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
OCR Service
Extract data from any document
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
PDF Costs Calculator
Calculate your company's document costs
Features
Overview of all Anvil features
Merch store
Order an Anvil hat
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
Product updates
New features & app improvements
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
Domestic Maid (Lite) Proposal Form
One API call is all it takes. Free to use.
Fill it over API
Download fillable PDF
AI-generated
4.8 Stars
Insurance proposal form for domestic maid coverage in Singapore, detailing proposer and maid particulars.
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
Integrate with
Build Zapier workflows to automate paperwork processes end-to-end with Anvil.Â
Learn more
.
You can:
Fill a PDF
Setup an Anvil Workflow trigger
Start & pre-fill an Anvil Workflow
Create a link to an Anvil submission
See other insurance forms
Explore other production-ready form templates
here
.
Assumption Of Risk U.S. National Whitewater Center Activities
PDF template
Legal document outlining participant risks and liability assumptions for outdoor activities at the U.S. National Whitewater Center.
See template
See template
Master Services Agreement
PDF template
A master agreement between Chartis International and MMR Information Systems for providing electronic medical record storage services to insurance customers.
See template
See template
Request For Proposal 0001343 For Web Based Internet Recruiting Management System
PDF template
Request for proposal for a web-based internet recruiting management system issued by Virginia Tech's Information Technology Acquisitions Office.
See template
See template
00300 PROPOSAL FORM
PDF template
Competitive sealed proposal for construction services for a water infrastructure rehabilitation project in Round Rock, Texas.
See template
See template
Proposal Form Ankeny High School Turf Replacement
PDF template
Bid proposal document for the Ankeny High School turf replacement project by Ankeny Community School District.
See template
See template
McVeigh V. UnumProvident Corporation And Provident Life Accident Insurance Company
PDF template
A federal court order addressing diversity jurisdiction in a disability benefits lawsuit filed by Michael C. McVeigh against insurance companies.
See template
See template
NO SURPRISE BILLING PROTECTION FORM
PDF template
A document explaining patient protections from unexpected medical bills and out-of-network care costs, with options to waive those protections.
See template
See template
Mutual Of Omaha Claim Form Fill Able
PDF template
A detailed claim form for reporting accidents and injuries for insurance purposes.
See template
See template
Loss Claim Form
PDF template
Guide for fish harvesters and processors to claim compensation for gear and vessel damage or oil spills related to the Hebron project.
See template
See template
RESEARCH PROPOSAL FORM FOR MASTER PROGRAM APPLICATION
PDF template
A comprehensive form for master's degree applicants to submit their research proposal details and personal information at Walailak University.
See template
See template
RESEARCH PROPOSAL FORM FOR PH.D. APPLICATION
PDF template
A comprehensive form for prospective PhD students to submit their research proposal and personal details to Walailak University's College of Graduate Studies.
See template
See template
Request For Proposal 18 031
PDF template
A solicitation by the Indiana Department of Administration for a project management modernization office for the Indiana Bureau of Motor Vehicles/Commission.
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
Chapter 100 Sales Of Cemetery Merchandise, Funeral Merchandise And Funeral Services
PDF template
Administrative rules defining regulations for sales of cemetery and funeral merchandise and services in Iowa.
See template
See template
Sales Of Cemetery Merchandise, Funeral Merchandise And Funeral Services Rules
PDF template
Regulatory rules implementing Iowa Code chapter 523A for the sale of cemetery, funeral merchandise, and services.
See template
See template
FINAL PROPOSAL AND BUDGET APPROVAL FORM
PDF template
A form requiring multi-level signatures for final approval of a proposal and its associated budget at Columbia State.
See template
See template
Initiate Grant Proposal Form
PDF template
A form used by faculty and staff to request authorization and submit details for a potential grant project at Columbia State.
See template
See template
Driver Monitoring And Contract Amendment
PDF template
Documents related to driver record monitoring services and a contract amendment for Mason County's health services.
