marital status, and travel privileges for family members.
See template
See template
Employee Retirement Contribution Form
PDF template
Form for employees to start, change, or suspend retirement plan contributions at Mountainland Technical College.
See template
See template
M NCPPC Benefits EnrollmentChange Form
PDF template
Form for employees to enroll in or modify benefits, including medical, dental, and prescription plans.
See template
See template
Employee Self Service Guide
PDF template
Comprehensive guide for navigating the Employee Self Service (ESS) portal and accessing various employee-related resources and information.
See template
See template
Employee Services FAQ Contact List
PDF template
A comprehensive contact reference for employees covering various HR topics, benefits, and service inquiries.
See template
See template
Employee Status Requisition
PDF template
A document used to initiate and document changes in employee status within an organization's human resources processes.
See template
See template
Employee And Dependent Tuition WaiverReimbursement Form
PDF template
Form for employees to request tuition waiver or reimbursement for themselves or dependents at SSU.
See template
See template
Eye Care Insurance Enrollment Form
PDF template
A comprehensive form for employees to enroll in or modify eye care insurance coverage for themselves and dependents.
See template
See template
Health Coverage Waiver Form
PDF template
A document allowing employees to waive health insurance coverage offered by their employer with options for alternative coverage.
See template
See template
Employer Error Institution Process
PDF template
Guidelines for handling employer errors in employee insurance enrollment, detailing steps for institutions and employees to correct coverage issues.
See template
See template
Employer Refund Request Form
PDF template
A form for employers to request tax refunds due to overpayment, error, or other reasons from the Lancaster County Tax Collection Bureau.
See template
See template
CENTER FOR EARLY EDUCATION AND CARE STAFF EMERGENCY CONTACT FORM
PDF template
A form for collecting emergency contact and medical information for staff members of an early education center.
See template
See template
NEW PATIENT INTAKE FORM
PDF template
A comprehensive medical history form for new patients, capturing personal information, medical history, and current health concerns.
See template
See template
Windfall Elimination Provision
PDF template
Explanation of how Social Security retirement or disability benefits may be reduced for workers with pensions from employers not withholding Social Security taxes.
See template
See template
How To File A Disability Appeal Online
PDF template
Step-by-step instructions for filing a disability appeal online with the Social Security Administration
See template
See template
Adult Disability Starter Kit
PDF template
A comprehensive checklist to help applicants prepare for filing a Social Security disability benefits claim by organizing personal, medical, and employment information.
See template
See template
Authorization And Consent To Treatment
PDF template
A comprehensive document outlining patient consent for medical treatment, insurance benefits assignment, and payment responsibilities.
See template
See template
Enhanced Dental Benefits Enrollment Form
PDF template
A self-enrollment form for additional dental coverage for members with specific medical conditions through Blue Cross Blue Shield of Massachusetts.
See template
See template
ENJAYMO Patient Solutions Enrollment Form
PDF template
Comprehensive patient enrollment form for ENJAYMO patient assistance program, collecting personal and insurance information.
See template
See template
Enroll A Member NYSLRS Quick Guide
PDF template
A step-by-step guide for personnel contacts to enroll new members in the New York State and Local Retirement System online platform.
See template
See template
State Of Hawaii PTS Deferred Compensation Retirement Plan Enrollment Form
PDF template
Enrollment form for part-time, temporary, and seasonal employees of the State of Hawaii and County of Kauai for deferred compensation retirement plan
See template
See template
Northern California Carpenter Funds Enrollment Form
PDF template
Form for enrolling or updating records with the Northern California Carpenter Funds, including health plan selection and participant information.
See template
See template
Vision Service Plan EnrollmentChange Form
PDF template
Form for employees of Fallbrook Elementary School District to enroll or modify vision insurance coverage for themselves and dependents.
See template
See template
Superior Dental Care Employee Enrollment Form
PDF template
Form for employees to enroll in dental and vision insurance benefits through Superior Dental Care.
See template
See template
ENROLLMENT FORM GL.2017.010
PDF template
A comprehensive employee insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
See template
See template
NEA Membership Enrollment Form CCA
PDF template
Enrollment form for teachers to join the National Education Association, California Teachers Association, and local education unions.
See template
See template
Enrollment Transfer Request Form
PDF template
A form for veterans to transfer their medical enrollment between VA healthcare facilities, capturing personal and contact information.
See template
See template
California State University, Sacramento Benefit Enrollment Worksheet
PDF template
A form for employees to complete transactions affecting health, dental, vision, and FlexCash coverage at California State University, Sacramento.
See template
See template
City Of Albany 457 Deferred Compensation Plan Enrollment And Contribution Form
PDF template
A form for City of Albany employees to enroll in or modify contributions to their 457 Deferred Compensation Plan at MissionSquare Retirement.
See template
See template
ENROLLMENT FORM NATIONAL ELEVATOR INDUSTRY BENEFIT PLANS
PDF template
An enrollment form for employees of the National Elevator Industry to enroll in benefit plans and update personal and dependent information.
See template
See template
CBO Prior Entertainment Approval Form In PerfectForms
PDF template
Detailed instructions for submitting a prior approval form for entertainment events with specific cost thresholds and documentation requirements.
See template
See template
VEHICLE INSPECTION FORM
PDF template
Insurance form for documenting existing vehicle damage during policy inspection or claim process.
See template
See template
Health History Examination Form South Carolina Envirothon Program
PDF template
Comprehensive health and emergency contact form for documenting medical information and insurance details for program participants.
See template
See template
Vendor Order Form
PDF template
Form used for ordering scientific equipment or supplies for research purposes in a laboratory setting.
See template
See template
AlienS Change Of Address Form Board Of Immigration Appeals
PDF template
Form for aliens to update their address with the Board of Immigration Appeals within five working days of moving.
See template
See template
Law Enforcement Officers Waiver Form
PDF template
Form for Law Enforcement Officers to waive enrollment privileges in the Public Employees' Retirement System (PERS)
See template
See template
Nomination And Declaration Form For Unexempted Exempted Establishments
PDF template
A form for employees to nominate beneficiaries for provident fund and pension scheme benefits in case of death.
See template
See template
Employer Pension Guide
PDF template
Comprehensive guide for rejoining employees about pension scheme options and eligibility criteria in the Principal Civil Service Pension Scheme (PCSPS).
See template
See template
Tenant Maintenance Request Form
PDF template
A standardized form for tenants to report maintenance issues and request repairs in their rental unit.
See template
See template
Episodic Medical Form
PDF template
A comprehensive medical intake form for students to document current health issues and medical history at Ramapo College's Health Services.
See template
See template
Claim For Farmland (Qualified Agricultural) Exemption From Some School Operating Taxes
PDF template
Michigan state form for farmers seeking property tax exemption for qualified agricultural property
See template
See template
Equipment Booking Form And Hire Agreement
PDF template
A form for requesting and hiring equipment from Uralla Shire Council with terms and conditions for equipment use.
See template
See template
ERFC Durable Power Of Attorney (Designation Of Agent For ERFC Matters)
PDF template
A legal document allowing a member to designate an agent to make retirement system-related decisions on their behalf.
See template
See template
Retirement Checklist
PDF template
A comprehensive checklist for members preparing to retire, outlining key steps and document requirements one year before retirement.
See template
See template
Federal And State Income Tax Withholding Form
PDF template
Form for new retirees to specify federal and state income tax withholding preferences for ERFC annuity payments.
See template
See template
ElectricianS Retirement Fund Benefit Application Packet
PDF template
An application packet for pension benefits from the Electrician's Retirement Fund, providing instructions for submitting retirement documentation.
See template
See template
Change Of Address Form
PDF template
A form for active members of the New York State and Local Retirement System to update their personal contact information.
See template
See template
ERS Pension Deduction Cancellation Form
PDF template
Form for retirees to cancel automatic health benefit premium deductions from their ERS pension
See template
See template
RETIREE INSURANCE ENROLLMENT FORM
PDF template
A form for Texas Employees Retirement System retirees to enroll in insurance and provide Medicare information
See template
See template
ESA 1126A FORFFA Cancellation Of Direct Deposit
PDF template
Official form for cancelling direct deposit for unemployment insurance benefits in Arizona
See template
See template
EShipGlobal (Express Mail Option)
PDF template
Detailed guide for students to use eShipGlobal for sending and receiving documents through Texas State University's International Office.
See template
See template
2012 OPERS Prescription Plan Guide
PDF template
Guide for OPERS health care plan participants explaining prescription drug coverage options for Medicare-eligible members
See template
See template
MEDICAL HISTORY FORM
PDF template
A comprehensive medical history form for patients aged 12 and older, used in combination with a referral form and unique reference number (URN).
See template
See template
Report Of Transfer Or Multiple Enrollment
PDF template
A form for reporting membership transfer between public employee retirement systems with details about previous and new employment.
See template
See template
Event Cancellation Form
PDF template
Official form for cancelling events at the University Event Center with specific submission requirements and procedural guidelines.
See template
See template
Event Expense Reimbursement Form
PDF template
Form for reimbursing event expenses for approved sporting events at fire stations, with a $500 annual benefit maximum.
See template
See template
Examination Form Submission Notice
PDF template
Notice for online examination form submission for Second and Third Year B.Com. students for regular and backlog exams in October/November 2023.
See template
See template
Example Item Feedback Form
PDF template
A form for providing feedback on educational assessment items or materials.
See template
See template
MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
PDF template
A comprehensive medical insurance claim form for submitting healthcare reimbursement or coverage information.
See template
See template
CR PTE Application For Property Tax Exemption
PDF template
A form for organizations seeking property tax exemption by providing details about property ownership, use, and tax-exempt status.
See template
See template
Exemption Cancellation Form
PDF template
A form for canceling property tax exemptions in Miami-Dade County, Florida
See template
See template
City Of Shelby Income Tax Exemption Form
PDF template
A form for retired individuals in Shelby, Ohio to claim income tax exemption for those with no taxable income.
See template
See template
City Of Shelby Income Tax Exemption Form
PDF template
A form for retired individuals with no taxable income to request tax exemption from the City of Shelby, Ohio.
See template
See template
Simple Inquiry Form
PDF template
A form for documenting basic contact inquiries and program-related interactions.
See template
See template
Metropolitan Redevelopment Agency Formal RFP Inquiry Form
PDF template
A formal document for submitting questions and contact information in response to a request for proposal (RFP) or request for expression of interest (RFEI) by the City of Albuquerque's Metropolitan Redevelopment Agency.
See template
See template
FORMAL RFP INQUIRY FORM
PDF template
A form for submitting formal questions and inquiries related to a Request for Proposal (RFP) process for the City of Albuquerque's Metropolitan Redevelopment Agency.
See template
See template
EXISTING PASSENGER FORM
PDF template
A form for registering existing passengers with their personal details and client ID.
See template
See template
EXIT INTERVIEW FORM
PDF template
A comprehensive form tracking an employee's departure process, including benefits, equipment return, and final payroll details.
See template
See template
EXPENSE REIMBURSEMENT PROCEDURES
PDF template
Comprehensive guidelines for employee expense reimbursement covering business expenses and travel, aligned with IRS accountable plan regulations.
See template
See template
Express Benefit Report
PDF template
A form used to report accumulated unused sick leave balances and employment termination information for CalSTRS retirement benefits.
See template
See template
Extra Credit Attendance Form
PDF template
A form for tracking and documenting extra credit activities in language courses with specific point allocations for various events.
See template
See template
Binghamton University Extra Service Request Form
PDF template
A form for university employees to request compensation for additional work performed outside regular duties
See template
See template
Eyeglass Reimbursement Form
PDF template
A form for employees to request reimbursement for eyeglass purchases through the school district's benefits program.
See template
See template
EnrollmentChange Form
PDF template
Insurance enrollment and change form for employees and their family members, underwritten by Fidelity Security Life Insurance Company.
See template
See template
Streamlined Sales Tax Certificate Of Exemption
PDF template
A multi-state form for claiming sales tax exemption by businesses or organizations based on specific criteria.
See template
See template
Employer Health Insurance Verification Individual Follow Up Health Insurance Information
PDF template
A form for employers to verify health insurance benefits offered to employees and their families for BadgerCare Plus applicants.
See template
See template
LEAP Testing Service Sample Submission Form
PDF template
A form for submitting test samples to LEAP Testing Service for various scientific and medical testing purposes.
See template
See template
FORM 24A TENANT MAINTENANCE REQUEST FORM
PDF template
A form for tenants to report property maintenance issues and request repairs to their rental property.
See template
See template
Change Of Address Form Benefit Recipient
PDF template
A form for benefit recipients to update their mailing address with the Massachusetts Teachers' Retirement System (MTRS)
See template
See template
Change Of Address Form
PDF template
A form for members to update their mailing address for various trust fund communications and services.
See template
See template
Wisconsin Medicaid Services Application
PDF template
Wisconsin state application form for Medicaid services, including applicant and spouse information, income details, and eligibility questions.
See template
See template
Medicaid Asset Assessment
PDF template
A form to evaluate the total assets owned by a Medicaid applicant and their spouse to determine eligibility for Medicaid benefits.
See template
See template
Schedule C (Form 1040)
PDF template
IRS tax form for reporting income and expenses from a sole proprietorship business on annual tax return.
See template
See template
Plan Sponsor Refund Request
PDF template
A form for plan sponsors to request refunds of contributions for retirement plans, with options for single or multiple participant refunds.
See template
See template
Mistake Of Fact
PDF template
Form for plan administrators to request refund correction for arithmetic or clerical errors in participant contributions within one year of occurrence.
See template
See template
Change Of Address
PDF template
Official form for notifying Tennessee Department of Revenue about taxpayer address changes across multiple tax types.
See template
See template
Agricultural Exemption Application
PDF template
A form for agricultural entities to apply for tax exemption by documenting ownership, land use, and agricultural activities.
See template
See template
Form 13551
PDF template
Application for individuals or organizations seeking to become an IRS Acceptance Agent or Certifying Acceptance Agent.
See template
See template
Form 13930 (Rev. 9 2022)
PDF template
Instructions for nonresident entertainers and athletes to apply for a Central Withholding Agreement with the IRS for tax withholding purposes.
See template
See template
Form 14135 Application For Certificate Of Discharge Of Property From Federal Tax Lien
PDF template
IRS form used to request discharge of property from a federal tax lien, allowing property to be transferred or sold free of the lien.
See template
See template
Cigarette DistributorS Monthly Return
PDF template
Monthly tax reporting form for cigarette distributors tracking unstamped and stamped cigarette inventory in Arizona
See template
See template
Nebraska Tax Application
PDF template
Official form for businesses to register and provide tax information when operating in Nebraska
See template
See template
Form 2159 Payroll Deduction Agreement
PDF template
A form for establishing payroll deductions to pay tax liabilities through automatic wage withholding by an employer.
See template
See template
Inquiry Form
PDF template
Official form for submitting inquiries to the Illinois Condominium and Common Interest Community Ombudsperson
See template
See template
Puget Sound Benefits Trust Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a short-term disability claim, requiring details from the employee, employer, and attending physician.
See template
See template
Form 2624 Consent For Third Party Contact
PDF template
A form allowing taxpayers to authorize the IRS to contact a third party regarding tax information or to revoke such authorization.
See template
See template
Form 2848 Power Of Attorney And Declaration Of Representative
PDF template
Official IRS form for designating a representative to act on behalf of a taxpayer for specific tax matters and communications with the Internal Revenue Service.
See template
See template
Power Of Attorney
PDF template
A document authorizing an agent to represent an employer before Iowa Workforce Development in unemployment insurance tax matters.
See template
See template
NW Plumbers Pipefitters Health Fund Change Of Address Form
PDF template
A form for updating personal contact information for members of the NW Plumbers & Pipefitters Health Fund
See template
See template
Medical Dental Vision Prescription Weekly Disability Claim Form
PDF template
Comprehensive claim form for medical, dental, vision, prescription, and weekly disability benefits for NW Plumbers & Pipefitters Health Fund members.
See template
See template
Change Of Address Form
PDF template
A form for employees to update their contact information with the Puget Sound Electrical Workers Trust Funds.
See template
See template
Enrollment Form F33
PDF template
Comprehensive enrollment form for employees to register dependents and update personal information for benefit plans
See template
See template
REQUEST FOR A QUALIFIED CHARITABLE DISTRIBUTION (QCD) FROM A BROKERAGE RETIREMENT ACCOUNT (IRA)
PDF template
A form for requesting a tax-efficient charitable donation directly from an IRA account for individuals aged 70 or older.
See template
See template
F 413 Short Troop Trip Travel Form
PDF template
A travel form for documenting short troop trips, with an online reference link.
See template
See template
Form 433 H
PDF template
Internal Revenue Service form for requesting an installment agreement for tax liabilities over $50,000 or unpayable within 72 months.
See template
See template
Form 4506 T
PDF template
IRS form used to request official tax return transcripts and related tax records from the Internal Revenue Service.
See template
See template
Form 4506 T
PDF template
IRS form used to request various types of tax return transcripts and tax account information.
See template
See template
Form 4506 T
PDF template
IRS form used to request official transcripts of tax return information from the Internal Revenue Service.
See template
See template
Form 4506 T
PDF template
Official IRS form for requesting tax return transcripts and related tax records.
See template
See template
Return Of Alteration Of Address (Form F4)
PDF template
Official form for registering a change of branch address for an external company with the Companies Registration Office in Ireland.
See template
See template
Disability Claim Form
PDF template
A comprehensive form for submitting a disability insurance claim, covering coverage information, work schedule, and earnings details.
See template
See template
Change Of Address Form
PDF template
A form for union members to update their contact information with the trust funds administration office.
See template
See template
Election To Withhold Federal Income Tax From Periodic Payments
PDF template
A form for participants to select federal income tax withholding preferences for periodic pension payments from the Pension Benefit Guaranty Corporation.