See template
See template
ATTACHMENT E PRICE PROPOSAL FORM INSTRUCTIONS
PDF template
Instructions for completing a price proposal form for a service delivery solicitation, detailing requirements for unit pricing and calculations.
See template
See template
United States Court Of Appeals For The Third Circuit Stone Webster Case
PDF template
Appellate court opinion involving a legal dispute between Saudi American Bank, Shaw Group, and Stone & Webster related to bankruptcy and liability
See template
See template
Request For Proposal Number GCHP05282019
PDF template
Request for proposal for establishing an agreement with a contractor for claims recovery services by Gold Coast Health Plan.
See template
See template
Policy Loan Agreement Form
PDF template
A comprehensive form for requesting a loan against a life insurance policy with personal and banking details collection
See template
See template
Initial Disability Claim Form
PDF template
A comprehensive form for filing an initial disability insurance claim, collecting patient and policyholder information, and documenting disability details.
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
Proposal For Thesis Or Project Research
PDF template
A form for computer science graduate students to propose and document their master's thesis or project research scope and details.
See template
See template
Amicus Curiae Brief Auto Owners Insurance Company V. Pozzi Window Company
PDF template
Amicus curiae brief filed by construction industry associations in support of Pozzi Window Company in an insurance coverage dispute
See template
See template
Cleared OTC Clearing Services Request For Proposal (RFP) For EEA Customers
PDF template
A proposal request document for obtaining OTC clearing services from Societe Generale for European Economic Area customers, designed to meet FRANDT requirements.
See template
See template
Livestock Risk Protection (LRP) Handbook
PDF template
Comprehensive guide for livestock risk protection insurance application and claims process for agricultural producers.
See template
See template
Parental Consent Form
PDF template
A form that parents or legal guardians must sign to allow children under 21 to participate in activities hosted by Alpha Phi Alpha Fraternity, Inc.
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
Student Medical Release Form
PDF template
Medical authorization form for student ministry activities allowing medical treatment and liability release for minors.
See template
See template
HEALTH CENTER MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for collecting personal health information, emergency contacts, and current medical status for students.
See template
See template
Emergency Medical Release Form
PDF template
A comprehensive medical information form used to collect personal health details and emergency contact information.
See template
See template
Prescription Drug Reimbursement Form
PDF template
A form for members to request reimbursement for prescription medication expenses through their health plan.
See template
See template
LWC WC 1025.EE Employee Certificate Of Compliance
PDF template
A legal document detailing employee obligations and restrictions while receiving workers' compensation benefits.
See template
See template
Employer Certificate Of Compliance
PDF template
A mandatory certification form for employers to verify compliance with Louisiana workers' compensation insurance requirements.
See template
See template
STATE COMPENSATION INSURANCE FUND CORPORATION WAIVER FORM
PDF template
A form for corporate officers/directors to elect exclusion from workers' compensation insurance coverage under specific California legal conditions.
See template
See template
KK Incident Report
PDF template
A comprehensive form for documenting accidents, injuries, or property damage during events or activities.
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
Proposal Form Export Insurance Policy (EXIP)
PDF template
A form for applying for export insurance cover for single or multiple export contracts with specific eligibility requirements and compliance guidelines.
See template
See template
ARIASU.S. 2017 Spring Conference Request For Proposals Submission Guidelines And Application
PDF template
Request for proposal guidelines for the ARIASU.S. 2017 Spring Conference seeking presentations on insurance and reinsurance industry topics.
See template
See template
10 Day Agreement Review Cancellation
PDF template
A form for subscribers to request cancellation of a health insurance policy within 10 days of coverage effective date.
See template
See template
PAYMENT INSURANCE FORM NFCA SURF CITY SHOWCASE RECRUITING CAMP
PDF template
Registration and payment form for athletes interested in participating in a sports recruiting camp, with payment and medical information collection.
See template
See template
Section 1115 Demonstration Proposal For Act 421 ChildrenS Medicaid Option
PDF template
A proposal for a Section 1115 demonstration program related to children's Medicaid coverage and services.