See template
See template
Combined Registration Application For Business DC TaxesFeesAssessments
PDF template
Official government form for registering a business in the District of Columbia for tax and regulatory purposes
See template
See template
Form 8038 GC
PDF template
IRS form for reporting information about small tax-exempt governmental bond issues, leases, and installment sales under Internal Revenue Code section 149(e).
See template
See template
Change Of Address Form
PDF template
A form for employees to update their personal contact information with the Engineers-AGC Retirement Trust
See template
See template
Form 8332 Release Of Claim To Exemption For Child Of Divorced Or Separated Parents
PDF template
IRS form allowing custodial parents to release tax exemption claims for children to noncustodial parents in divorce or separation scenarios.
See template
See template
FORM 8453N
PDF template
Document for transmitting e-filed Nebraska individual income tax returns with required supporting documentation.
See template
See template
Western Metal Industry Pension Fund Pre Retirement Death Application
PDF template
A form for surviving spouses to apply for pension benefits after the death of a participant in the Western Metal Industry Pension Fund.
See template
See template
Form 8594
PDF template
IRS form for reporting details of an asset acquisition transaction under Section 1060.
See template
See template
Form 8655 Reporting Agent Authorization
PDF template
An Internal Revenue Service form for authorizing a reporting agent to sign, file tax returns, and make deposits or payments on behalf of a taxpayer.
See template
See template
Form 8802
PDF template
An IRS form used to apply for a United States residency certification for tax purposes.
See template
See template
Form 8922 Third Party Sick Pay Recap
PDF template
A tax form used to reconcile employment tax returns with Forms W-2 when third-party sick pay is paid.
See template
See template
Form 8957
PDF template
Official IRS form for financial institutions to register under the Foreign Account Tax Compliance Act (FATCA)
See template
See template
Change Of Address Form
PDF template
A form for members of Steamfitters Local Union 602 to update their personal contact information for benefit funds records.
See template
See template
Form 9325
PDF template
Official IRS form providing confirmation and details for electronically filed tax returns
See template
See template
Form 943 EmployerS Annual Tax Return For Agricultural Employees
PDF template
IRS tax form for reporting wages, social security taxes, Medicare taxes, and federal income tax withholding for agricultural employees.
See template
See template
Tax Form 9783 With Instructions
PDF template
Enrollment form for the Electronic Federal Tax Payment System (EFTPS) for individual taxpayers to register or update financial institution information.
See template
See template
REGISTRATION FORM Institute For Learning In Retirement
PDF template
Registration form for the Institute for Learning in Retirement, including course selections, parking pass, and volunteer opportunities.
See template
See template
Advisory Circular Feedback Form
PDF template
A form for providing feedback, suggestions, and error reporting for FAA Advisory Circulars.
See template
See template
Advisory Circular Feedback Form
PDF template
A form for providing feedback and recommendations on FAA Advisory Circulars, including error reporting and suggestions.
See template
See template
FAA Child Care Subsidy Program Monthly Invoice Form
PDF template
A form for FAA employees to submit monthly child care service costs and receive subsidy reimbursement.
See template
See template
Supplemental Annuity Collective Trust Of New Jersey (SACT)
PDF template
A voluntary investment program providing retirement income supplemental to basic pension plans, with two tax-treatment options for public employees in New Jersey.
See template
See template
Contract Intelligence
PDF template
An advanced AI system for automated, high-precision extraction of key information from complex contracts using neuroscience-based technology.
See template
See template
Inquiry Form
PDF template
A form for collecting detailed information about an event and the requesting organization
See template
See template
Fair Hearing Request Form
PDF template
A form for appealing MassHealth decisions and requesting a fair hearing to challenge agency actions or inactions.
See template
See template
Fall 2023 Veterans Education Benefits Enrollment Form
PDF template
A form for veterans to enroll and verify educational benefits and student status at the University at Buffalo for the Fall 2023 term.
See template
See template
Family And Medical Leave Request Form
PDF template
A comprehensive form for employees to request unpaid family and medical leave under federal FMLA guidelines, detailing leave entitlements and notice requirements.
See template
See template
Family Contact Form
PDF template
Form for collecting comprehensive contact and insurance details for a client's family members and guardians.
See template
See template
ELIGIBILITY AND BILLING FORM
PDF template
Form for qualifying for corporate and family education benefits at DeVry University, detailing eligibility requirements and student/employer information.
See template
See template
NECAIBEW Family Medical Care Plan Family Enrollment Form
PDF template
An enrollment form for employees to enroll in the NECA/IBEW Family Medical Care Plan, including personal, spousal, and dependent information.
See template
See template
APPLICATION FOR GRANT OF FAMILY PENSION
PDF template
Application form for requesting family pension benefits from Bank of Baroda Pension Fund Trust after the death of a pensioner.
See template
See template
Educational Benefit Tax Exemption Frequently Asked Questions
PDF template
A guide explaining tax implications and procedures for educational assistance benefits through UET (University/Employer Training) program.
See template
See template
FAQs CVS Caremark Pharmacy Transition
PDF template
Frequently asked questions about prescription drug benefits transition from Medco to CVS Caremark for PERS Select/Choice/Care members.
See template
See template
MF 209 Certificate Of Fuel Tax Exemption
PDF template
A form documenting exempt sales of gasoline and undyed diesel fuel for various specific use cases
See template
See template
MF 209 CERTIFICATE OF FUEL TAX EXEMPTION
PDF template
A form documenting exempt sales of gasoline and undyed diesel fuel, detailing conditions for tax-exempt fuel purchases.
See template
See template
Dual Benefits Reimbursement Form
PDF template
A form for open-shop contractors to request reimbursement for employer-sponsored benefit plan contributions while working on City of Seattle projects.
See template
See template
Self Certification For Individual FATCACRS Declaration Form
PDF template
A tax declaration form for individuals to provide information about their tax residency, citizenship, and US person status for FATCA and CRS compliance.
See template
See template
SALES ORDER FORM
PDF template
A form used for placing product orders with shipping and delivery details.
See template
See template
Sales Order Form
PDF template
A form for placing product orders with shipping and account details for Hercules company.
See template
See template
Artwork Supply And Printing Order Form
PDF template
A detailed form for specifying printing and artwork production requirements for promotional materials or documentation.
See template
See template
Retiree Enrollment Form
PDF template
Enrollment form for Fulton County retirees to select health and dental plan coverage options and update personal information.
See template
See template
STATEMENT OF FACTS SUPPORTING ELIGIBILITY FOR AFDC FOSTER CARE(FC)
PDF template
California state form documenting a foster child's eligibility for AFDC-Foster Care benefits and personal information.
See template
See template
CAPE Digital Tool Certificate Submission Form
PDF template
A form for submitting digital certification information for academic year consideration in an educational context.
See template
See template
Change Of Address Form
PDF template
Official form for updating personal contact information with the Alabama Department of Revenue for tax purposes.
See template
See template
Complaint Resolution Form
PDF template
A form for Newfoundland Labrador Housing Corporation tenants or former tenants to submit formal complaints that could not be resolved through initial staff contact.
See template
See template
Claim For Dismemberment Benefits
PDF template
A federal employee insurance claim form for documenting loss of limb or eyesight benefits under the Federal Employees' Group Life Insurance Program.
See template
See template
FEDERAL EDUCATION ASSOCIATION MEMBERSHIP CHANGE OF ADDRESS FORM
PDF template
A form for Federal Education Association members to update personal contact information, employment status, and address details.
See template
See template
Tax Withholding Form For Pension And Annuity Payments
PDF template
A form for U.S. citizens to specify federal and state tax withholding preferences for pension and annuity payments
See template
See template
Federal And State Tax Withholding Updates
PDF template
Comprehensive guide for federal and state tax withholding requirements, effective January 1, 2023, with instructions for withdrawal requests and tax form submissions.
See template
See template
Certificate Of Exemption On Communication Services
PDF template
Form for claiming tax exemption from federal excise taxes on communication services under various governmental and nonprofit provisions.
See template
See template
Federal Income Tax Withholding Form
PDF template
Form for tribal members to select federal income tax withholding percentage for per capita distribution payments
See template
See template
Form W 4S
PDF template
IRS form used to request federal income tax withholding from sick pay payments
See template
See template
Form W 4P (2020)
PDF template
A form for pension recipients to specify their desired federal tax withholding amount from retirement allowance payments.
See template
See template
Form W 4P Withholding Certificate For Pension Or Annuity Payments
PDF template
Form for pension recipients to specify federal tax withholding preferences for retirement allowance payments.
See template
See template
Pension Federal Tax Withholding Form
PDF template
Form for pension or annuity recipients to request voluntary federal income tax withholding from their monthly payments
See template
See template
ORDER REQUEST FORM
PDF template
A detailed form for requesting printing and copying services with multiple customization options.
See template
See template
Publication Order Form
PDF template
Form for ordering publications from the Federal Emergency Management Agency through email, phone, or fax.
See template
See template
Health Benefits Claim Form
PDF template
A comprehensive form for submitting health insurance benefits claims, including patient and insurance information.
See template
See template
FILE PAPER SUBMISSION FORM
PDF template
A form for students to document details of a submitted academic paper, including class, instructor, and assignment parameters.
See template
See template
UHC WTIA (EnrollCancelWaiverChanges)
PDF template
A comprehensive form for employees to enroll, modify, or cancel health insurance benefits and personal information.
See template
See template
Central Ohio Retired Firefighters 4 Unit Membership Application
PDF template
Membership renewal form for retired firefighters and their families in the Central Ohio region, with dues and optional purchases.
See template
See template
Withdrawal Form
PDF template
Instructions and form for withdrawing funds from a retirement account, including required documentation and submission methods.
See template
See template
Address Assignment Application
PDF template
Application for obtaining an official address within Elmore County's E-911 grid system to assist emergency personnel in locating properties.
See template
See template
ADDRESS ASSIGNMENT APPLICATION
PDF template
Application for obtaining an official address within Elmore County's E-911 grid system to assist emergency personnel in locating a property.
See template
See template
Apprentice Change Of AddressPhoneEmail
PDF template
A form for apprentices to update their personal contact information and address details.
See template
See template
York Suburban School District Change Of Address Form
PDF template
A form for students and families to update their address within the York Suburban School District, requiring proof of residency.
See template
See template
Change Of Address Form
PDF template
Form for updating member contact information with the Local 22 Health Plan for firefighters and paramedics
See template
See template
Standard Charter Order Form
PDF template
Official form for establishing a new DeMolay International chapter with details about chapter members, advisors, and organizational information
See template
See template
CLAIM FORM MISCELLANEOUS EXPENSES
PDF template
A form for submitting and documenting miscellaneous expense claims for reimbursement or processing.
See template
See template
Change Of Address Notice
PDF template
Official form for updating member contact information with the New York City District Council of Carpenters Benefit Funds.
See template
See template
Change Of Address Form
PDF template
Form for updating owner contact information for Texland Petroleum account holders to modify their address details.
See template
See template
Employee Handbook
PDF template
Comprehensive guide detailing company policies, employee benefits, conduct expectations, and workplace guidelines for employees.
See template
See template
Patient Medical History And Symptoms Form
PDF template
A detailed medical intake form capturing patient demographics, ethnicity, race, symptoms, and previous diagnostic studies and treatments.
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for capturing patient health information, medical conditions, lifestyle factors, and current health concerns.
See template
See template
New Patient Intake Form
PDF template
Comprehensive intake form for new patients seeking cosmetic procedures, collecting personal information and medical history.
See template
See template
Neah Kah Nie Treasure Awards Fillable PDF Nomination Form
PDF template
Technical guide for completing a PDF nomination form across different web browsers
See template
See template
Osteopathy Patient Intake Form
PDF template
Comprehensive medical intake form for osteopathic patient assessment and medical history documentation.
See template
See template
Sick Leave Request Form
PDF template
A form for employees to request sick leave and associated pay, to be processed by the payroll department.
See template
See template
Immunization Consent Form
PDF template
A comprehensive form for collecting patient demographic, insurance, and consent information for immunization services.
See template
See template
Change Of Address Form
PDF template
A document used by students to update their mailing and permanent address information with the University of Hawaii system.
See template
See template
Member Information And Dues Remittance Form
PDF template
Annual membership form for joining or renewing membership in the Assistance League of Ventura County with dues payment and member information collection.
See template
See template
FinlandS Response To Questionnaire On Social Protection Of Older Persons
PDF template
Comprehensive document detailing Finland's legal framework for pension and social protection systems for older persons, covering national and employment-based pension schemes.
See template
See template
Change Of Address Notification For Firearms Identification Card And License To Carry Firearms
PDF template
Official form for notifying Massachusetts authorities of a firearms license holder's change of address as required by state law.
See template
See template
First Time Appointment Billing Form
PDF template
A billing form for documenting client details, service type, and appointment information for a first-time healthcare consultation.
See template
See template
First Time Home Buyer Affidavit
PDF template
Legal document for first-time home buyers in Sussex County, Delaware to claim eligibility for realty transfer tax provisions.
See template
See template
NJ ACTS Service Core Request Form
PDF template
A form for requesting research services through the NJ ACTS research infrastructure, used by investigators and researchers.
See template
See template
Employee Voluntary Payroll Deduction Authorization For Fitness Center Usage Fee
PDF template
Voluntary authorization form for employees to have fitness center usage fee deducted from their paycheck
See template
See template
Payroll Deduction For Fitness Center Membership
PDF template
A form for employees to authorize payroll deductions for fitness center membership at Clayton State University.
See template
See template
Management Benefits Fund (MBF) Health And Fitness Reimbursement Program Claim Form
PDF template
A form for MBF members to claim reimbursement for health and fitness expenses for themselves and their spouse/domestic partner.
See template
See template
2024 Fitness Reimbursement Program
PDF template
A program offering up to $300 per family annually for eligible fitness expenses for University System of New Hampshire employees and dependents.
See template
See template
Change Of Address Or Telephone Number
PDF template
A legal form for updating contact information with the Circuit Court of Oregon in a pending legal case
See template
See template
PF 132 (10 18) SUNY Reimbursement Accounts Enrollment Form
PDF template
Form for employees to enroll in health care and dependent care flexible spending accounts with pre-tax payroll deductions.
See template
See template
Reimbursement Form For Flexible Spending Account (FSA)
PDF template
Form for employees to request reimbursement for healthcare and dependent care expenses through a Flexible Spending Account.
See template
See template
BESTflex Plan Election Form
PDF template
Document for employees to elect participation in flexible spending accounts for healthcare and dependent care expenses
See template
See template
Exempt OrganizationS Attestation Of Direct Billing
PDF template
A form for exempt governmental or nonprofit organizations to certify direct billing and payment for purchases or services
See template
See template
FLUOROSCOPY AND INTERVENTIONAL REQUISITION
PDF template
Comprehensive form for requesting medical imaging procedures, capturing patient details, medical history, and clinical information.
See template
See template
Additional Compensation Cancellation Form
PDF template
A form used to cancel or reduce additional compensation for faculty members at an educational institution.
See template
See template
Fluid Management Parts Order Form
PDF template
A form for ordering parts from Fluid Management with shipping and payment details.
See template
See template
FNIS Request Form
PDF template
Form for nonresident employees and students to provide immigration and personal information for tax withholding purposes at Northwestern University.
See template
See template
FNS 415 Interviewing
PDF template
Guidelines for conducting interviews for Food and Nutrition Services benefit applications, outlining interview requirements and interviewer responsibilities.
See template
See template
Food And Nutrition Services Certification Applications FNS 415 Interviewing
PDF template
Guidelines for conducting interviews for Food and Nutrition Services benefits application process, detailing interview requirements and interviewer responsibilities.
See template
See template
Food Delivery Checklist
PDF template
Comprehensive checklist for state agencies managing WIC food delivery systems, vendor management, and food benefit distribution.
See template
See template
Foreign Change Of Address Form
PDF template
Form for updating international employee address and tax document delivery preferences at the University of Pittsburgh.
See template
See template
Foreign National Tax Information Form
PDF template
A comprehensive form for collecting tax and immigration documentation for foreign national employees with various visa types.
See template
See template
Foreign National Questionnaire Form
PDF template
A comprehensive form for foreign nationals to provide personal, immigration, and tax-related information for compliance purposes.
See template
See template
Foreign National Tax Assessment Form
PDF template
A comprehensive form for foreign nationals to document tax and employment information at the university.
See template
See template
Foresight Carrier Screen Requisition Form
PDF template
A medical form for requesting genetic carrier screening, collecting patient and clinic information, and processing billing details.
See template
See template
Termination Refund Application
PDF template
A form for APERS members to request a termination refund with options for direct deposit or rollover of retirement benefits.
See template
See template
Termination Refund Application
PDF template
A form for members to request a refund of retirement contributions upon termination of employment with options for direct deposit or rollover.
See template
See template
2020 Rental Income Worksheet
PDF template
A detailed worksheet for calculating monthly qualifying rental income from investment properties for tax and financial reporting purposes.
See template
See template
PBGC Form 10 Post Event Notice Of Reportable Events
PDF template
A form for reporting significant events related to pension plans that may impact plan participants and financial stability.
See template
See template
Lobbyist Registration Cancellation Form
PDF template
Official form for canceling a lobbyist registration with the South Florida Water Management District
See template
See template
Bank Account Application Form
PDF template
A document for individuals to apply for a bank account with personal details and contact information.
See template
See template
NEW PATIENT INSURANCE AND OFFICE POLICIES CONSENT FORM
PDF template
A comprehensive form for collecting patient personal, insurance, and medical history information for dental office registration.
See template
See template
Notice Of Garnishment
PDF template
Legal document used to initiate a garnishment proceeding against a debtor's assets or income through a third-party garnishee.
See template
See template
Inquiry To Become Contributory
PDF template
Form for Arkansas Teachers' Retirement System members to initiate the process of changing their membership status from Noncontributory to Contributory.
See template
See template
Interactive Brokers LLC Customer Agreement Individual Retirement Account
PDF template
Legal agreement establishing an individual retirement account with Interactive Brokers and Equity Trust Company, outlining terms of account management and customer responsibilities.
See template
See template
Change Of Address Form RetireesBenefit Recipients
PDF template
Official form for updating personal contact information for retirees and benefit recipients of Arkansas Retirement System.
See template
See template
Official Mail Forwarding Change Of Address Order
PDF template
A form used to update and forward mailing address with the United States Postal Service
See template
See template
Individual Unemployability (IU Or TDIU) Intake Form
PDF template
A comprehensive intake form for veterans seeking total disability benefits based on individual unemployability due to service-related medical conditions.
See template
See template
Form 4506 T
PDF template
Internal Revenue Service form used to request official tax return transcripts and related tax records.
See template
See template
Form 4506 T
PDF template
IRS form used to request a transcript of a previously filed tax return at no charge.
See template
See template
Form 4506 T
PDF template
IRS form used to request a transcript of a previously filed tax return at no charge.
See template
See template
Change Of Address Form
PDF template
Form for members to update their personal contact and mailing information with an organization.
See template
See template
Change Of Address Form
PDF template
A form for updating personal contact and mailing information for a member or employee.
See template
See template
Dependency And Indemnity Compensation (DIC) Intake Form
PDF template
A form for surviving spouses, children, or dependent parents to apply for monthly compensation based on a veteran's service-connected death or disability.
See template
See template
Removal Request Form 8
PDF template
A form used to request removal or deletion of university assets from inventory control records.
See template
See template
Instructions For Form 940
PDF template
Official IRS guidance for completing the annual federal unemployment tax return for employers
See template
See template
Form 941 For 2021
PDF template
Quarterly tax form for employers to report wages, tax withholdings, and social security/Medicare taxes to the Internal Revenue Service.
See template
See template
Energy Assistance Program Change Of Address Form
PDF template
Form for updating contact and utility information when moving to a new address while receiving energy assistance benefits.
See template
See template
Change Of Address Form
PDF template
A form for updating personal contact and address information, primarily for students or institutional records.
See template
See template
Medical Claim Form
PDF template
A comprehensive form for submitting medical claims and patient information to Anthem Blue Cross and Blue Shield insurance plan.
See template
See template
SEIU Michigan Health And Welfare Fund MemberS Change Of Address Form
PDF template
A form for SEIU Michigan Health and Welfare Fund members to update their personal and employment information.
See template
See template
Continuation Sheet For Application Forms
PDF template
A supplemental form used to provide additional information for copyright registration applications when space is limited on the basic form.
See template
See template
Copy Center Requisition Form
PDF template
A form for submitting copy and printing requests at Moreno Valley College Warehouse with detailed specifications and options.
See template
See template
Form D Notice Of Exempt Offering Of Securities
PDF template
Official Securities and Exchange Commission form for reporting exempt securities offerings by businesses
See template
See template
Budget Form No. 3 (Rev. 2019)
PDF template
Official budget hearing notice for Pulaski County, Indiana, detailing public hearing and budget adoption for the year 2025.
See template
See template
FMLA LEAVE REQUEST FORM
PDF template
A form for employees to request family or medical leave, documenting leave details and employee information.
See template
See template
Combined Registration Application For Business DC TaxesFeesAssessments
PDF template
Comprehensive registration form for businesses to register for various taxes and fees in the District of Columbia.
See template
See template
New Jersey Judiciary Records Request Form
PDF template
Official form for requesting records from New Jersey state judicial offices and courts.
See template
See template
Permanent Mailing Address Form
PDF template
A comprehensive form for collecting personal and professional information for employment and retirement system membership in Ohio
See template
See template
2022 Health Savings Account Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for Health Savings Account (HSA) contributions in 2022.
See template
See template
Employer Sponsored Program How To File A Claim For Approval
PDF template
Comprehensive guide for employees on submitting claims through a healthcare benefits platform with detailed filing instructions and documentation tips.
See template
See template
Port Clinton Withholding Tax Refund Request Form
PDF template
A form for taxpayers to request a refund of income tax withholdings erroneously collected by an employer in Port Clinton.
See template
See template
NYPD Retirees Handgun License Application Instructions
PDF template
Detailed instructions for New York City Police Department retirees applying for a handgun license upon retirement.
See template
See template
Deduction Cancellation Form
PDF template
A form for university employees to request cancellation of a specific payroll deduction through Illinois State University's Payroll Office.
See template
See template
Prior Service Certification Form
PDF template
Form for employees to request prior service credit from previous Ohio state agency employment
See template
See template
Virginia Form R 1 Business Registration Application
PDF template
Official form for registering a business or updating business tax information with the Virginia Department of Taxation.
See template
See template
IBEW LOCAL NO. 461 VARIABLE PENSION PLAN REQUEST FOR APPLICATION FORM
PDF template
A form for IBEW Local No. 461 members to request pension benefits, including normal retirement, early retirement, or total and permanent disability benefits.
See template
See template
IBEW LOCAL NO. 32 NECA PENSION PLAN REQUEST FOR APPLICATION FORM
PDF template
A form for requesting pension benefits from the IBEW Local No. 32 NECA Pension Plan, allowing participants to apply for various retirement options.
See template
See template
Plumbers And Pipefitters Local 333 Pension Fund Request For Application Form
PDF template
A form for requesting a pension application for members of Plumbers and Pipefitters Local #333 Pension Fund seeking retirement benefits.
See template
See template
Rhode Island Power Of Attorney Form RI 2848
PDF template
A legal document authorizing a designated attorney or representative to act on behalf of a taxpayer for specific state tax matters in Rhode Island.
See template
See template
Prescription Drug Reimbursement Coordination Of Benefits Claim Form
PDF template
A form for submitting prescription drug reimbursement claims with details about medication, pharmacy, and patient information.
See template
See template
Add Insurance Form
PDF template
A form used to add payer information to the Community Practice Services database for insurance and billing purposes.
See template
See template
Change Of Address Form
PDF template
Form for members to update their contact and address information with Greensboro Municipal Federal Credit Union.
See template
See template
In Processing Forms Checklist
PDF template
Comprehensive checklist for new federal employees joining the Federal Retirement Thrift Investment Board (FRTIB) to complete required employment and benefits documentation.
See template
See template
Request For Payment By Direct Deposit
PDF template
Form for electronically depositing payments into a designated bank account, used by government social services.
See template
See template
ADOR 82620C Document SubmittalCompliance Review Form
PDF template
Arizona Department of Revenue form for reviewing compliance of government property leases as required by House Bill 2213
See template
See template
Arizona Form 204
PDF template
Official state tax form for requesting a 6-month filing extension and submitting tax payments for Arizona state income tax
See template
See template
Arizona Form 204 Extension Of Time To File An Individual Income Tax Return
PDF template
Official form for requesting an extension to file Arizona state income tax return for individuals for the tax year 2023.
See template
See template
Maintenance Request Form
PDF template
A form for members and residents to report maintenance issues in common areas of the Dungeness Meadows community.
See template
See template
Change Address
PDF template
Guide for employees to update personal information and manage insurance-related documentation
See template
See template
Transfer Request Form
PDF template
A form for requesting transfer of patient medical records to a new healthcare provider or facility.
See template
See template
Faith Pharmacy New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients at Faith Pharmacy, collecting personal, insurance, and medical information.
See template
See template
Free Port Warehouse Report Of Inventory
PDF template
Annual tax reporting form for warehouse personal property inventory in Mississippi
See template
See template
Combined Business Tax Registration Application
PDF template
Comprehensive tax registration form for businesses operating in the District of Columbia covering multiple tax types and business activities.
See template
See template
PATIENT INTAKE FORM
PDF template
Comprehensive medical history and current health status form for patient therapy intake and medical assessment.
See template
See template
Upload Tax Exempt Form Instructions
PDF template
Step-by-step instructions for FIRST Robotics team lead mentors and admins to upload their organization's sales tax exemption form.
See template
See template
Free Port Warehouse Report Of Inventory
PDF template
Annual tax document for reporting personal property inventory and shipping details for warehouses in Mississippi
See template
See template
Frequently Asked Questions For Tuition Benefit
PDF template
Comprehensive guide explaining application process, deadlines, and details for tuition benefit programs at Augsburg University and partner institutions.
See template
See template
Enrollment Form
PDF template
Comprehensive enrollment form for fringe benefits including health care, life insurance, and retirement plans for carpenters in Western Washington.
See template
See template
Spousal Bypass Trust Form FRPF10292
PDF template
A legal document allowing scheme members to direct death benefits to a Spousal Bypass Trust for flexible distribution to dependants and beneficiaries.
See template
See template
Public Safety Officers Benefits (PSOB) Program History
PDF template
Document detailing the history and purpose of the Public Safety Officers' Benefits Act, which supports law enforcement and firefighter recruitment and retention.
See template
See template
Supplemental Annuity Collective Trust (SACT) Personal Contribution Form
PDF template
A form for members to make personal contributions to the New Jersey Supplemental Annuity Collective Trust through check or money order.
See template
See template
FSA Dependent Care Reimbursement Form
PDF template
A form for submitting dependent care expenses for reimbursement through a flexible spending account.
See template
See template
Flexible Spending Accounts (FSA) Program EnrollmentChange Form
PDF template
Form for enrolling in or changing Health Care Flexible Spending Account (HCFSA) or Dependent Care Assistance Program (DeCAP) for Plan Year 2023
See template
See template
2024 Flexible Spending Account EnrollmentChange Form
PDF template
A form for employees to enroll in or modify their Flexible Spending Account benefits for healthcare and dependent care expenses
See template
See template
Enrollment Form Flexible Spending Account(S)
PDF template
A form for employees to enroll in healthcare and dependent care flexible spending accounts, specifying contribution amounts and acknowledging plan rules.
See template
See template
Recurring Claim Form
PDF template
A form for employees to automate reimbursement of qualified expenses with fixed payments to a service provider.
See template
See template
Department Request Form
PDF template
A form used to request the creation or modification of a new department within an organization, detailing departmental and administrative requirements.
See template
See template
Fraser Street Medical Clinic New Patient Registration Form
PDF template
Comprehensive medical intake form for new patients collecting personal information, medical history, and current health symptoms.
See template
See template
Virginia Tech Employee Software Sales Order Form
PDF template
A form for Virginia Tech employees to purchase software licenses and technology accessories at discounted rates.
See template
See template
Pension Application Form
PDF template
An application form for becoming a member of the Future Super Pension Plan, collecting personal and tax information from prospective pension fund members.
See template
See template
EmployeeS Declaration Of Emoluments, Deductions And Tax Credits (Form T.D. 1)
PDF template
Official government form for employees to declare income, deductions, and tax credits in Trinidad and Tobago
See template
See template
Fullerton College Grade Appeal Request Form
PDF template
A formal document allowing students to request a grade review or change through an appeal process involving the instructor and potentially a grade appeal committee.
See template
See template
Full Time Member Membership Application Prior Service Purchase Form
PDF template
A form for Alabama retirement system members to purchase prior years of creditable service within the first two years of enrollment.
See template
See template
PENSION BENEFIT APPLICATION FORM
PDF template
A comprehensive pension benefit application form for members to provide personal, marital, and employment information to determine benefit entitlement.
See template
See template
Fund Eligibility And Membership Section
PDF template
Document outlining eligibility requirements, enrollment procedures, and membership terms for a health insurance fund covering active and retired employees.
See template
See template
Funeral Benefit Application Form
PDF template
Application form for claiming funeral benefits through the JLT (CSI Member Benefits) Discretionary Trust
See template
See template
ORGANIZATION OF STAFF ANALYSTS FURLOUGH SURVEY FORM
PDF template
Survey form for staff members to indicate interest in taking a voluntary leave of absence with potential health benefit considerations.
See template
See template
FURLOUGH SURVEY FORM
PDF template
Survey form for staff analysts to indicate interest in taking a leave of absence with health benefit conditions.
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal information, medical history, and dental visit details
See template
See template
Form W 3
PDF template
Official IRS form for transmitting wage and tax information for employees to the Social Security Administration
See template
See template
Form W 8BEN E
PDF template
IRS form for non-U.S. entities to certify their status for tax withholding and reporting purposes.
See template
See template
Form W 8IMY
PDF template
IRS form for foreign intermediaries and entities to certify tax withholding and reporting status for United States tax purposes.
See template
See template
Form W 9
PDF template
An Internal Revenue Service form used to provide a taxpayer's identification number and certification for income reporting purposes.
See template
See template
FY13 Annual Report Form
PDF template
Annual report documenting University Information Services (UIS) activities, accomplishments, and strategic alignment for fiscal year 2013.
See template
See template
Organizational Membership Form
PDF template
Form for organizations to become members of MAPS with different membership levels and benefits
See template
See template
DIRRF Form Update Memo
PDF template
Memo detailing updates to the Deliverable Invoice-Receivable Request Form by Sponsored Projects Accounting and Compliance.
See template
See template
Request For Proposals For Real Estate And Real Asset Investment Consultant Services
PDF template
Request for proposals from qualified firms to provide real estate investment consulting services to the Teachers' Retirement System of Illinois.
See template
See template
Benefits Open Enrollment Form 2020
PDF template
Form for employees to select or modify healthcare coverage options and provide personal information for benefits enrollment.
See template
See template
REQUEST FOR PROPOSALS FOR SECURITIES LITIGATION MONITORING, EVALUATION, AND REPORTING SERVICES
PDF template
Request for proposals from vendors to provide securities litigation monitoring, evaluation, and reporting services for the Teachers' Retirement System of Illinois.
See template
See template
Teacher Training Workshop Registration Form Submission Instructions
PDF template
Instructions for completing and submitting an interactive registration form for a teacher training workshop using Adobe Reader.
See template
See template
Form G 615 (06 19) EmployerS Supply Requisition
PDF template
A form used by employers to request informational materials from the U.S. Railroad Retirement Board about retirement, survivor, unemployment, and sickness benefits.
See template
See template
DR 1 Disability Benefit Application
PDF template
A comprehensive form for Ohio Public Employees Retirement System members to apply for disability benefits, requiring detailed personal and physician information.
See template
See template
S Corporation Income Tax Forms And General Instructions
PDF template
Official tax guide for S Corporations filing income tax returns in the state of Georgia for the tax year 2009.
See template
See template
GAANN Fellowship Application Form
PDF template
Application form for GAANN Fellowship at FIU, focused on AI and Cybersecurity research doctoral programs.
See template
See template
Certificate Of Exemption Of Local HotelMotel Excise Tax
PDF template
Form documenting tax exemption for state or local government officials traveling on official business for lodging and accommodations.
See template
See template
Summary Plan Description
PDF template
A summary document detailing the retirement savings plan for Gannon University employees, explaining plan features, benefits, and participant obligations.
See template
See template
GAPWise Cancellation Request Form
PDF template
A form for cancelling a Guaranteed Asset Protection (GAP) insurance addendum with supporting documentation requirements.
See template
See template
STATE GRADUATE ASSISTANT RESIGNATION FORM
PDF template
Official form for graduate assistants to voluntarily resign from their assistantship position at SUNY ESF.
See template
See template
PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for patients at Gateway ENT to collect personal health information, medical history, and family health background.
See template
See template
APPLICATION FOR 1 D 1 (OPEN SPACE) AGRICULTURAL APPRAISAL FOR 20
PDF template
Application for obtaining agricultural land appraisal status for tax purposes in Grayson County, Texas, based on land's agricultural use or potential.
See template
See template
Procurement Requisition Form Direct Purchase (Form D)
PDF template
A government procurement form for direct purchase of items through the GeM portal by the National Informatics Centre Services Incorporated.
See template
See template
General Inquiry Form
PDF template
A form for individuals to submit questions or issues related to Medicaid services and benefits.
See template
See template
General Liability Claim Form
PDF template
A comprehensive form for reporting general liability claims related to Little League activities and incidents.
See template
See template
Texas Tech Student Government Association General Reimbursement Form
PDF template
Form for student organizations to request financial reimbursement for various expenses from Texas Tech Student Government Association.
See template
See template
GENERAL CLAIM SUBMISSION FORM
PDF template
A comprehensive form for submitting insurance claims with sections for member information, coverage details, and claim specifics.
See template
See template
Make Sure You Receive Your Retirement Benefits On Time
PDF template
A guide for managing the transition to pension payments, focusing on documentation and timing for retirement benefits from the Government Employees Pension Fund.
See template
See template
Combined Federal State Tax Withholding Election Form For Monthly Recurring Pension Payments
PDF template
A form for pension recipients to elect federal and state tax withholding preferences for monthly pension payments.
See template
See template
Combined Federal State Tax Withholding Election Form For Monthly Recurring Pension Payments
PDF template
Form for electing federal and state tax withholding amounts for monthly pension payments
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical intake form for new chiropractic patients, collecting personal information and detailed health history.
See template
See template
Employer Notice Of Claim Long Term Disability
PDF template
A comprehensive claim package for employers to submit long-term disability claims for employees, including detailed instructions and employee information sections.
See template
See template
Dental Claim Form
PDF template
A comprehensive form for submitting dental insurance claims, capturing patient, subscriber, and dental service details.
See template
See template
Gift In Kind Acceptance Form
PDF template
A form for documenting and processing non-monetary donations to the university foundation, with specific instructions for submission and documentation.
See template
See template
Gift In Kind Contribution Form
PDF template
A form for documenting and reporting non-cash donations to the NCCU Foundation with tax guidance for donors.
See template
See template
Gift In Kind Contribution Form
PDF template
Form for documenting and recording in-kind contributions to the NCCU Foundation with tax guidance for donors.
See template
See template
GIFT IN KIND CONTRIBUTION FORM
PDF template
Form for documenting non-monetary donations to the Chattahoochee Tech Foundation, capturing donor details and contribution information.