See template
See template
Medical Claim Form
PDF template
A form used to request payment for eligible healthcare services already received from UnitedHealthcare.
See template
See template
Certificates Of Insurance Model Act
PDF template
A model legislative act providing guidelines for the preparation, issuance, and regulation of insurance certificates in property and casualty insurance.
See template
See template
Uniform Standards For Riders, Endorsements Or Amendments Used To Effect Group Term Life Insurance Po
PDF template
Detailed guidelines for creating and filing riders, endorsements, and amendments for group term life insurance policy changes.
See template
See template
Student International Travel Form
PDF template
Comprehensive form for students seeking international travel credit, detailing pre-trip requirements and professionalism expectations.
See template
See template
Motor Vehicle Accident Report
PDF template
Official form for reporting motor vehicle accidents in Missouri where an uninsured party is involved, used to determine insurance and fault compliance.
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
Certificate Of Insurance For Services
PDF template
Official document for certifying insurance coverage for services with Texas Department of Transportation (TxDOT)
See template
See template
EMPLOYEE PERSONAL PROPERTY DECLARATION FORM
PDF template
Form for employees to declare personal property used at work and outline claim procedures in case of loss or damage
See template
See template
Form 1560 CS Professional Provider Insurance
PDF template
Insurance form for professional service providers working with the Texas Department of Transportation (TxDOT)
See template
See template
MOTOR VEHICLE ACCIDENT REPORT FORM
PDF template
A comprehensive insurance form for documenting details of a motor vehicle accident in Mauritius.
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
Insurance Cert. Sample C
PDF template
Detailed guidelines for insurance coverage requirements for contractors in Cook County, Illinois
See template
See template
Section 355 Property Damage Report Form
PDF template
A form for reporting property damage incidents to local government authorities.
See template
See template
Notice Of Hearing On CollabHealth Plan Services, Inc.S Application For Approval Of Proposed Acquisit
PDF template
Official notice of a hearing regarding the proposed acquisition of SoundPath Health, Inc. by CollabHealth Plan Services, Inc.
See template
See template
Electronic Invoice Presentation On Line Payment Capabilities RFP
PDF template
Request for proposals for electronic invoice and online payment system from the City of Pawtucket Water Supply Board
See template
See template
Athletic ConsentWaiver Form
PDF template
Consent and liability waiver form for student participation in school athletic programs, acknowledging potential risks and school's limited liability.
See template
See template
Lake Charles Recreation And Parks Minor Waiver Form For Adult Sports League
PDF template
Waiver form for parents/guardians to authorize minor's participation in adult sports league and acknowledge liability risks.
See template
See template
GENERAL CONSENT TO TREAT PATIENT AUTHORIZATIONACKNOWLEDEMENT FO BENEFITS RELEASE
PDF template
Comprehensive dental patient consent form covering treatment authorization, medical information release, insurance benefits, and privacy practices acknowledgement.
See template
See template
CHG 8 Chapter 5 Real Property Acquisition
PDF template
Policies and guidance for acquiring real property for HUD-funded programs under the Uniform Relocation Assistance and Real Property Acquisition Policies Act (URA).
See template
See template
General Information For Authorization
PDF template
A form for requesting and documenting healthcare service authorization with medical and provider details.
See template
See template
Proof Of Insurance And Emergency Contact Form
PDF template
A form collecting student health insurance details and emergency contact information for record-keeping and safety purposes.
See template
See template
Notice Of Hearing
PDF template
Official notice regarding the revocation of Earl C. Dennis's Washington State insurance producer license due to alleged client misconduct.
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
Content Proposal Form
PDF template
A form for proposing educational content such as videos, webinars, courses, or eLearning programs for AIChE.
See template
See template
Procedures In Case Of Accidents On Diocesan Property
PDF template
Detailed instructions for handling and reporting accidents that occur on diocesan property, including steps for immediate response and documentation.