See template
See template
GITREP 1 Nonresident SellerS Tax Declaration
PDF template
A tax declaration form for nonresident property sellers in New Jersey, used to report property sale details and tax obligations.
See template
See template
GITREP 4A Waiver Of SellerS Filing Requirement Of GITREP Forms And Payment For Corrected Deed With N
PDF template
A state form allowing property owners to record a corrective deed without additional tax filing requirements for typographical or clerical errors.
See template
See template
Request For Benefits ClaimantS Report Of Loss
PDF template
A claim form for filing disability benefits for Glaziers, Architectural Metal and Glass Workers Local Union 1399 members.
See template
See template
Short Term Disability Claim Form Statement Of Employee
PDF template
A comprehensive form for employees to file a short-term disability claim with detailed personal, employment, and medical information.
See template
See template
Global Mamas Health Emergency Contact Form
PDF template
A comprehensive medical and contact information form for Global Mamas organization, collecting personal details and health history.
See template
See template
Change Of Address Form
PDF template
A form used to update personal address information with the county clerk's office.
See template
See template
Center For Endocrine Tumors And Disorders Patient Intake Form (Dr Goldfarb)
PDF template
Comprehensive medical intake form for patients with endocrine-related health concerns, collecting personal, medical, and medication history.
See template
See template
Goldys Brand, Inc. Sharpening Service Request Form
PDF template
A fillable form for customers to request sharpening services and provide details about items to be serviced.
See template
See template
Transient Occupancy Federal Tax Exemption Form
PDF template
A form for federal, state, or local government employees to claim tax exemption on hotel stays during official business travel.
See template
See template
Change Of Address Form
PDF template
Form for students to update their personal contact information with the academic institution.
See template
See template
Grade Appeal Form
PDF template
Official document for students to formally appeal a course grade through university administrative channels.
See template
See template
Grade Appeal Form
PDF template
Official form for students to appeal a course grade through an institutional process with multiple review levels.
See template
See template
GRADUATE CURRICULUM PROPOSAL APPROVAL FORM
PDF template
A form for approving graduate curriculum proposals through multiple institutional levels and committees.
See template
See template
Grantor Trust Form
PDF template
A form for establishing and documenting ownership of an annuity within a grantor trust, with specific tax and signature requirements.
See template
See template
Insurance Information At Retirement
PDF template
Comprehensive guide for Illinois state employees regarding insurance eligibility, coverage, and options at retirement.
See template
See template
Group Short Term Disability Claim Form
PDF template
A comprehensive form for filing a short-term disability insurance claim with Dearborn National, capturing employee medical and income details.
See template
See template
SunAdvantage RRSPDPSPTFSA Sponsor Administration Guide
PDF template
A comprehensive guide for small business owners to manage employee group retirement and savings plans with minimal administrative effort.
See template
See template
Your Guide To Filing A Long Term Disability (LTD) Claim
PDF template
A comprehensive guide for filing a long term disability claim with Guardian, providing step-by-step instructions for completing the required forms and submission process.
See template
See template
Guardian Life Insurance Enrollment Form
PDF template
Insurance enrollment form for University of Massachusetts Medical School employees to select benefits and coverage options.
See template
See template
REQUEST FOR PROPOSALS Oracle Customer Cloud Service (CCS, OUAV, OUTA), Oracle Cloud Infrastructure (
PDF template
Request for competitive proposals for Oracle cloud system managed services and support for Greenville Utilities Commission.
See template
See template
GUILD TIMES ADJUSTABLE PENSION PLAN
PDF template
Summary plan description for a pension plan covering employees of The Times and Guild - Local 31003/TNG union members.
See template
See template
Job Aid Tax Withholding Updates ALL EMPLOYEES
PDF template
A step-by-step guide for employees to update tax withholding information using Employee Self Service in GUS HR system.
See template
See template
REIMBURSEMENT FORM
PDF template
Form for submitting optical services reimbursement to General Vision Services by members.
See template
See template
Business License Change Of Address Form
PDF template
A form for businesses to update their physical location and mailing address with Gwinnett County Licensing & Revenue.
See template
See template
U.S. DOT Crossing Inventory Form
PDF template
Technical specification document for data entry and field specifications for the U.S. Department of Transportation crossing inventory form.
See template
See template
H 4 Dependent Information Sheet
PDF template
Comprehensive form for H-4 visa dependents to provide biographical information and file immigration status documents with USCIS.
See template
See template
COMMUNICATIONS WORKERS OF AMERICA SHIPPING FORM
PDF template
A shipping and order form used by the Communications Workers of America for merchandise and material orders.
See template
See template
Concealed Handgun Permit Change Of Address Form
PDF template
Form for updating personal information on a concealed handgun permit, including address and name changes.
See template
See template
XAVIER HAP 2024 Personal Health History
PDF template
A comprehensive medical history form for students, to be completed by parents or guardians before submitting to a medical provider.
See template
See template
MC Hardware Request
PDF template
A form for requesting computer hardware for Montgomery College employees, with options for remote work and instructional needs.
See template
See template
Settlement Agreement Harper Et Al. V. Massachusetts Department Of Transitional Assistance
PDF template
A settlement agreement addressing access to benefits for individuals with disabilities at the Massachusetts Department of Transitional Assistance
See template
See template
HB0018S01 Tax Withholding Amendments
PDF template
A legislative bill modifying requirements for mineral production tax withholding and related penalty provisions in Utah.
See template
See template
1st Sub. H.B. 18 Tax Withholding Amendments
PDF template
A legislative bill proposing modifications to tax withholding requirements, including penalty provisions and alignment of tax withholding procedures.
See template
See template
Change Of Address Form
PDF template
Official form for updating license holder's contact information with the Alabama Home Builders Licensure Board.
See template
See template
Hiram College Enrollment Form
PDF template
A comprehensive benefits enrollment form for Hiram College employees covering medical, dental, vision, and supplemental insurance options.
See template
See template
1500 Health Insurance Claim Form
PDF template
Standard medical claim form used for submitting healthcare insurance reimbursement requests.
See template
See template
Family Household Income Statement
PDF template
Form for verifying household income and financial assistance for Child Care services through the Ohio Department of Job & Family Services.
See template
See template
Health Care Provider Examination Form
PDF template
A comprehensive healthcare provider form for documenting medical examinations, immunization history, and patient assessments.
See template
See template
HCPCS Authorization Form
PDF template
Medical form used for requesting authorization for medical procedures or medications with detailed patient, physician, and treatment information.
See template
See template
Form 4506
PDF template
A detailed medical assessment form for evaluating a resident's health status and medical history for assisted living admission.
See template
See template
Order Request Form
PDF template
Digital form for customers to request HD imprinting of dental product packaging with custom logo or text.
See template
See template
CMS 1500 Claim Filing Instructions
PDF template
Detailed guidelines for completing the CMS-1500 healthcare claim form with specific instructions for each field.
See template
See template
Western Carolina University Base Camp Cullowhee Health And Medical Form
PDF template
A health screening form for participants in outdoor activities, collecting medical history and current health status details for safety purposes.
See template
See template
Tips For Claim Submission
PDF template
Comprehensive guide for submitting healthcare and flexible spending account claims, detailing documentation requirements and eligible expenses.
See template
See template
Eligibility And Enrollment Information For Employees
PDF template
A comprehensive form for employees to provide personal information and make flexible spending account elections.
See template
See template
Change Of Address Form
PDF template
A form for updating personal contact information and address details for an individual or family.
See template
See template
Health Benefits Plan Enrollment For Retirees And Survivors
PDF template
Enrollment form for CalPERS retirees and survivors to manage health benefits coverage and dependent information.
See template
See template
Health Extras Reimbursement Form
PDF template
Form for submitting healthcare service reimbursement claims through Independent Health's Health Extras program.
See template
See template
Student Health Fee Reimbursement Form
PDF template
Form for Florida A&M University law students to request reimbursement for health service fees
See template
See template
Girl Scouts Of West Central Florida Health Examination Form
PDF template
Comprehensive health form for documenting medical history and emergency contact information for Girl Scouts participants and volunteers.
See template
See template
Medical History Form
PDF template
Comprehensive medical history form for students collecting personal health information, medical conditions, and health maintenance details.
See template
See template
Medical History Form
PDF template
Comprehensive medical history form capturing patient's health status, previous illnesses, and current medical conditions.
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for patient intake, collecting personal health information, medical conditions, and allergies.
See template
See template
Retiree Health Cancellation Form
PDF template
A form for retirees to cancel their health coverage and dependent coverage through Blue Cross Blue Shield.
See template
See template
HEALTH PROFESSIONS STUDENT HEALTH FORM
PDF template
Medical documentation form for students in nursing, pharmacy, physician assistant, and dietetic internship programs, requiring immunization history and verification.
See template
See template
Portland Community College HSA Payroll Contribution Form
PDF template
Form for employees to set up pre-tax payroll contributions to a Health Savings Account (HSA) through Optum.
See template
See template
Physical Examination Form
PDF template
A comprehensive medical examination form required for admission to health science programs at Laredo College.
See template
See template
Health Screening Benefit Claim Form
PDF template
Claim form for requesting reimbursement of health screening benefits under critical illness or supplemental health plans.
See template
See template
Health Services Student Medical Form
PDF template
Comprehensive medical form for students enrolling in various healthcare-related programs and continuing education classes at Catawba Valley Community College.
See template
See template
How To Use OnBase To Submit An Undergraduate Certificate Declaration Form
PDF template
Instructions for students and advisors on submitting undergraduate certificate declaration forms through the OnBase system at the University of Northern Colorado.
See template
See template
Disability Claim Form
PDF template
A comprehensive claim form for submitting disability insurance claims with Unum Group subsidiaries.
See template
See template
Statement Of Kurt DelBene On VA.Gov
PDF template
Congressional testimony about the Department of Veterans Affairs' VA.gov website, its usage, services, and digital modernization efforts.
See template
See template
Recipient Contact Form
PDF template
Form for collecting primary and alternate contact details for grant recipients, including organizational information and entity type classification.
See template
See template
STUDENT LEAVE REQUEST FORM
PDF template
A form for students to request leave from school for various reasons such as college visits, job shadowing, vacation, or hunting.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical questionnaire collecting patient personal, insurance, and health history information for medical providers.
See template
See template
Departmental Order Request Form
PDF template
A form for submitting departmental product and supply orders with shipping and billing details for Texas A&M University's Department of Hispanic Studies.
See template
See template
Medical History Form
PDF template
Comprehensive medical form for capturing patient health history, symptoms, and medical conditions across various body systems.
See template
See template
Change Of Address Form For Billing Correspondence
PDF template
A form used to update billing and correspondence address for property owners with Hawaiiana Management Company.
See template
See template
Homelessness Prevention Benefit Application For Assistance
PDF template
A benefit program to assist low-income households in Leeds and Grenville with housing stability and prevention of homelessness.
See template
See template
Homelessness Prevention Benefit Application For Assistance
PDF template
A benefit program assisting low-income households in Leeds and Grenville to obtain and retain housing, supporting those at risk of homelessness.
See template
See template
Honoraria Travel Reimbursement Criteria By Visa Types
PDF template
Detailed guidelines for honoraria and travel reimbursement requirements for different visa types, focusing on tax compliance and documentation.
See template
See template
Securities IRA Transfer Request Form
PDF template
A form for transferring shares of securities and IRA funds directly from a brokerage account to Hope Services.
See template
See template
Hospice RevocationDischarge Form
PDF template
A form for documenting hospice patient discharge or service revocation under Medicaid guidelines
See template
See template
Hotel Guest Shipping Form
PDF template
A form for hotel guests to request shipping of lost or found items with mailing and insurance options.
See template
See template
Exemption Certificate Hotel Motel Tax
PDF template
A form for claiming tax exemption for hotel or motel stays under specific conditions.
See template
See template
STD 236 Hotel Motel Transient Occupancy Tax Waiver
PDF template
A form for California state employees to certify tax-exempt hotel stays related to official state business.
See template
See template
Texas Hotel Occupancy Tax Exemption Certificate
PDF template
Official form for claiming exemption from hotel occupancy tax for qualifying entities and individuals in Texas
See template
See template
Governmental Employees Travel SalesUse Tax Exemption Certificate
PDF template
A tax exemption certificate for Louisiana government employees to document travel expenses and claim sales tax exemptions during official business travel.
See template
See template
Household Report Form
PDF template
Official form for reporting household information to determine public assistance benefits in Minnesota.
See template
See template
Housing Cancellation Form
PDF template
A form for students to request cancellation of university housing with various reason options and fee refund information.
See template
See template
MAINTENANCE REQUEST FORM
PDF template
A form for tenants to submit property maintenance requests to Anglicare Central Queensland, including details of required repairs and tenant information.
See template
See template
Supplemental Enrollment Form
PDF template
Instruction guide for completing a Supplemental Enrollment Form through eServices online platform.
See template
See template
UAMS W 2 Reading Guide
PDF template
A detailed guide explaining how to read and understand each box on a W-2 tax form for UAMS employees.
See template
See template
Workplace Inspection Form
PDF template
Detailed guide for employees on accessing and submitting a workplace inspection form through an online portal.
See template
See template
Membership Form
PDF template
Step-by-step guide for filling out a digital membership form using a computer and PDF software
See template
See template
How To Submit A Claim For Critical Illness, Accident And Hospital Indemnity Insurance
PDF template
Comprehensive guide for filing insurance claims for critical illness, accident, and hospital indemnity coverage with The Hartford.
See template
See template
Medical Release Form
PDF template
Step-by-step guide for completing an online medical release form for Forest Home organization through CircuiTree registration account.
See template
See template
UCR Retiree Association Membership Information
PDF template
Comprehensive guide for University of California, Riverside retirees outlining membership benefits, access, and how to join the retiree association.
See template
See template
How To Submit An ICT Procurement Request
PDF template
A detailed guide for submitting an ICT procurement request through the Service-Now portal, including instructions for entering requester and product information.
See template
See template
Request For Evaluation Form
PDF template
Guidance for meet hosts on using and customizing the Request for Evaluation form for officials qualification purposes.
See template
See template
Declaration Of Payroll Deduction
PDF template
Form for employees to authorize payroll deductions for retirement accounts, contributions, and miscellaneous purposes.
See template
See template
Health Reimbursement Account (HRA) Claim Form
PDF template
A form for employees to submit healthcare expense reimbursement claims through their Health Reimbursement Account (HRA)
See template
See template
Change Of Address Form
PDF template
Document for employees to update their address for health benefits and pension purposes
See template
See template
FMLA LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request leave under the Family and Medical Leave Act (FMLA) for various qualifying reasons.
See template
See template
MSC Leave Request Form
PDF template
A comprehensive form for employees to request various types of leave from their employer, covering sick, vacation, personal, and specialized leave types.
See template
See template
Supplemental Insurance Cancellation Form
PDF template
A form for employees to cancel pre-tax and post-tax supplemental insurance deductions with specified effective date.
See template
See template
Open Enrollment And HR Benefits Communication
PDF template
Document covering open enrollment period, CARES Act unemployment information, and employee performance evaluation process for 2020.
See template
See template
HSA Payroll Deduction Form
PDF template
Employee form for setting up pre-tax payroll deductions to a Health Savings Account (HSA) through Grand Rapids Community College.
See template
See template
Changing Your Name AndOr Address
PDF template
Comprehensive guide detailing the forms and departments employees must notify when changing personal information such as name or address.
See template
See template
HSA Contribution Form
PDF template
A form for employees to adjust their Health Savings Account contributions through payroll deductions, specifying contribution amounts and frequency.
See template
See template
Health Savings Account 2023 Payroll Deduction Contribution Form
PDF template
Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions.
See template
See template
Health Savings Account 2024 Payroll Deduction Contribution Form
PDF template
Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions for the 2024 plan year.
See template
See template
HEALTH SAVINGS ACCOUNT Voluntary Contribution Designation
PDF template
University of Arizona form for employees to voluntarily designate contributions to their Health Savings Account
See template
See template
HSA Contribution Form
PDF template
A form used to make contributions to a Health Savings Account, including options for current year, prior year, and catch-up contributions.
See template
See template
Health Savings Account (HSA) Contribution Form
PDF template
A form for employees to enroll in and specify Health Savings Account (HSA) contributions, including eligibility requirements and tax considerations.
See template
See template
Health Savings Account (HSA) Contribution Form
PDF template
A form for employees to authorize salary reduction for Health Savings Account contributions under a High Deductible Health Plan
See template
See template
Health Savings Account Employer Contribution Form
PDF template
A form for employers to make contributions to employee Health Savings Accounts with specific contribution details and authorization.
See template
See template
HEALTH SAVINGS ACCOUNT EMPLOYER CONTRIBUTION FORM
PDF template
A form for employers to make contributions to employee Health Savings Accounts (HSAs) with details for initial and subsequent contributions.
See template
See template
HSA Enrollment Form
PDF template
A form for employees to enroll in a Health Savings Account (HSA) with employer contribution and payroll deduction options.
See template
See template
Health Savings Account (HSA) Payroll Deduction Form
PDF template
A form for employees to establish, change, or stop payroll deductions for their health savings account (HSA)
See template
See template
HSA Payroll Deduction Authorization Form
PDF template
Form for employees to authorize payroll deductions for health savings account contributions through the City of Wisconsin Rapids.
See template
See template
Personnel Requisition Form For Position Change Or Reclassification
PDF template
An internal form used to request a position classification review or substantial employment category change within the Health Sciences Business Center.
See template
See template
TIP SHEET FOR HSR FORM
PDF template
A guide for using the new dynamic PDF HSR Form, providing technical instructions and compatibility information.
See template
See template
Discretionary Residency Benefit Application Form
PDF template
Financial assistance program for Ontario Works and ODSP recipients who are homeless, at risk of homelessness, or moving to more affordable housing.