See template
See template
4 H 869 W Animal Lease Agreement
PDF template
A comprehensive lease agreement for temporarily transferring an animal's care and responsibility between a lessor and lessee with specific health and insurance requirements.
See template
See template
Visit Submission Form
PDF template
A form for tracking fitness center visits to earn health program rewards when online tracking is not available.
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
MetLife Enrollment Form
PDF template
Insurance enrollment form for employees to request coverage through their employer's group insurance plan.
See template
See template
PINS Transport Insurance Claim
PDF template
Insurance claim form for transport damage to products purchased from Verkkokauppa.com, covering purchases within Finland for up to 3000 euros.
See template
See template
FH Liability Insurance Form
PDF template
A form for child care providers to declare their liability insurance status for family home child care operations.
See template
See template
Form A Application For Proposed Acquisition Of Control Of Northwest Dentists Insurance Company
PDF template
Legal document detailing a Form A filing for the proposed acquisition of Northwest Dentists Insurance Company by The Dentists Insurance Company.
See template
See template
Home Inventory Form
PDF template
A form for documenting personal property details including item description, manufacturer, serial number, and current value for insurance or record-keeping purposes.
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
Claim Form
PDF template
Comprehensive form for submitting flexible spending account (FSA) and health reimbursement claims with multiple benefit code options.
See template
See template
Request For Proposal Voice Over IP Solution
PDF template
A request for proposal by Lodi Unified School District for a Voice over IP telecommunications solution.
See template
See template
Request For Proposal Onsite And Virtual IT Support Services And Resources
PDF template
Request for Proposal soliciting bids for onsite and virtual IT support services from potential vendors through electronic submission.
See template
See template
Form M Medical And Health Insurance Information And Consent For Medical Or Dental Care Of A Minor
PDF template
A medical consent and health insurance information form for minors attending ORU Early College program, authorizing emergency medical treatment.
See template
See template
Adult Athletics Waiver Softball
PDF template
Liability waiver for participants in the City of De Pere Adult Softball Leagues, acknowledging risks and releasing the city from potential claims.
See template
See template
Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims to an insurance provider, detailing member information and pharmacy details.
See template
See template
Volunteer Release Of Liability Waiver Form
PDF template
Legal document releasing liability for volunteers participating in a storm drain marking community event in Melbourne, Florida.
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
Application For Group Term Insurance
PDF template
Insurance application form for group term life insurance policy from Insular Life Assurance Company
See template
See template
HEALTH BENEFITS
PDF template
Addendum 1 for health benefits proposal with updated bidding procedures and specification access requirements.
See template
See template
Certificate Of Insurance
PDF template
A form for insurance certification for residential rental properties in the City of Oshawa, Ontario, requiring minimum $2,000,000 coverage.
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
18 Degrees Assumption Of Risk, Release And Waiver Of Liability, And Indemnity Agreement
PDF template
A legal document outlining risk assumption, liability release, and COVID-19 related precautions for participation in 18 Degrees programs and facilities.
See template
See template
American Arbitration Association Award Of Dispute Resolution Professional
PDF template
Arbitration award related to a medical necessity dispute involving an MRI claim from an auto accident
See template
See template
RFP 19 0023 WEB BASED SUBSCRIPTION SOLUTION
PDF template
Sedgwick County, Kansas is seeking proposals for a web-based subscription solution from interested firms.
See template
See template
Property And Casualty Insurance Regulations
PDF template
Regulations governing insurance rate and form submissions for property and casualty insurers in Iowa, including electronic filing requirements and hearing procedures.
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
NU SHIP Cancellation Form 2019 2020
PDF template
Form for students to terminate their university-provided health insurance coverage at Northwestern University
See template
See template
CONTRACTORS PROPOSAL FORM
PDF template
A detailed form for contractors to propose rehabilitation work on housing units, including specifications and pricing for various areas and components.
See template
See template
VEHICLE REGISTRATION FORM
PDF template
A form for reporting vehicle registration details to K&K Insurance for multiple vehicles across multiple states.
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
PROPOSAL FORMAT FOR REQUEST OF AFS RESEARCH FUNDS SPONSORING TECHNICAL COMMITTEEDIVISION FORM
PDF template
A structured form for requesting research funds from the American Foundry Society (AFS), outlining project details and research objectives.
See template
See template
Uniform Certificate Of Authority Application (UCAA) Primary Application Checklist
PDF template
A comprehensive checklist for insurers applying for a primary uniform certificate of authority, detailing required documentation and filing requirements.
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
Guide For Completing A Damage Report
PDF template
A comprehensive guide for reporting damage and filing claims under a fisheries compensation program for vessel and gear damage related to oil spills.
See template
See template
DCP DSP Grant Proposal Submission Policies
PDF template
Policies and procedures for submitting research proposals and sponsored project documents at the University of Florida through the UFIRST system.
See template
See template
Workers Compensation Payroll Audit
PDF template
Annual form for reporting employee payroll details for workers' compensation insurance purposes across different job classifications.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
A legal document releasing liability for participation in an association event or activity, protecting the organization from potential legal claims.
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
Suggested ThesisProject Proposal Form
PDF template
A form for doctoral candidates to submit their proposed thesis or project topic for review and approval by a council's Doctoral Review Team.
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
TRAVEL RISK ASSESSMENT FORM
PDF template
A comprehensive form for travelers to provide personal and medical information before international travel, assessing potential health risks.
See template
See template
SEBB Electronic Debit Service Agreement
PDF template
Form for authorizing automatic monthly payments for SEBB insurance coverage through electronic bank account deductions
See template
See template
Your LegalCare Plan University Of California Legal Expense Insurance Plan
PDF template
A comprehensive legal services insurance plan offering preventive legal services and attorney consultations for University of California members.
See template
See template
IAIABC Electronic Partnering Agreement
PDF template
A document establishing guidelines for electronic data exchange between trading partners in industrial accident claims reporting.
See template
See template
The ARAG Legal Plan
PDF template
Comprehensive legal plan booklet detailing benefits, eligibility, and services for University of California employees and retirees.
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
Livestock Risk Protection (LRP) Handbook
PDF template
Comprehensive guide for Livestock Risk Protection insurance program covering form standards, entries, and completion requirements.
See template
See template
Medical Insurance Information
PDF template
A form for collecting medical insurance details for a child's admission to Spaulding Academy & Family Services
See template
See template
Request For Proposals Unarmed Security Guard Services
PDF template
Request for proposals from firms to provide unarmed security guard services for six court facilities in Santa Barbara County, California.
See template
See template
2011 FAMILY Membership Renewal And Liability Waiver Form
PDF template
A comprehensive liability waiver for participants in off-road racing activities, assuming risks and agreeing not to sue the organization.
See template
See template
The ARAG Legal Plan
PDF template
A comprehensive legal insurance plan document detailing benefits, eligibility, and services for University of California employees and retirees.
See template
See template
Direct Reimbursement Claim Form
PDF template
A form for requesting reimbursement for vision care services from providers outside the Davis Vision network.
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
Sumo Wrestling Game Release And Waiver Form Game Rules
PDF template
A legal release and waiver form for participants in a Sumo Wrestling game event, outlining participant risks and liability conditions.
See template
See template
ATHLETICS MEDICAL RELEASE FORM
PDF template
A medical release and information form for student-athletes, authorizing medical treatment and collecting important health details.
See template
See template
Request For Certificate Of Insurance
PDF template
A form used to request an insurance certificate for a scouting activity or event with details about coverage and additional insured status.
See template
See template
Insurance Requirements For GoodsServices, BidsRequests For Proposals, AwardsContracts
PDF template
Detailed guidelines for insurance coverage requirements for contractors and awardees doing business with the City of Tampa
See template
See template
GoodLife Programs Medical Information And Liability Release Form
PDF template
A comprehensive form for participant medical information, emergency contacts, and liability release for GoodLife Programs and Activities.