See template
See template
State University Of New York Medical Reimbursement Form Claims Incurred Outside Of The United States
PDF template
A medical reimbursement form for SUNY employees and members to claim medical expenses incurred outside the United States.
See template
See template
HUDESGSTEHP ES PREV DISCHARGE
PDF template
A form used to collect universal data elements and income/benefits information when a client exits a homeless shelter or prevention program.
See template
See template
Notice Of Change Of Address
PDF template
A form for employees to update their personal contact information with their employer's Human Resources department.
See template
See template
Student Complaint Form
PDF template
A form for students to document and submit formal complaints related to their academic experience at the college.
See template
See template
Hy Flex Attendance Certification Form
PDF template
Form for documenting in-classroom attendance for hy-flex courses to maintain VA education benefits eligibility.
See template
See template
OCCUPATION TAX EXEMPTION FORM
PDF template
A form for individuals to claim exemption from occupation taxes for the 2022 tax year based on specific eligibility criteria.
See template
See template
OCCUPATION TAX EXEMPTION FORM FOR THE YEAR 2023
PDF template
A form for individuals seeking exemption from occupation taxes for the 2023 tax year based on specific qualifying criteria.
See template
See template
SC Real Estate Withholding Form I 290
PDF template
Tax form for reporting withholding requirements for real estate sales transactions in South Carolina
See template
See template
IMPORTANT TAX NOTICE NONRESIDENTS ONLY
PDF template
Detailed guidance on tax withholding requirements for nonresidents conducting business or performing services in South Carolina.
See template
See template
Who Must File An Information Return
PDF template
Guidelines for filing annual disregarded entity information returns for businesses with Montana source income
See template
See template
Form I 508, Waiver Of Certain Rights, Privileges, Exemptions, And Immunities
PDF template
U.S. government form for individuals waiving certain rights, privileges, exemptions, and immunities, particularly for French nationals.
See template
See template
Form 5227 Instructions
PDF template
IRS instructions for reporting financial activities of split-interest trusts and determining potential excise tax liabilities for charitable trusts.
See template
See template
Form 5310 (Rev. May 2023)
PDF template
IRS form for requesting a determination letter on the qualified status of a pension, profit-sharing, or deferred compensation plan upon termination.
See template
See template
Application For Action On An Approved Application Or Petition (Form I 824)
PDF template
Instructions for requesting further action on a previously approved immigration application or petition from U.S. Citizenship and Immigration Services (USCIS)
See template
See template
Form 8275 Instructions
PDF template
Instructions for filing Form 8275, a disclosure statement used to avoid certain tax penalties by revealing specific tax return positions.
See template
See template
Form 8979
PDF template
IRS form for partnerships to manage their partnership representative designation, revocation, or resignation for tax purposes.
See template
See template
Form 9465 Instructions
PDF template
Official IRS instructions for requesting a monthly installment agreement for tax payments that cannot be paid in full
See template
See template
Record Of Employment
PDF template
A form for documenting employment status for unemployment insurance purposes in New York State.
See template
See template
Record Of Employment
PDF template
A form for documenting employment details for unemployment insurance claims in New York State.
See template
See template
Retirement Plan Consulting Agreement (RPCA)
PDF template
A non-discretionary retirement plan consulting services agreement between a client and Coordinated Capital Securities, Inc.
See template
See template
National Pension Fund Plan C
PDF template
A pension fund document listing trustees, executive directors, fund counsel, and consultants for the International Alliance of Theatrical Stage Employees (IATSE) pension plan.
See template
See template
Income Tax Information Bulletin 17
PDF template
Guidance on income tax requirements and exemption processes for nonprofit organizations in Indiana.
See template
See template
Pension Plan Document
PDF template
Comprehensive document outlining the structure, benefits, and operational details of a pension plan for employees.
See template
See template
Independence Blue Cross Enrollment Form
PDF template
Detailed instructions for completing an enrollment form for Independence Blue Cross health insurance coverage
See template
See template
HRSD0014 Independent ContractorNon Employee Payment Document Check List
PDF template
A comprehensive checklist for documenting payments to independent contractors and non-employees, covering tax and visa requirements.
See template
See template
ICES Class Purchase Form
PDF template
A purchase request form for students to order materials through Carnegie Mellon University's ICES department
See template
See template
457 DEFERRED COMPENSATION PLANS CONTRIBUTION FORM
PDF template
Form for participants to change contribution amounts to their 457 deferred compensation plan account with ICMA-RC.
See template
See template
Direct RolloverTransfer To ICMA RC Packet
PDF template
Instructions for transferring retirement assets to or between ICMA-RC retirement accounts and plans.
See template
See template
MEDICAL HISTORY FORM TEMPLATE
PDF template
A comprehensive form for collecting patient medical information including medications, surgical procedures, illnesses, and vaccination history.
See template
See template
Patient Discharge Form
PDF template
A comprehensive form for documenting patient discharge details, medical treatment, and follow-up information.
See template
See template
Patient Intake Form Template
PDF template
A comprehensive form for collecting patient personal, medical, insurance, and payment information during initial healthcare visit.
See template
See template
ICSVEBA 2021 Back To School E Kit Guide
PDF template
Comprehensive benefits enrollment guide for San Pasqual Valley Unified School District employees for the 2021-2022 school year
See template
See template
Producer Exemptions And Other Exempt Goods Form
PDF template
A form for businesses and organizations to claim tax exemptions on purchases based on specific categories of goods or business types.
See template
See template
Federal Employees Health Benefits (FEHB) Premium Conversion Election Form
PDF template
Form for federal employees to elect or waive pre-tax treatment of health insurance premium contributions.
See template
See template
Commercial Income Expense Report Instructions
PDF template
Instructions for completing a commercial property income and expense reporting form for tax purposes.
See template
See template
Saint Ignatius High School FreshmanTransfer PHYSICAL EXAMINATION FORM
PDF template
Required medical examination form for freshmen and transfer students at Saint Ignatius High School, including health screening and medical history details.
See template
See template
Immune Globulin Referral Form
PDF template
Medical referral form for patients requiring immune globulin treatment for various neurological and immune disorders.
See template
See template
Schedule IHT406 Bank And Building Society Accounts And National Savings And Investments
PDF template
A form for declaring bank and building society accounts owned solely by a deceased person for inheritance tax purposes.
See template
See template
Pass The Torch Member Feedback Form Fall 2022
PDF template
A survey form for collecting member feedback about study team experiences and matching quality.
See template
See template
Employee SystemsAccess Checklist Form
PDF template
A form for tracking and managing system access and resources for new or transitioning employees in an educational or administrative setting.
See template
See template
IL 425 Identity Verification Documents
PDF template
A form used by the Illinois Department of Revenue to verify taxpayer identity for individual income tax returns.
See template
See template
IL 990 T Instructions
PDF template
Tax instructions for exempt organizations filing unrelated business income tax returns in Illinois for tax year 2000.
See template
See template
ILUNO Grade Appeal Form
PDF template
A form for students to formally request a review and potential change of their final course grade.
See template
See template
Request For Exemption From Immunizations For Reasons Of Conscience
PDF template
A form to request exemption from immunization requirements for individuals based on reasons of conscience in Texas.
See template
See template
Inactive Employee Change Of Address Form
PDF template
Form for updating mailing address for inactive employees at George Washington University for W2 tax purposes.
See template
See template
Inactive Employee Change Of Address Form
PDF template
Form for inactive employees to update their mailing address for W2 tax documents at George Washington University.
See template
See template
MEDICAID INCENTIVE REQUISITION FORM
PDF template
A form for vendors to submit purchase requisitions and shipping details for Medicaid-related items or services.
See template
See template
MEDICAID INCENTIVE REQUISITION FORM
PDF template
A form for purchasing and requisitioning items through Medicaid incentive programs, with vendor and shipping details.
See template
See template
Income Tax Withholding Form
PDF template
Form for electing tax withholding options for pension payments from Imperial County Employees' Retirement System
See template
See template
Guideline Income Tax Withholding Oil And Gas Royalty Payments
PDF template
Guidelines for withholding North Dakota income tax from oil and gas royalty payments made to nonresident individuals and non-North Dakota business entities.
See template
See template
Income Tax Withholding Instructions
PDF template
Instructions for employees on state and federal tax withholding procedures and submission requirements for Occidental Petroleum Corporation.
See template
See template
How To Use Your New Caremark Prescription Drug Program
PDF template
Guide explaining new prescription drug coverage details for county employees through Caremark beginning January 1, 2011.
See template
See template
Independent Contractor Classification Documentation
PDF template
A form used to determine the tax classification status of an individual performing services for the University of Missouri-Columbia.
See template
See template
Independent Contractor Request (ICR) Form
PDF template
A form used by Northern Arizona University to process and document independent contractor engagements for tax and compliance purposes.
See template
See template
Request For Proposal For Independent Pension Administration System Assessment
PDF template
Solicitation for a qualified contractor to provide project oversight for the Teachers' Retirement System's new pension administration system called Gemini.
See template
See template
City Of Dayton Income Tax Return
PDF template
A detailed tax return worksheet for calculating income tax owed to the City of Dayton, including sections for taxable income, credits, and estimated tax for the next year.
See template
See template
Individual Contribution Form
PDF template
A form for making personal contributions to a Health Savings Account (HSA) with detailed contribution rules and instructions.
See template
See template
Certificate Of Domicile Of Non Resident For Indonesia Tax Withholding (Form DGT 1)
PDF template
Official form for non-resident taxpayers claiming relief from Indonesian income tax under a Double Taxation Convention.
See template
See template
INFORMATION INQUIRY FORM
PDF template
A form for submitting legal inquiries or case-related information with personal contact details.
See template
See template
Initial Interview Form
PDF template
A comprehensive form for veterans and their family members to collect information needed to apply for veterans' benefits.
See template
See template
Medical History Form
PDF template
Comprehensive medical history questionnaire used by Egea Medical Weight Loss Center to collect patient health information and background.
See template
See template
Louisiana State Employees Retirement System Purchase Of Service Credit For Military Service
PDF template
Proposed amendments to retirement system rules regarding military service credit purchase, aligning with federal and state regulations.
See template
See template
IRA Innovations Disclaimer And Indemnity Agreement
PDF template
A legal document outlining terms and responsibilities for investments made through a self-directed retirement account with IRA Innovations
See template
See template
Unsecured Promissory Note Disclaimer And Indemnity Agreement
PDF template
A legal document outlining responsibilities and understanding between an IRA account holder and their account administrator regarding investment activities.
See template
See template
InquiryDispute Statement
PDF template
A form for individuals to file inquiries or disputes related to child support services, payment issues, and administrative actions.
See template
See template
Inquiry Form
PDF template
A generic form for submitting business-related inquiries with contact and organizational details.
See template
See template
ABB Supplier Inquiry Form
PDF template
Instructions for suppliers to submit inquiries about open invoices using the ABB Supplier Inquiry Form.
See template
See template
InquiryRequest Form
PDF template
A form for students to submit detailed inquiries or requests to the Lee University Records Office regarding academic or administrative matters.
See template
See template
Thrift Savings Plan In Service Withdrawals
PDF template
A comprehensive guide explaining in-service withdrawal options for federal civilian employees and uniformed services members in the Thrift Savings Plan.
See template
See template
South Carolina Instructional Materials Uniform Parent Complaint Form
PDF template
A standardized form for parents to contest instructional materials in South Carolina school districts
See template
See template
Instruction Kit For Form No. IEPF 5
PDF template
A comprehensive instruction kit for users to fill out Form IEPF-5 for claiming unpaid amounts and shares from the Investor Education and Protection Fund.
See template
See template
CMS 1500 Claim Form Instructions
PDF template
Detailed instructions for completing the CMS 1500 form for medical service billing to SFHP by healthcare providers.
See template
See template
Instructions For Filling In The ACP Form
PDF template
Detailed instructions for downloading, opening, and filling out an ACP form using Adobe Acrobat Reader
See template
See template
Form 720 Instructions
PDF template
IRS instructions for completing the Quarterly Federal Excise Tax Return, including details about excise tax holiday provisions in the CARES Act.
See template
See template
INSTRUCTIONS FOR MEDICAL REQUIREMENTS FOR CONDITIONALLY APPOINTED APPLICANTS
PDF template
Detailed guidelines for completing medical forms for conditionally appointed VMI applicants through the Medicat Portal.
See template
See template
Completing New Hire Forms
PDF template
Comprehensive guide for new hires detailing required forms and documentation for employment processing.
See template
See template
Online Purchase Requisition Form Instructions
PDF template
Comprehensive instructions for completing an online purchase requisition form, explaining its purpose and key fields to fill out.
See template
See template
SBA Form 2462 Addendum To Franchise Agreement
PDF template
Detailed instructions for completing SBA Form 2462, a revised addendum for franchise agreements in SBA loan programs.
See template
See template
Form W 7 Instructions
PDF template
Official IRS instructions for applying for an Individual Taxpayer Identification Number (ITIN)
See template
See template
Insurance WaiverChange Of Address
PDF template
A document for patients to waive insurance coverage and update contact information for medical services.
See template
See template
EMPLOYEE WAIVER OF HEALTH INSURANCE FORM
PDF template
Form for employees to waive group health insurance coverage due to alternative coverage.
See template
See template
Change Of Address Form
PDF template
Official form for updating company contact and address information with the Nevada Division of Insurance.
See template
See template
DELL COMPUTER REQUEST FORM
PDF template
Official form for requesting Dell computer products for university departments, with specific instructions for processing and approval.
See template
See template
Notice Of Change Of Ownership, Interest, Or Participation Of Interest In Income Tax Capital Credit P
PDF template
Official form for reporting changes in ownership, interest, or participation in an income tax capital credit project for the Alabama Department of Revenue
See template
See template
Patient Intake Form
PDF template
A comprehensive medical intake form for collecting patient personal and health information for acupuncture treatment.
See template
See template
Adult Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient personal, contact, emergency, and insurance information for medical treatment.
See template
See template
NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical and insurance information form for new patients, focusing on vision and health insurance details.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical intake form for new chiropractic patients to document personal information, health history, and current medical conditions.
See template
See template
NEW PATIENT INTAKE FORM
PDF template
Comprehensive patient intake form for podiatry medical practice collecting patient information, medical history, and insurance details.
See template
See template
Patient Intake Form
PDF template
Comprehensive patient intake form collecting personal information, medical history, insurance details, and pre-examination assessment for medical treatment.
See template
See template
Aircraft Review Program
PDF template
Official tax review document requiring aircraft owners to verify sales and use tax compliance for aircraft transactions in Ohio.
See template
See template
Inter Campus Transfer Request Form
PDF template
Form for students requesting transfer to a different campus within an educational institution, reviewed annually in June.
See template
See template
Interim Requisition Form
PDF template
A form used for requesting and authorizing purchases for University Corporation at San Francisco State University.
See template
See template
Interlocal Contact Form
PDF template
A form for submitting contact details for interlocal entities to the Oklahoma Insurance Department.
See template
See template
INTERNAL TRANSFER REQUEST FORM
PDF template
A form used by Florida International University for internal financial transfers between departments or projects.
See template
See template
International Claim Form
PDF template
A comprehensive form for submitting international healthcare insurance claims with patient and coverage details.
See template
See template
Diploma Order Form
PDF template
Form for requesting a printed diploma to be mailed internationally with an $85 processing fee.
See template
See template
University Of Kentucky Postal Service International Meter Card
PDF template
Form for tracking and charging postal services for international mail shipments at the University of Kentucky.
See template
See template
International Student Medical Form
PDF template
Comprehensive medical form for international students attending community colleges in North Carolina, capturing personal and medical information.
See template
See template
Retirement Plan Consulting Agreement
PDF template
An agreement for non-discretionary retirement plan consulting services provided by Coordinated Capital Securities, Inc. to a client.
See template
See template
Application Form For Invalidity Pension
PDF template
Official government form for applying for Invalidity Pension in Ireland, with detailed instructions for completion.
See template
See template
Change Of Mailing Address Form People V. InvenTel
PDF template
A form for claimants in the InvenTel settlement to update their mailing address for restitution payments.
See template
See template
Inventory Form
PDF template
A form for documenting clothing inventory and donation details for BFA (Blessing Family Association)
See template
See template
Additional Information Form INZ 1200
PDF template
A comprehensive form for collecting additional information to support a visa application to New Zealand.
See template
See template
IPA TRAVEL FORM
PDF template
Travel form for IPA members seeking assistance and travel arrangements between police sections.
See template
See template
Budget Form No. 3
PDF template
Budget hearing notice for Indianapolis Public Schools for the 2024-25 fiscal year, detailing budget estimates across multiple funds.
See template
See template
Form W 11, Hiring Incentives To Restore Employment (HIRE) Act Employee Affidavit
PDF template
IRS form to help employers claim payroll tax exemption for newly hired workers during 2010 under the HIRE Act.
See template
See template
WEA Member Benefits IRA Contribution
PDF template
A form for making contributions to various types of Individual Retirement Accounts (Traditional, Roth, and SEP IRAs) with eligibility requirements and contribution details.
See template
See template
Conversion Of A Traditional IRA To Roth IRA
PDF template
Comprehensive guide explaining the process, tax implications, and key considerations for converting a traditional IRA to a Roth IRA.
See template
See template
IRAIRRARoth IRASEPSRA One Time Distribution Form
PDF template
A form used to request a withdrawal from various types of retirement accounts offered by Merrill Lynch, including IRAs, Roth IRAs, and SEP accounts.
See template
See template
IRA State Income Tax Withholding Election
PDF template
A form for designating state income tax withholding preferences for IRA distributions from Ally Bank.
See template
See template
INDIVIDUAL RETIREMENT ACCOUNT (IRA) TRANSFER REQUEST FORM
PDF template
A form for transferring retirement account assets from an existing IRA or employer-sponsored retirement plan to a Green Century IRA.