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
EAP Billing Form
PDF template
Medical billing form for submitting claims to BPA Health for employee assistance program services.
See template
See template
Pre Authorized Debit Agreement
PDF template
A pre-authorized debit form for University of Victoria Graduate Students' Society health and dental insurance plan payments
See template
See template
Student Chromebook Insurance Form
PDF template
Optional repair plan for student Chromebooks at Penn-Harris-Madison School Corporation, covering up to two repairs for $25 per year.
See template
See template
Emergency Contact Form
PDF template
A form for collecting student emergency contact, medical, and insurance information for campus housing purposes.
See template
See template
Research Proposal Form
PDF template
A form for researchers to propose and document research projects at the Duke Fossil Lab with specific usage agreements and requirements.
See template
See template
VISA CHECKLIST
PDF template
Comprehensive guide for applicants seeking a visa to enter Germany, detailing required documents and application process.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
A legal document releasing FBC Russellville from liability for potential injuries or damages during an event or activity.
See template
See template
VERIFICATION OF TRUST FORM
PDF template
A comprehensive form for verifying trust details, ownership, and beneficiary information for insurance policy purposes.
See template
See template
Crystal Lake School 5th And 6th Grade ChromebookInsurance Form 2019 2020
PDF template
A form for parents to select insurance options for school-issued Chromebook devices for 5th and 6th grade students
See template
See template
Requisition Form
PDF template
Comprehensive medical form for patient demographics, insurance information, and diagnostic specimen collection details.
See template
See template
Name And Ownership Changes Request Form
PDF template
A form for requesting changes to policy ownership, contact information, and personal details for American Heritage Life Insurance Company policies.
See template
See template
Youth Sports Camps Clinics Audit Form Addition Of Camps
PDF template
Insurance form for auditing or adding youth sports camp sessions with liability and medical payment coverage options.
See template
See template
Bennett Cerf Dog Park 2019 Membership Form And Release Of Liability
PDF template
Annual membership form for Bennett Cerf Dog Park with required information about dogs and owners, including liability release.
See template
See template
USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
Medical release and consent form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
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
Summer Camp Accident Waiver And Release Of Liability Form
PDF template
A legal document outlining parent permissions, risks, and liability release for children participating in a summer camp program.
See template
See template
SPUC 2019 Annual Conference SessionTopic Proposal Form
PDF template
A form for submitting session and topic proposals for the SPUC 2019 Annual Conference.
See template
See template
Rocky Mountain Biological Laboratory Acknowledgment And Assumption Of Risks Release And Indemnity A
PDF template
Legal document outlining risks, activities, and liability release for participants in Rocky Mountain Biological Laboratory programs and research activities.
See template
See template
ATSG FitBit Activity Tracker Program Purchase Form
PDF template
Form for employees to purchase FitBit activity trackers through corporate wellness program with payroll deduction options.
See template
See template
Waukesha County Cropland Rental Proposal Form
PDF template
A form for proposing lease and rental of agricultural land parcels in Waukesha County for a four-year contract period.
See template
See template
2020 2021 Flu And Pneumo Insurance Information Form
PDF template
A form for collecting patient information and insurance details for flu and pneumococcal vaccines.
See template
See template
2020 Employee Authorization For Payroll Deduction To HSA
PDF template
Form for employees to start, change, or stop payroll deductions for Health Savings Account (HSA) contributions.
See template
See template
Seed Insurance Waiver Form
PDF template
A waiver form for seed owners to confirm they maintain their own insurance coverage for seeds stored at Ioka Farms facilities.
See template
See template
2020May Youth Participant Waiver
PDF template
Legal release of liability and assumption of risks for youth soccer program participation in British Columbia.
See template
See template
Physical Therapy Of Boulder Patient Intake Form
PDF template
Comprehensive medical intake form for physical therapy patients covering personal information, insurance details, and consent for treatment.
See template
See template
USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
Medical release and consent form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
See template
See template
USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
Medical release and emergency contact form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
See template
See template
UABHSF Office Of Risk Management User Guide
PDF template
A comprehensive guide detailing the practices, procedures, and guidelines for the UAB Office of Risk Management and Insurance.
See template
See template
SPUC 2020 Annual Conference SessionTopic Proposal Form
PDF template
A form for submitting session and speaker proposals for an annual conference by SPUC members.
See template
See template
NAFSA 2020 Annual Conference Current Topics Workshop Proposal Form
PDF template
A submission form for proposing workshops for the NAFSA 2020 Annual Conference, requiring detailed workshop and trainer information.
See template
See template
Request For Proposal 2021 04 Timekeeping System
PDF template
Request for proposals for an employee timekeeping system for Southwest Wisconsin Technical College
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
Universal Design Training RFP 2021 06
PDF template
A solicitation by Southwest Wisconsin Technical College seeking proposals for Universal Design Training services.
See template
See template
Inquiry Form For NSF Project Proposal Submission
PDF template
A form to help researchers determine the appropriate type of proposal for submitting a project to the National Science Foundation.
See template
See template
Patient Protection And Affordable Care Act Patient Protection Notice
PDF template
Federal document outlining requirements for group health plans and insurers regarding primary care provider designations for participants and children.
See template
See template
WILDERNESS ADVENTURES ACKNOWLEDGMENT AND ASSUMPTION OF RISKS RELEASE AND INDEMNITY AGREEMENT
PDF template
Legal document outlining risks, liability release, and participant agreement for Wilderness Adventures outdoor programs.
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
Brisker V. Ohio Dept. Of Ins., 2021 Ohio 3141
PDF template
Legal case involving Frederick Brisker's appeal of his insurance license revocation by the Ohio Department of Insurance.
See template
See template
Permission To Participate Medical Treatment Consent And Release, Waiver, And Indemnity Agreement
PDF template
A comprehensive form granting permission for a child to participate in church activities and providing medical treatment consent and liability release.
See template
See template
Rental Agreement Form
PDF template
A rental agreement form for ski and snowboard equipment rental at Mohawk Mountain, including personal information, equipment details, and liability waiver.
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
YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
A medical release form for youth and junior volleyball players to document health information and parental consent for participation.
See template
See template
Volunteer Excess Liability Insurance Form
PDF template
Insurance form for occasional volunteers providing liability coverage for park and community service volunteers
See template
See template
Walker Waiver Form
PDF template
Waiver form for participants in an ALS of Michigan walking event, releasing organizers from liability and granting media usage permissions.
See template
See template
AX Exhibition Proposal
PDF template
Guidelines and instructions for artists submitting exhibition proposals to AX Arts Centre for potential visual arts and fine craft exhibitions.
See template
See template
Release And Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
PDF template
Legal document releasing 3Point0 Studio T from liability for potential injuries or damages during participation in activities.
See template
See template
KEY CONTACT INFORMATION QUESTIONNAIRE
PDF template
A comprehensive form for collecting key contact details for various risk management roles within an agency
See template
See template
New York FFA Association Waiver, Release Of Liability, Consent To Medical Attention, Authorizations
PDF template
Waiver form for New York FFA Association event participation, covering liability, medical consent, and risk acknowledgment.
See template
See template
Claim Form
PDF template
A comprehensive claim form for medical reimbursement from GlobeMed Qatar/SEIB insurance network covering various healthcare services.
See template
See template
AAES Hatch Proposal Review Feedback
PDF template
A document used to provide comprehensive feedback and assessment of agricultural research project proposals for the Alabama Agricultural Experiment Station (AAES)
See template
See template
Alternate Travel Form
PDF template
A form allowing parents to authorize alternative transportation for students from school events or competitions.
See template
See template
WILDERNESS ADVENTURES ACKNOWLEDGMENT AND ASSUMPTION OF RISKS RELEASE AND INDEMNITY AGREEMENT
PDF template
Legal document outlining risks, liability release, and participant agreement for wilderness adventure activities.