See template
See template
Income Related Monthly Adjustment Amount (IRMAA) Reimbursement Form
PDF template
Form for New York City retirees to request reimbursement for Medicare Part B income-related monthly adjustment amount premiums.
See template
See template
Medicare Part B Income Related Monthly Adjustment Amount (IRMAA) Reimbursement Form
PDF template
Form for NYC employees to request reimbursement for Medicare Part B premiums exceeding standard monthly amounts.
See template
See template
Form 4506 T
PDF template
IRS form for requesting a transcript of a tax return free of charge.
See template
See template
Form 4506 T
PDF template
IRS form used to request various tax return transcripts and tax account information from the Internal Revenue Service.
See template
See template
Form 4506 T
PDF template
IRS form used to request a free transcript of a previously filed tax return for individuals living in specific western and midwestern states.
See template
See template
Form 4506 T
PDF template
IRS form used to request a transcript or other return information free of charge from the Internal Revenue Service.
See template
See template
Form 8821
PDF template
IRS form authorizing an appointee to inspect and receive confidential tax information for specified tax matters.
See template
See template
Form W 7
PDF template
Instructions for applying for an Individual Taxpayer Identification Number (ITIN) from the Internal Revenue Service.
See template
See template
Notice Regarding Federal And State Income Tax Withholding Requirements On Retirement Income
PDF template
Instructions for federal and California state tax withholding for retirement income from Los Angeles County Employees Retirement Association.
See template
See template
Form 8821
PDF template
IRS form authorizing disclosure of confidential tax information to a designated appointee.
See template
See template
Impairment Related Work Expense Request
PDF template
Form for reporting work-related expenses for Social Security disability beneficiaries to potentially offset income calculations.
See template
See template
ISD Mailstop Service Request Form
PDF template
A form for requesting, changing, or canceling mail stop services within a county office system.
See template
See template
Information Technology Project Request Form
PDF template
A comprehensive form for submitting and evaluating technology project proposals within an organization
See template
See template
Form SS 4
PDF template
Instructions for applying for an Employer Identification Number (EIN) from the Internal Revenue Service
See template
See template
IT 2105.1 F
PDF template
Form for reconciling estimated income tax accounts for estates and trusts with New York State tax records
See template
See template
EmployeeS Withholding Exemption Certificate
PDF template
A state tax form for employees to claim withholding exemptions for income tax purposes in Ohio.
See template
See template
IT Addendum To ContractorS Contract Form
PDF template
An addendum modifying standard contract terms for IT services between a contractor and the Virginia Community College System (VCCS)
See template
See template
CDW Customer Service Order Form
PDF template
Agreement between Tulsa County and CDW Government, LLC for Mimecast M2A and LCS-Gold annual subscriptions
See template
See template
Invoice For Investment Consulting Services
PDF template
Invoice from Investment Solutions for investment consulting services provided to the City of Cartersville, Georgia Retirement Board
See template
See template
I.T Maintenance Request Form
PDF template
A form used to document and track IT equipment maintenance requests within an organization.
See template
See template
ITP 3 Technology Governance And Procurement Review
PDF template
Administrative procedure defining the technology governance process and requirements for technology procurement review at Marshall University.
See template
See template
Information Technology Professional Services Agreement
PDF template
A service agreement between Cornell University and a technology consultant for professional IT services and deliverables.
See template
See template
STATE OF HAWAII DEPARTMENT OF TAXATION CHANGE OF ADDRESS FORM
PDF template
Official form for updating personal and business address information with Hawaii Department of Taxation for various tax accounts.
See template
See template
SIUE ITS Network Infrastructure Management Service Requisition Form
PDF template
A form for requesting network and infrastructure services at Southern Illinois University Edwardsville (SIUE)
See template
See template
Information Technology Services Purchase Requisition Form
PDF template
Guidelines for staff to request and purchase IT equipment through the Information Technology Services department's requisition process.
See template
See template
Australian Expatriate Superannuation Fund Pension Application Form
PDF template
Application form for Australian expatriate superannuation fund pension, requiring personal details and tax information.
See template
See template
Form W 8BEN E
PDF template
IRS form for entities to certify their status for US tax withholding and reporting purposes
See template
See template
Instructions For The Requester Of Form W 9
PDF template
Official IRS guidance for completing Form W-9, providing instructions for taxpayer identification and certification.
See template
See template
Foreign National Information Form
PDF template
A comprehensive form for collecting personal and immigration details of foreign nationals for payment and identification purposes.
See template
See template
PSP Committee Members
PDF template
Detailed workflow for committee members participating in a professional procurement selection process at the University of Illinois.
See template
See template
FORM LB 1
PDF template
Budget document outlining financial resources, requirements, and tax levies for the library district for fiscal years 2015-2018.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical intake document collecting patient personal, contact, insurance, and consent information for medical services.
See template
See template
Assessment Form
PDF template
A document used for conducting an assessment or evaluation of a subject.
See template
See template
My Enrollment Form
PDF template
Instructions for enrolling in a retirement plan with John Hancock, including investment options and account consolidation guidance.
See template
See template
Fresh Osteochondral Allograft And Fresh Frozen Meniscus Order Form
PDF template
Medical order form for requesting fresh osteochondral allografts and meniscus grafts for surgical procedures.
See template
See template
HR Change Of Address Form
PDF template
A form for employees to update their personal contact information and notify benefits vendors of address changes.
See template
See template
Judicial Branch Expense Account Form Instructions
PDF template
Detailed instructions for completing an expense account form for judicial branch employees, covering travel reimbursement and personal information submission.
See template
See template
Transitions
PDF template
Monthly update document from Massachusetts Department of Transitional Assistance covering case transfer functionality, MBTA fare changes, and participation form guidelines.
See template
See template
Medical Form
PDF template
A comprehensive medical history form for applicants to the JVC Northwest program, to be completed by a healthcare professional.
See template
See template
KPERS 15B Direct Deposit Agreement
PDF template
Form for setting up direct deposit of retirement benefits with Kansas Public Employees Retirement System
See template
See template
Designation Of Beneficiary For Life Insurance
PDF template
Form for Kansas Board of Regents members to designate life insurance beneficiaries for KPERS group life insurance benefits.
See template
See template
DESIGNATION OF BENEFICIARY FOR LIFE INSURANCE KANSAS BOARD OF REGENTS MEMBERS
PDF template
Official form for Kansas Board of Regents members to designate life insurance beneficiaries for KPERS insurance benefits.
See template
See template
Catering Order Request Form
PDF template
A catering order request form for Kabab Burger restaurant in Lafayette, California, used to place and confirm catering orders.
See template
See template
Peralta Community College District Reimbursement Form
PDF template
Form for Peralta Community College District employees and retirees to claim medical expense reimbursements based on specific eligibility criteria.
See template
See template
2025 Budget Summary
PDF template
A comprehensive budget document detailing proposed expenditures and tax rates for various county funds in 2025.
See template
See template
Complaint Resolution Form
PDF template
A formal document for submitting and documenting customer complaints to an organization named Kardel.
See template
See template
NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for patients seeking joint replacement or orthopedic consultation, collecting detailed medical history and symptom information.
See template
See template
2022 International Kenjun Koto Competition Entry Form
PDF template
Official application form for the 29th Kenjun Memorial Koto Music Festival's international competition for koto musicians.
See template
See template
Change Of Address Form
PDF template
A form for members to update their street and mailing addresses with the credit union.
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical intake form for collecting new patient personal, contact, and health provider information
See template
See template
Aflac Cancer Wellness Claim Form
PDF template
Document providing guidance on filing wellness claims with Aflac insurance and information about Primary Care Provider (PCP) selection.
See template
See template
Korean Visa Application Form
PDF template
An online editable PDF form for applying for a Korean visa, specifically designed for Indian applicants to complete digitally.
See template
See template
My Benefits Manager Provider Portal Guide
PDF template
A comprehensive guide for healthcare providers to navigate the My Benefits Manager portal for claims, eligibility, and authorization management.
See template
See template
KPERS Retirement Application
PDF template
Comprehensive guide and application for retirement benefits through the Kansas Public Employees Retirement System (KPERS)
See template
See template
2025 Value Added Benefits
PDF template
Comprehensive benefits guide for pregnant and new mothers, offering rewards, support programs, and additional healthcare services.
See template
See template
Revenue Form K 4
PDF template
A tax form for employees to claim withholding exemptions for Kentucky state income tax purposes.
See template
See template
Benefit Application Form For Ontario Works
PDF template
A comprehensive application form for accessing various social assistance benefits and support services in Ontario, specifically for Gull Bay First Nation.
See template
See template
Form L180b Special Power Of Attorney
PDF template
A form for Sonoma County Employees' Retirement Association members to appoint an Attorney-In-Fact to handle retirement-related matters.
See template
See template
Application For Pension
PDF template
Comprehensive pension application package for laborers seeking to start their pension benefit, including forms and instructions for benefit election.
See template
See template
Textbook Transfer Request Form For LAHC College Store
PDF template
A form for students to request textbook transfers between LACCD College Store campuses with specific terms and conditions.
See template
See template
My Medical Info
PDF template
A comprehensive medical information form designed to provide critical health details for emergency personnel in case of medical emergencies.
See template
See template
Bessie Marshall Benefit Fund Instructions
PDF template
Detailed instructions for members to apply for weekly benefits in case of sickness or injury, with specific eligibility requirements and limitations.
See template
See template
Ladies Auxiliary To The Maryland State FiremenS Association Bessie Marshall Benefit Fund Instructi
PDF template
Benefit fund guidelines for sick or injured members of the Maryland State Firemen's Association providing weekly financial assistance under specific conditions.
See template
See template
PROOF OF DISABILITY CLAIM FORM
PDF template
A form for employees to document and claim disability benefits through the Labor Alliance Managed Trust Fund.
See template
See template
Electronic Billing And Address Verification Form
PDF template
Form for property owners to update electronic billing contact information and consent to electronic invoice delivery.
See template
See template
Change Of Address Form
PDF template
A form for updating mailing or property address for Section 8 vendors or landlords with the Miami-Dade Public Housing Agency.
See template
See template
LANDLORD CHANGE OF ADDRESS FORM
PDF template
A form for landlords to update their contact and address information for official records.
See template
See template
Change Of Address
PDF template
A form for Louisiana State Employees' Retirement System members to update their mailing address and contact information.
See template
See template
Governmental Employees Travel SalesUse Tax Exemption Certificate
PDF template
A tax exemption form for government employees traveling on official business in Louisiana, covering sales and use taxes for travel expenses.
See template
See template
Reimbursement Of Overdue Expense Reports Overview
PDF template
Policy detailing how University of Michigan faculty and staff can submit reimbursement for business expenses incurred before October 14, 2009.
See template
See template
STUDENT ORGANIZATION REIMBURSEMENT REQUEST FORM
PDF template
A form for student organization members to request reimbursement for pre-approved purchases related to organizational events.
See template
See template
Legacy Community Health Client Intake
PDF template
Comprehensive patient intake form for collecting personal and medical contact information for Legacy Community Health services.
See template
See template
LDSS 2642 Documentation Requirements
PDF template
A form detailing documentation needed to prove various eligibility factors for social services or benefits application.
See template
See template
Leave Request Form
PDF template
A comprehensive form for Wellesley Public Schools employees to request various types of leave of absence.
See template
See template
Leave Request Form Management
PDF template
A comprehensive form for employees to request various types of leave, including medical, family, and parental leave.
See template
See template
ORDER FORM
PDF template
A comprehensive order form for purchasing items with customization options including shipping and tax details.
See template
See template
Certification Of Trust For Beneficiary Designations
PDF template
A form for certifying a trust as a beneficiary for death benefits or lump sum payments from the New York State Teachers' Retirement System.
See template
See template
LEGALFINANCE PRE APPROVAL FORM FOR THE PROFESSIONAL SEGMENT OF TAX ACCOUNTING
PDF template
Internal form for legal and finance review of non-standard contract terms for tax and accounting professional services.
See template
See template
Disability Claim Form
PDF template
A comprehensive form for employees to file a disability claim, documenting injury/illness details, personal information, and income sources.
See template
See template
New Patient Past Medical History Form
PDF template
Comprehensive medical history form for new patients to provide personal, medical, and family health information.
See template
See template
Simple IRA Salary Reduction Agreement Form
PDF template
A form for employees to make salary reduction elections for their SIMPLE IRA retirement plan contributions.
See template
See template
LHC Supplemental Medical 2023 Update23
PDF template
Medical form for Laurel Highlands Council camp registration requiring health information and medication permissions for scouts
See template
See template
Disability Claim Form
PDF template
A comprehensive form for employees to report disability, injury, or illness for benefits claim purposes.
See template
See template
1099 R Form Instructions
PDF template
Detailed instructions for understanding the 1099-R tax form issued by the Texas County & District Retirement System (TCDRS) for retirement benefit payments.
See template
See template
Durable Power Of Attorney
PDF template
A legal form for appointing an agent to make decisions related to a TCDRS retirement account
See template
See template
Retiree Life Cancellation Form
PDF template
Form for cancelling retiree life insurance coverage with UCM Benefits Group, with a warning that once cancelled, participation cannot be reinstated.
See template
See template
State Of Florida Group Long Term Disability Claim Form
PDF template
A comprehensive claim form for employees seeking long-term disability benefits through the State of Florida's insurance program administered by Cigna.
See template
See template
UNall HR Service Requests
PDF template
Comprehensive listing of HR service requests and forms available to UN staff members for various administrative and personal actions.
See template
See template
University Of DenverS Low Income Taxpayer Clinic New Client Application
PDF template
Application for low-income taxpayers seeking free legal representation for tax-related issues by the University of Denver's Taxpayer Clinic.
See template
See template
LL 2 Authorization Release Of Account Information
PDF template
A form allowing Ohio Public Employees Retirement System members to authorize release of their account information to specified third parties.
See template
See template
LLNS Prescription Drug Benefit For Anthem Members
PDF template
A summary of prescription drug benefits for Anthem members provided by CVS/Caremark, covering retail and mail-order pharmacy options.
See template
See template
LMB Vehicle Registration Form
PDF template
A form for registering vehicles for parking at LMB overnight events and venues, required for all participants and non-participants using LMB resources.
See template
See template
Application For Participant Loan
PDF template
A form for requesting a loan from a retirement plan, outlining participant and employer loan application procedures.
See template
See template
Disability Claim Form FL
PDF template
A comprehensive form for filing a disability insurance claim with detailed sections for employer and employee information.
See template
See template
Long Term Disability Insurance For Judges Attorneys FAQs
PDF template
Informational document about long-term disability insurance options for New Mexico Judicial Branch judges and attorneys through Northwestern Mutual.
See template
See template
Change Of Location Address Form
PDF template
A form for businesses to update their physical and mailing address with Gwinnett County Licensing & Revenue.
See template
See template
MEMBERSHIP FORM
PDF template
Membership enrollment form for Los Rios College Federation of Teachers (LRCFT) with dues authorization and personal information collection.
See template
See template
LRS 2 Form
PDF template
Retirement system form for employees to designate beneficiaries and provide personal employment information for the Missouri Local Government Employees Retirement System.
See template
See template
Check And Expense Reimbursement Request Form
PDF template
A form for submitting expense reimbursement requests for the Lakeside School Parents and Guardians Association
See template
See template
Registration Form Instructions
PDF template
Detailed instructions for completing a PDF registration form for dog training classes at LTCH with class selection guidance.
See template
See template
Group LTD Insurance Cancellation Form
PDF template
Form for employees to cancel voluntary long-term disability insurance coverage with Tennessee Board of Regents
See template
See template
Disability Claim Form
PDF template
A comprehensive form for filing a disability insurance claim, requiring input from the member, plan sponsor, and attending physician.
See template
See template
Group Long Term Disability Claim Form
PDF template
A comprehensive claim form for employees seeking long-term disability benefits, requiring details from both the employee and attending physician.
See template
See template
Long Term Disability Claim Form Employer Statement
PDF template
Comprehensive employer statement form for filing a long-term disability insurance claim, capturing employee and claim details.
See template
See template
Long Term Disability Claim Form Statement Of Employer
PDF template
A form used by employers to submit details for an employee's long-term disability insurance claim with Lincoln Financial Group.
See template
See template
ORPTSA Transfer Approval Form
PDF template
A form for Lamar University employees to transfer or rollover retirement accounts between vendors or plans
See template
See template
TSA Account Maximum Contribution Worksheet
PDF template
A worksheet for calculating maximum contribution limits for tax-sheltered annuity retirement plans at Lamar University and Lamar Institute of Technology.
See template
See template
Form M100, Request For Copy Of Tax Return
PDF template
Official form for requesting a copy of a tax return from the Minnesota Department of Revenue
See template
See template
Form M 1 Report For Multiple Employer Welfare Arrangements (MEWAs) And Certain Entities Claiming Exc
PDF template
A Department of Labor form for reporting multiple employer welfare arrangements and entities claiming exception to health coverage regulations.
See template
See template
Health Savings Account (HSA) Contribution Form
PDF template
A form for individuals to contribute funds to an existing Health Savings Account with American Fidelity Assurance Company.
See template
See template
Massachusetts EmployeeS Withholding Exemption Certificate
PDF template
State tax form for employees to claim withholding exemptions and personal tax information in Massachusetts
See template
See template
Medical Claim Form
PDF template
A form for submitting out-of-network medical claims for reimbursement by UnitedHealthcare for Pennsylvania members.
See template
See template
North Carolina Medicaid Aged, Blind And Disabled Medicaid Manual
PDF template
Guidelines for handling Medicaid application inquiries and documenting when an individual chooses not to apply for assistance.
See template
See template
State Tax Form 96 5
PDF template
Application for property tax exemption for blind veterans in Massachusetts, filed with local assessors by April 1st.
See template
See template
PREVIEW OF NOMINATION FORM ITEMS
PDF template
A document showing preview items for a nomination process.
See template
See template
MA Health Care Coverage Waiver Form
PDF template
Form for employees to decline employer-sponsored health insurance coverage with options for alternative coverage
See template
See template
Shipping And Receiving Mail Authorization Form
PDF template
A form for authorizing and documenting mail shipments, including details about contents, mailing services, and recipient addresses.
See template
See template
Mail Center Work Order Form
PDF template
A form for documenting and processing mail service requests for domestic and international mail at Drexel University.
See template
See template
Mailing Request Form
PDF template
A form used to request and specify details for bulk mailing or pre-sorted mail services within an organization.
See template
See template
LSU Mailing Services Shipping Form
PDF template
A form for LSU departments to request shipping services with multiple delivery options through UPS.
See template
See template
MailingShipping LABEL
PDF template
A form for requesting mailing and shipping services with options for USPS, UPS, and FedEx shipments from Humboldt State University.
See template
See template
LSU Mailing Services UPS Shipping Form
PDF template
A form for LSU departments to request and document package shipping services via UPS with various delivery options.
See template
See template
Mail Redirection Service Application Form
PDF template
Application form for redirecting mail to a new address through SingPost postal service in Singapore.
See template
See template
WIDENER HARRISBURG UNITED PARCEL SERVICE SHIPPING FORM
PDF template
Shipping form for sending packages through UPS, detailing sender and recipient information and shipping options.
See template
See template
Shipping Review Form
PDF template
A form for documenting shipping details, mail types, and international shipping information for postal services.
See template
See template
Texas Tech University Domestic Shipping Form
PDF template
A form for processing domestic shipping requests at Texas Tech University with sender, receiver, and billing information.
See template
See template
Maintenance Request Form
PDF template
A form for requesting maintenance and repair services within the Dolores School District RE-4A facilities.
See template
See template
Maintenance Request Form
PDF template
A form used to submit maintenance needs and requests for Alpharetta First United Methodist Church
See template
See template
Maintenance Request Form
PDF template
A form for reporting maintenance issues in a building or complex, allowing tenants or owners to submit repair requests with urgency classification.
See template
See template
MAINTENANCE REQUEST FORM
PDF template
A form for tenants to request property repairs and maintenance by providing details about the issue and contact information.
See template
See template
Maintenance Request Form
PDF template
A form for submitting maintenance and repair requests at Westview High School with priority levels and details.
See template
See template
MajorMinor Declaration Form
PDF template
A form for students to declare, change, or add academic majors and minors, and update academic advisors.
See template
See template
Laboratory Makeup Attendance Form
PDF template
Form for students to document makeup laboratory session attendance and details for an engineering course.
See template
See template
Massachusetts EmployeeS Withholding Exemption Certificate
PDF template
Tax form for employees to claim withholding exemptions in Massachusetts for state income tax purposes.
See template
See template
MAMFA Studio Programs Application Form
PDF template
Application form for admission to graduate art programs at California State University, Fullerton with various concentration options.
See template
See template
APPLICATION FOR MANHATTAN RESIDENT PARKING TAX EXEMPTION
PDF template
A form for Manhattan residents to apply for a parking tax exemption for their vehicle based on residency and parking details.
See template
See template
Manual Purchase Requisition Form
PDF template
A training guide for submitting a manual purchase requisition for fiscal year 2019/2020 when the standard electronic submission system is closed.
See template
See template
Extended Health Care Claim
PDF template
Insurance claim form for submitting extended healthcare expenses to Manufacturers Life Insurance Company group benefits plan.
See template
See template
Department Of State Academic Exchanges Participant Medical History And Examination Form
PDF template
A medical form required for participants in U.S. Department of State educational exchange programs to confirm health status and obtain medical clearance.
See template
See template
Marketplace Medical Claim Form
PDF template
A comprehensive form for submitting medical insurance claims, including subscriber and patient information, accident details, and coverage information.
See template
See template
ITP 1 Technology Governance And Procurement Review
PDF template
Defines the technology governance process and outlines requirements for technology procurement review at Marshall University.
See template
See template
Membership Form
PDF template
Membership registration form for Michigan Association of Retired School Personnel with multiple membership options and payment methods.
See template
See template
Membership Form
PDF template
Membership enrollment form for joining the Michigan Association of Retired School Personnel (MARSP) with various membership options.
See template
See template
Change Of Address Form
PDF template
A form for updating address information for an ABLE account beneficiary, with specific instructions and requirements.
See template
See template
MASA Medical Air Services Association Employee Payroll Deduction Authorization Form
PDF template
Employee authorization form for automatic payroll deductions for MASA membership dues with terms and conditions.
See template
See template
State Tax Form 96
PDF template
Application for property tax exemptions for seniors, surviving spouses, veterans, and blind individuals in Massachusetts.
See template
See template
M.A.S.E.P. Or VIP ORDER REQUEST FORM
PDF template
A form for requesting legal documents from the Gulfport Municipal Court with specified processing and payment instructions.
See template
See template
Operative Plasterers And Cement Masons Profit Sharing Annuity Plan Summary Plan Description
PDF template
A summary plan description for a profit sharing annuity plan for plasterers and cement masons, detailing plan provisions as of October 31, 2002.
See template
See template
Master Medical Form
PDF template
Comprehensive medical form for camp participation, focusing on epilepsy and health conditions for Epilepsy Alliance Ohio's Camp Flame Catcher/Camp for Champs.
See template
See template
Application Form For Maternity Benefit
PDF template
Official form for applying for maternity benefits through Social Welfare Services, providing guidance for employees and self-employed individuals
See template
See template
Application Form For Maternity Benefit
PDF template
A comprehensive form for employees and self-employed individuals to apply for maternity leave benefits in Ireland.
See template
See template
Short Term Disability Insurance For Maternity Leave
PDF template
A detailed explanation of short-term disability insurance coverage for maternity leave, including claim filing process and state-specific benefits.
See template
See template
Incident Report Form Template
PDF template
A standardized form for documenting and reporting incidents involving individuals, with details about the event, participants, and follow-up actions.
See template
See template
Multnomah Bar Association EnrollmentChange Of StatusWaiver Form
PDF template
A comprehensive form for attorneys to enroll, change, or waive health insurance coverage through the Multnomah Bar Association.
See template
See template
Direct Deposit Form
PDF template
Official form for School Employees Retirement System of Ohio to establish direct deposit payment method for retirement benefits.
See template
See template
Chronic Illness Benefit Application Form 2024
PDF template
An application form for patients seeking chronic illness benefits through the MultiChoice Medical Aid Scheme for the year 2024.
See template
See template
LAB REQUISITION FORM
PDF template
A laboratory test request form listing multiple lab test options and medical facility locations in Southern California.
See template
See template
Sales Tax Exemption Certificate
PDF template
Certificate verifying sales tax exemption for Louisiana public agencies and state universities
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive medical intake form collecting patient personal, medical, social, and health history details.
See template
See template
Form MD 410 457 Loan Application
PDF template
Application for municipal employees to borrow against their retirement account balance with specific loan eligibility and terms.
See template
See template
Form MW 507
PDF template
Tax form for employees to declare income tax withholding exemptions and personal details for Maryland state income tax purposes.
See template
See template
Miami Dade County Employee Benefits
PDF template
Comprehensive overview of employee benefits package for Miami-Dade County employees, including insurance, retirement, and support services.
See template
See template
CLAIM FORM PART A
PDF template
A comprehensive form for filing health insurance claims, designed to collect detailed patient and insurance information.
See template
See template
SAMPLE FORM
PDF template
A generic template document with minimal context or specific details.
See template
See template
Endorsement Consent Form For Ballot Measure
PDF template
Form for consenting to be an endorser of a ballot measure regarding transient occupancy tax in Hayward
See template
See template
MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
PDF template
A comprehensive medical insurance claim form for submitting healthcare expense reimbursement and insurance details.
See template
See template
Medallion Owner Change Of Address Form
PDF template
Official form for Medallion owners to update their contact and address information with the Taxi and Limousine Commission (TLC)
See template
See template
ENROLLMENT FORM
PDF template
A comprehensive form for employees to enroll in medical, dental, vision, and life insurance benefits with dependent information and coverage election details.
See template
See template
COLTS YOUTH ORGANIZATION MEDICAL RELEASE FORM
PDF template
A comprehensive medical history and health disclosure form for Colts Youth Organization volunteers and staff members.
See template
See template
Subscriber Medical Claim Form
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient and insurance details.
See template
See template
Medical Plan CHANGE Form
PDF template
Comprehensive guide for completing and submitting a medical plan change form with detailed documentation requirements.
See template
See template
Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient and treatment details for reimbursement.
See template
See template
Medical Claim Form
PDF template
A form for submitting medical insurance claims with patient and insurance details for reimbursement processing.
See template
See template
Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive medical insurance claim form for submitting healthcare treatment reimbursement or payment requests.
See template
See template
Medical Plan Enrollment Form
PDF template
Comprehensive form for enrolling in medical coverage, changing plans, or adding/dropping dependents for ACERA members.
See template
See template
Seoul International School Authorization For Medical Procedure Student Medical History Health Fo
PDF template
Medical authorization and health history document for students at Seoul International School, covering emergency care permissions and medical history details.
See template
See template
COLTS DRUM BUGLE CORPS MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for student members of a drum and bugle corps, covering personal health history and potential medical conditions.
See template
See template
Medical Form
PDF template
Comprehensive medical history and health information form for students at St. Mary's College.
See template
See template
NEW PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for new patients to document current medications, health problems, and medical conditions.
See template
See template
MEDICAL HISTORY FORM
PDF template
A comprehensive form for collecting patient personal and insurance information for medical purposes.
See template
See template
DENTALMEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient dental and medical history information for a student dental hygiene clinic.
See template
See template
Sport Club Medical History Form
PDF template
Medical history and health screening form for participants in sport club activities at CSU Recreation Services.
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for collecting patient personal details, health conditions, and contact information.
See template
See template
Medical History Form
PDF template
A comprehensive medical form documenting a patient's medical condition and impairments for service dog placement evaluation.
See template
See template
Medical History Form
PDF template
A comprehensive form for collecting patient medical history, current health status, and therapy-related information.
See template
See template
Patient Questionnaire Medical History Form
PDF template
Comprehensive medical intake form for patient history and current medical condition assessment, used in healthcare settings.
See template
See template
Medical History Form
PDF template
Comprehensive medical intake form for capturing patient personal information, medical history, and contact details for a dermatology practice.
See template
See template
Medical History Form (For Immigration Examination)
PDF template
Comprehensive medical history form for immigration purposes, covering various health conditions and medical background
See template
See template
Medical History Form
PDF template
Comprehensive medical form for collecting patient's personal health information, medical history, current symptoms, and social history.
See template
See template
Health History Form
PDF template
Comprehensive medical history form for patients to provide detailed health information prior to a medical appointment.
See template
See template
Medical History Form
PDF template
Comprehensive medical form for collecting patient personal information, medical history, current health status, and pain assessment details.
See template
See template
Medical History Form
PDF template
Comprehensive medical history form for collecting patient personal information, medical background, lifestyle details, and current medications.
See template
See template
Medical History Form
PDF template
Comprehensive medical history form for dental patients to provide health background and current medical status.
See template
See template
Medical History Form
PDF template
Comprehensive medical history and health status documentation form for patients at Freedom House for Women
See template
See template
Medical History Form
PDF template
Comprehensive medical history form collecting patient health information, current treatments, medications, and past medical conditions.
See template
See template
Personal Medical History
PDF template
Comprehensive form for collecting patient's personal medical history, surgical history, allergies, and family medical background.
See template
See template
MEDICAL HISTORY FORM
PDF template
A comprehensive form for collecting detailed medical history information about a child, including birth history, past medical history, and family medical history.
See template
See template
Medical History Form
PDF template
Comprehensive medical history form for dermatology patients collecting personal health information, medical background, and contact details.
See template
See template
Adult Medical History Form
PDF template
Comprehensive medical history form for collecting patient health information, medical conditions, surgical history, and current medications.
See template
See template
Andrew College Medical History Form
PDF template
A comprehensive medical history form for student athletes at Andrew College, collecting personal health information and medical background details.
See template
See template
University Of Alaska Southeast Outdoor Education Medical Information Questionnaire
PDF template
A confidential medical form for participants in University of Alaska Southeast outdoor education courses, collecting personal and medical details for safety purposes.
See template
See template
Medical Inquiry Form In Response To An Accommodation Request
PDF template
A medical form used to evaluate an employee's disability status and potential workplace accommodations under the Americans with Disabilities Act (ADA).
See template
See template
Medical Inquiry Form In Response To An Employee Accommodation Request
PDF template
A medical form used to assess an employee's disability status and potential workplace accommodations at Portland Community College.
See template
See template
SCREENING AND REFERRAL FORM
PDF template
A comprehensive screening form to assess an individual's needs across income supports, housing, employment, and immigration status.
See template
See template
Medical Panel Transfer Request Form
PDF template
A form for healthcare practices to transfer between medical panels with required practice and Designated Provider Representative (DPR) information.
See template
See template
Medical Release Form
PDF template
Medical release and health information form for adult participants in Eagle Bluff activities, requiring personal and medical details.
See template
See template
Honors Symposium Medical Release Form
PDF template
Medical release and health history form for students participating in the Harding University Honors Symposium program
See template
See template
Medical Release Form
PDF template
A medical consent and emergency contact form for students participating in SkillsUSA activities, allowing designated personnel to seek medical treatment if necessary.
See template
See template
Request For Medicare Part B Reimbursement (Quarterly Or Annual)
PDF template
A form for Contra Costa Community College District retirees to request reimbursement for Medicare Part B premium payments.
See template
See template
MEDICAL HISTORY FORM
PDF template
A form for patients to document their current medications and medical history details.
See template
See template
Nouveau Medispa Medical History Form
PDF template
Comprehensive medical history form for patients seeking medical spa treatments, collecting personal and health information.
See template
See template
New Patient Medical History Form
PDF template
Comprehensive medical form for collecting patient's personal medical and surgical history, covering a wide range of health conditions and past surgical procedures.
See template
See template
USA Gymnastics Competition Entry Form
PDF template
Official entry form for registering athletes in a USA Gymnastics competition, capturing participant and club details.
See template
See template
MemberS Application For Disability Retirement
PDF template
Application form and guidance for public employees seeking disability retirement benefits in Massachusetts.
See template
See template
Address Change Authorization
PDF template
A form for CalPERS participants to update their personal contact information and mailing address.
See template
See template
NAPS Member Change Of Address Form
PDF template
Form for NAPS members to update their personal contact information and membership details.
See template
See template
4 H Youth Development 2018 2019 Member Health Information Form
PDF template
A comprehensive health form for 4-H youth members to document medical history, conditions, medications, allergies, and emergency information.
See template
See template
4 H Youth Development 2019 2020 MEMBER HEALTH INFORMATION FORM
PDF template
A comprehensive health form for 4-H youth members to record medical history, medications, allergies, and emergency information.
See template
See template
Member Inquiry Form
PDF template
A comprehensive form for members to submit inquiries about medical claims, health plans, and personal information updates.
See template
See template
Claim Form 1 Reimbursement For Out Of Network Benefit
PDF template
Form for submitting vision service reimbursement claims for out-of-network eye doctor visits and services.
See template
See template
Membership And Licensure Approval Form
PDF template
A form for requesting and approving institutional, department, or individual membership and licensure expenses within a university setting.
See template
See template
Membership Cancellation Form
PDF template
Form for cancelling membership at Beacon Fitness Center with member details and submission instructions.
See template
See template
IPA Ireland Enrolment Form Extra Ordinary Membership
PDF template
Membership form for joining the International Police Association (IPA) Ireland section as an extra-ordinary member.
See template
See template
Member Service Request Form
PDF template
A comprehensive form for members to request various retirement, service, and benefits-related actions.
See template
See template
SAMPLE FORM
PDF template
A generic template document for a form with no specific details.
See template
See template
Meta Centre Feedback Complaint Resolution Form
PDF template
A form for collecting detailed customer feedback and complaints with contact and resolution tracking information.
See template
See template
Meta Centre Feedback Complaint Resolution Form
PDF template
A document for capturing customer feedback and complaints with detailed contact and issue information.
See template
See template
University Mail Services Mail Card Order Form
PDF template
Form for ordering mail cards for university departments or staff members.
See template
See template
Insurance Enrollment Form
PDF template
Comprehensive form for employees to enroll in various insurance coverages including life, disability, dental, and vision.
See template
See template
MetLife Legal Plans EnrollmentCancellation Form
PDF template
Form for enrolling in or canceling MetLife Legal Plans insurance coverage for San Diego and Imperial County Schools employees.
See template
See template
MetLife Legal Plans EnrollmentCancellation Form
PDF template
Insurance enrollment form for MetLife Legal Plan for San Diego and Imperial County Schools employees to select and authorize payroll deductions for legal plan coverage.
See template
See template
Change Of Address Form
PDF template
A form for changing address details for an account owner with Mustang Fuel Corporation
See template
See template
Internship Application Form
PDF template
Application form for internship opportunities at the Museum at FIT in New York City.
See template
See template
Help With Medicare Costs Medicare Savings Programs
PDF template
Application for financial assistance with Medicare premiums, copays, and deductibles, with potential SNAP enrollment option.
See template
See template
Military History Checklist
PDF template
A tool to help hospice staff identify veterans, understand their military service, and assess potential VA benefits for patients and their families.
See template
See template
Jostens Ad Service Order Form
PDF template
A form for purchasing yearbook recognition ads for Middlesex School through Jostens ad service.
See template
See template
REFERRAL FORM
PDF template
A form for referring consumers to various support services including advocacy, benefits assistance, healthcare, and employment services.
See template
See template
Military Plan Information
PDF template
A form for dividing military retirement benefits during divorce proceedings, capturing details about service, marriage duration, and benefit allocation.
See template
See template
Notice Of Potential Veterans Benefits
PDF template
A document notifying eligible veterans of their rights to purchase creditable service for military service under Massachusetts retirement laws.
See template
See template
Philosophy MINOR Declaration Form
PDF template
A form for students to declare a minor in Philosophy, Cognitive Science, or Applied Ethics at the University of Utah.
See template
See template
Minor Maintenance Request Form
PDF template
Form for submitting minor maintenance issues and requests to a local municipal council.
See template
See template
NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical form for new patients to document pain history, symptoms, and current health conditions.
See template
See template
MIP Enrollment Form
PDF template
Comprehensive form for UN staff members to enroll in medical insurance coverage for themselves and their dependents.
See template
See template
ORDER FORM
PDF template
An order form for purchasing posters from the Center for Evidence-Based Practices at Case Western Reserve University
See template
See template
Mission And Community Service Leave Request Form
PDF template
A form for employees to request time off for mission, community service, or spiritual activities as part of an organizational leave benefit.
See template
See template
Leon County Enrollment And Contribution Form
PDF template
Form for employees to enroll in Leon County's 457 Deferred Compensation Plan and select contribution amounts and investment options.
See template
See template
Service Request Form For Software Development And System Changes
PDF template
A comprehensive form for requesting software development changes, system modifications, and technical support within an organization.
See template
See template
Customer Palletization Delivery Form
PDF template
A form for customers to specify shipping and delivery requirements for palletized product orders with a minimum of 15 units.
See template
See template
Patient Medical History Form
PDF template
Comprehensive medical history form collecting patient personal information, medical conditions, medications, allergies, and healthcare provider details.
See template
See template
OBGYN Medical History Form
PDF template
Comprehensive medical history form for obstetrics and gynecology patients with sections covering medications, allergies, medical history, family history, and social history.
See template
See template
No Fault Insurance Form
PDF template
A medical insurance claim form for documenting patient information and authorizing insurance benefits for accident-related medical services.
See template
See template
Patient And Insurance Claim Form
PDF template
A standardized form for submitting medical insurance claims with patient and subscriber information details.
See template
See template
2018 19 Travel Request Form
PDF template
Instructions for completing a travel request form through the TeamWorks mobile app using Northwestern email credentials.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical intake form for new chiropractic patients to collect personal, medical, and health history information.
See template
See template
CHANGE OF ADDRESS FORM
PDF template
A form for union members to update their personal contact information through multiple submission methods.
See template
See template
Motor Vehicle Rental Tax Verification Certificate
PDF template
A tax document for verifying rental vehicle tax payments and ownership transfer details between vehicle owners and renters in Texas.
See template
See template
Move Add Change Request Form
PDF template
A form used for submitting and tracking organizational changes, addressing modifications to address, user, or service settings.
See template
See template
MOVING CHECKLIST
PDF template
A comprehensive checklist to help individuals plan and organize tasks associated with moving to a new residence.
See template
See template
Personal Leave Request Form
PDF template
A form for employees to request unpaid personal leave of at least 30 days from their employer.
See template
See template
Filing A Claim For Insurance Benefits
PDF template
Guide for lenders on submitting insurance benefit claims through the FHA Connection system for various claim types and loss mitigation options.
See template
See template
Request For Issuance Cancellation Form
PDF template
A form used by the United States Department of Agriculture to formally request cancellation of an administrative issuance or document.
See template
See template
Budget Form No. 3
PDF template
Public notice for the 2024-25 budget hearing and adoption for M.S.D. Warren Township School Corporation in Marion County, Indiana.
See template
See template
457 Deferred Compensation Plans Contribution Form
PDF template
A form for changing contribution amounts to a 457 deferred compensation plan with MissionSquare Retirement.
See template
See template
REFUND REQUEST FORM
PDF template
A form for requesting refunds for programs or services with required documentation and processing details.
See template
See template
Michigan State University 403(B) Retirement Plan Loan Policy Statement
PDF template
Detailed explanation of rules and criteria for taking participant loans from the Michigan State University 403(b) Retirement Plan
See template
See template
Electronic Application For Immigrant Visa And Alien Registration DS 260
PDF template
Official documentation explaining the legal basis and requirements for the electronic immigrant visa application process.
See template
See template
Employee Disability Claim Form
PDF template
Comprehensive guidelines for completing an employee disability claim form with detailed instructions for each section.
See template
See template
Prenatal Risk Assessment Form
PDF template
Comprehensive medical form for documenting patient pregnancy information, medical history, and potential risk factors during prenatal care.
See template
See template
Membership Form
PDF template
Membership benefits and registration form for the Museum of History and Art in Ontario, offering various membership levels and associated perks.
See template
See template
Accessing Claims Online Using The Employee Portal
PDF template
A guide for employees on how to access and manage insurance claims through Mutual of Omaha's online employee portal.
See template
See template
Enrollment Form
PDF template
Insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
See template
See template
DEALER ORDER FORM
PDF template
A form for dealers to order miscellaneous vehicle-related supplies and documentation from the tax office.
See template
See template
Application For Maryland Change Of Address
PDF template
Official form for changing address and registering to vote in Maryland, used by residents to update voter registration information.
See template
See template
MOTOR VEHICLE EXCISE CHANGE OF ADDRESS FORM
PDF template
A form for updating address information for motor vehicle registration and excise tax purposes in Springfield, Massachusetts.
See template
See template
Medical Claim Reimbursement Request
PDF template
A form for members to request reimbursement for medical expenses paid out of pocket, requiring itemized receipts and proof of payment.
See template
See template
Employee Change Of Personal Information Procedure
PDF template
Procedure for employees to update personal information across multiple organizational systems and departments
See template
See template
TRTA (KS) Educational License Agreement
PDF template
Confidential license agreement between Thomson Reuters (Tax & Accounting) and an educational institution for academic software access.
See template
See template
N 00 8 Elimination Of New York City Nonresident Fiduciary Earnings Tax
PDF template
Notice about the elimination of New York City nonresident fiduciary earnings tax for estates and trusts with income earned in New York City.
See template
See template
Form N 70NP Exempt Organization Business Income Tax Return
PDF template
Instructions for filing business income tax return for exempt organizations in Hawaii for the tax year 2023.
See template
See template
NADR Change Order Request
PDF template
Form for requesting changes to animal information in the North American Deer Registry database.
See template
See template
CHANGE OF ADDRESS NAME CHANGE FORM
PDF template
Form for employees to update personal information, address, name, and benefit details with their employer.
See template
See template
Request For Change Of AddressName Change
PDF template
A form for Yosemite Community College District employees to update their personal contact information and legal name.
See template
See template
Newton Abbot Photographic Club Competition Entry Form 2024 (Fillable)
PDF template
A form for members to submit print and digital photographic entries for the Newton Abbot Photographic Club competition.
See template
See template
Pension Benefit Application
PDF template
Application form for pension benefits with detailed instructions for participants seeking retirement benefits from the Carpenters Pension Fund.
See template
See template
HEALTH COVERAGE ENROLLMENT FORM
PDF template
Enrollment form for health benefits coverage through the National Automatic Sprinkler Industry Welfare Fund, detailing employee and dependent information.
See template
See template
Distribution Request For 457(B) Governmental Plans
PDF template
Form for requesting distribution from a governmental 457(b) retirement plan with options for various distribution reasons and payment methods.
See template
See template
Distribution Request For 457(B) Governmental Plans
PDF template
A form for requesting distribution from a governmental 457(b) retirement plan with various distribution options and participant information collection.
See template
See template
Claim Form
PDF template
A form for employees to submit healthcare and dependent care expenses for reimbursement through flexible spending accounts.
See template
See template
Application For Pension
PDF template
Comprehensive pension application package for workers seeking to initiate pension benefits from the National Asbestos Workers Pension Fund.
See template
See template
When You Go On LeaveMake Sure Your 1199SEIU Benefits Are Active
PDF template
Instructions for maintaining benefits during various types of leave, including paid family leave, disability, FMLA, and workers' compensation.
See template
See template
One Time Contribution Form
PDF template
A form for employees to make a one-time additional contribution to their 401(k) or 457 retirement plan, typically for final payments upon separation from service.
See template
See template
EmployeeS Withholding Allowance Certificate
PDF template
A tax form for employees to specify their withholding allowances for state income tax in North Carolina.
See template
See template
Cancer Coverage With Optional Riders Claim Form
PDF template
Insurance claim form for filing cancer coverage benefits with American Heritage Life Insurance Company.
See template
See template
APPLICATION FOR EXEMPTION FROM LIBRARY TAX
PDF template
Application for seniors to request exemption from library tax based on age and income limits in North County Library Authority jurisdiction.
See template
See template
NC Psychology Board Change Of Address Form
PDF template
A form for North Carolina psychology licensees to update their professional contact information and address with the state licensing board.
See template
See template
NCSBN Business Expense Reimbursement Form Instructions
PDF template
Detailed instructions for completing the NCSBN Business Expense Reimbursement form, including guidelines for submitting expense claims and required documentation.
See template
See template
Nevada Public Employees Deferred Compensation Program (NDC) Payroll Contribution Form
PDF template
Form for Nevada public employees to set up or modify payroll deductions for deferred compensation programs with Hartford and ING.
See template
See template
980 Retiree Welcome Packet Retirement Medical Benefit Account Claim Form
PDF template
A claim form for retirees to submit medical insurance premium reimbursement requests with specific documentation guidelines.
See template
See template
Application For Services
PDF template
An application form for low-income taxpayers seeking legal assistance with federal tax issues from North Carolina Central University School of Law's Low Income Taxpayer Clinic.
See template
See template
New Employee Checklist
PDF template
Comprehensive checklist and instructions for new employees to complete payroll, tax withholding, and pension enrollment forms for the Maryland State Department of Education.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient medical history, symptoms, and personal health information.
See template
See template
Foreign National Tax Information Form
PDF template
Form for collecting tax and immigration documentation for foreign national employees with various visa types.
See template
See template
New Hire Benefits Enrollment Checklist
PDF template
Comprehensive checklist for new employees of the Office of the Comptroller of the Currency to complete benefits enrollment and required forms within specified timeframes.
See template
See template
Checklist For Transfer Employee From Another State Agency
PDF template
A comprehensive checklist for employees transferring between state agencies, covering documentation, policy acknowledgments, and benefits enrollment.
See template
See template
1099 Contractor Form
PDF template
A comprehensive form for collecting contractor details, employment information, payroll, and banking data for tax and payment purposes.
See template
See template
Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, medical, and insurance information for healthcare providers.
See template
See template
IT Project Initiation Proposal Form
PDF template
A comprehensive form for proposing and initiating new IT projects, capturing project vision, goals, resources, and approval requirements.
See template
See template
Newly Wed Checklist (Active Retired)
PDF template
Instructions for adding a spouse to welfare benefits for Uniformed Firefighters Association members.
See template
See template
New Member Enrollment Form
PDF template
A form for newly hired employees to apply for membership in the Massachusetts public retirement system, collecting personal and employment information.
See template
See template
PERA SmartSave ENROLLMENT FORM
PDF template
Enrollment form for PERA SmartSave retirement savings program, allowing employees to select contribution amounts and investment portfolios.
See template
See template
New Patient Insurance Form
PDF template
A comprehensive intake form for new patients seeking outpatient therapy, collecting personal, insurance, and referral information.
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical intake form for collecting new patient personal, contact, medical, and insurance information.
See template
See template
TRI COUNTY FAMILY MEDICINE NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical form for collecting patient medical history, current medications, allergies, and recent medical history
See template
See template
New Patient Intake Form
PDF template
A comprehensive medical form for collecting new patient personal, contact, medical history, and emergency contact information.
See template
See template
NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for new pediatric patients, collecting personal, medical, and insurance information.
See template
See template
New Patient Intake Form
PDF template
Comprehensive form for collecting new patient medical history, personal information, and health status for medical practice intake.
See template
See template
Dermatology Patient Intake Form
PDF template
Comprehensive patient intake form for dermatology practice including personal information, insurance details, and medical consent.
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical form for collecting patient personal information, medical history, current health conditions, and insurance details.
See template
See template
NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for collecting patient personal, insurance, and health information for a medical clinic or practice.
See template
See template
Blase Chiropractic New Patient Intake Form
PDF template
Comprehensive intake form for new patients seeking chiropractic services, collecting personal, contact, and employment information.
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients to document medical history, current medications, and pain assessment details.
See template
See template
NEW PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history intake form for new patients, collecting personal information, medical conditions, allergies, and current medications.
See template
See template
White Bird Medical Clinic NEW PATIENT INTAKE FORM
PDF template
Comprehensive intake form for new patients at White Bird Medical Clinic, collecting personal, demographic, and medical background information.
See template
See template
NEW PATIENT INTAKE FORM (With TriCare Insurance)
PDF template
Comprehensive medical intake form for new patients, collecting detailed personal and medical history information.
See template
See template
Memorandum New Payroll Deduction Codes For ROTH Plan
PDF template
Guidance for state employees about new payroll deduction codes for ROTH 457(b) Plan and associated documentation requirements.
See template
See template
New Payroll Deduction Codes For ROTH Plan Memorandum
PDF template
Memorandum announcing new payroll deduction codes for the ROTH 457(b) Plan and providing instructions for implementation.
See template
See template
NEW ELBOW PATIENT INTAKE FORM
PDF template
Medical intake form for patients experiencing elbow-related symptoms, designed to gather comprehensive information about the patient's condition and medical history.
See template
See template
New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients at Rowan Tree Medical, collecting personal, medical, and contact information.
See template
See template
VILLAGE OF KIMBERLY REAL ESTATE INQUIRY FORM
PDF template
A standard form for requesting property information from the Village of Kimberly, Wisconsin, including tax and assessment details.
See template
See template
NEW RESIDENTCHANGE OF ADDRESS FORM
PDF template
A form used to update personal contact information for tax purposes in Pennsylvania.
See template
See template
REQUEST FOR SERVICE FORM
PDF template
A form for requesting service with contact, billing, and equipment details for repair or service
See template
See template
Voter Registration Address Change Form
PDF template
A form for updating voter registration address with the Broome County Board of Elections.
See template
See template
New York Municipality Income Tax Withholding Notice
PDF template
Notice regarding state income tax withholding for USNH employees residing in New York State, including details about municipal tax requirements.
See template
See template
New York Requirements For Employee Termination
PDF template
Comprehensive guide detailing legal requirements for employers when terminating employees in New York State, covering notice, benefits, and payroll obligations.
See template
See template
IT 2104 E Certificate Of Exemption From Withholding
PDF template
Tax form for employees claiming exemption from New York State income tax withholding based on specific eligibility criteria.
See template
See template
EmployeeS Withholding Allowance Certificate
PDF template
Tax withholding form for employees working in New York State, New York City, and Yonkers to determine tax allowances and withholding amounts.
See template
See template
Required Minimum Distributions (RMD) Form
PDF template
Form for setting up Required Minimum Distributions (RMD) for Traditional and SEP IRA accounts at Navy Federal Credit Union.
See template
See template
NHES 0180 R Aug 2022 NEW HAMPSHIRE EMPLOYMENT SECURITY CONTINUED CLAIM FORM
PDF template
Form for unemployment claimants to report weekly work status, availability, and potential income sources during unemployment period.
See template
See template
Health Care Coverage Waiver Form
PDF template
A form for employees to waive health insurance coverage offered by their employer and provide alternative coverage details.
See template
See template
Nine Hour Summer Requirement Waiver Form
PDF template
A form for Florida A&M University students to request a waiver of summer credit hour requirements with academic dean approval.
See template
See template
NLYH Maintenance Request Form
PDF template
A document providing instructions for reporting maintenance issues and a form to document maintenance requests for Naples Land Yacht Harbor.
See template
See template
Texas Standard Prior Authorization Request Form For Prescription Drug Benefits
PDF template
A standardized form for requesting prior authorization of prescription drug benefits in Texas, used by various healthcare and insurance providers.
See template
See template
Common Nomination Form For Gratuity, General Provident Fund And Central Government Employees Group I
PDF template
A comprehensive form for Central Government employees to nominate beneficiaries for gratuity, provident fund, and group insurance benefits.
See template
See template
Form A (Common Nomination Form For Arrears Of Pension And Commutation Of Pension)
PDF template
A government form for nominating beneficiaries to receive pension arrears and commuted pension value in case of death of a government employee or pensioner.
See template
See template
Hall Of Fame Nomination Form
PDF template
A nomination form for recognizing outstanding educators who have contributed to Harford County Public Schools system.
See template
See template
NOMINEE CONSENT FORM FOR REGION AT LARGE ELECTIONS
PDF template
A consent form for nominees in a regional election process, requiring candidate confirmation and contact details.
See template
See template
NEW ACCOUNT REGISTRATION FORM FOR NONCREDIT STUDENTS
PDF template
A registration form for students enrolling in noncredit courses at Anne Arundel Community College (AACC)
See template
See template
Non Employee Reimbursement Form
PDF template
A form for non-employees to request reimbursement for travel-related expenses incurred while visiting the College of Engineering.
See template
See template
Non Faculty Job Application Form
PDF template
A comprehensive job application form for non-faculty positions at COMSATS University Islamabad with multiple sections for personal and professional details.
See template
See template
2024 2025 Non Filer Tax Form Independent
PDF template
A form for students and spouses to declare income status and employment details for tax verification purposes.
See template
See template
Request For A Non FMLA Leave Of Absence
PDF template
Form for employees of Roger Williams University to request various types of non-FMLA leave of absence with benefit continuation options.
See template
See template
Toquaht Nation Government Non Insured Health Benefit Application Form
PDF template
Application form for Toquaht Nation citizens to request health benefits funding for various medical services and expenses.
See template
See template
Nonoccupational Disability Benefits
PDF template
Guidelines for state employees seeking nonoccupational disability benefits through SERS, including eligibility requirements and benefit terms.
See template
See template