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
2022 IAG AGM Resources FAQs
PDF template
Document providing resources and information for shareholders attending IAG's 2022 Annual General Meeting on 21 October 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
Marine Warranty Claim Form
PDF template
Claim form for marine equipment warranty service and reimbursement for repairs and replacements.
See template
See template
PATIENTS INTAKE FORM
PDF template
Comprehensive medical intake form for patient registration and insurance information at a podiatry medical practice.
See template
See template
RENTAL AGREEMENT 2022
PDF template
Comprehensive rental policies and requirements for booking event spaces at the Mahogany Beach Club, detailing deposit, cancellation, and facility usage terms.
See template
See template
IMPACT GRANT APPLICATION FORM
PDF template
A comprehensive form for submitting grant proposals at Ridge Meadows Hospital with detailed sections for applicant information, project summary, and departmental approvals.
See template
See template
Medical Release Form
PDF template
Medical consent and emergency contact form for minors attending music camp programs at Sam Houston State University
See template
See template
Garden Grove Teen Action Collaborative ApplicantS Information
PDF template
Consent and liability waiver form for participants in Garden Grove recreational programs and activities, specifically targeting teens.
See template
See template
USI Vehicle Accident Reporting Form
PDF template
A comprehensive form for documenting details of a vehicle accident involving USI employees or vehicles.
See template
See template
Chromebook Insurance
PDF template
Insurance policy for Chromebook devices issued to students in grades 5-12, covering accidental damage and device protection.
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
Cooma Show 2023 Ground Space Booking Form
PDF template
A booking form for vendors and stallholders wanting to secure a site at the 2023 Cooma Show with specific terms and conditions.
See template
See template
AgentAgency Agreement
PDF template
A legal agreement defining the terms of engagement between DENCAP Dental Plans and an independent insurance agent for soliciting dental service agreements.
See template
See template
DNRC General Clauses To Emergency Equipment Rental Agreement
PDF template
A rental agreement for emergency equipment with specific terms and conditions for equipment usage during incidents.
See template
See template
DNRC General Clauses To Emergency Equipment Rental Agreement
PDF template
Standard rental agreement for emergency equipment with detailed clauses covering equipment requirements, liability, and operational conditions.
See template
See template
Facility Use And Indemnification Agreement Between The City Of Othello And The Greater Othello Chamb
PDF template
Agreement for the Greater Othello Chamber of Commerce to use city parks for the 4th of July Celebration event, including facility use terms and insurance requirements.
See template
See template
Flexible Spending Account Reimbursement Form
PDF template
A form for submitting out-of-pocket healthcare expenses for reimbursement through a Flexible Spending Account (FSA)
See template
See template
Student Medical Information
PDF template
A comprehensive medical form for collecting student health details, emergency contacts, and insurance information for educational program participation.
See template
See template
YWCA High Point Membership Form
PDF template
Membership registration form for YWCA High Point that includes liability release, photo release, and membership terms.
See template
See template
Brother Joseph Miggins Service Program Proposal Form
PDF template
A student proposal form for documenting community service project details and intended service activities.
See template
See template
Undergraduate Honors Thesis Proposal Form
PDF template
A form for undergraduate students to propose and get approval for an honors thesis in music at Harvard University.
See template
See template
Instructions For Preparing A Proposal Of Strategic Basic Research Programs ACT X
PDF template
Guidelines for submitting research proposals for Strategic Basic Research Programs in fiscal year 2023, with detailed submission instructions and requirements.
See template
See template
FORM XI INSURANCE FORM
PDF template
Official insurance form for filing a death claim with details of the deceased, insurance policy, and compensation calculation.
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
Pre Authorization Request Form
PDF template
A form for healthcare providers to request pre-authorization for medical services from UHSM with detailed documentation requirements.
See template
See template
Insurance Renewal Memo
PDF template
Memo discussing the option to waive statutory tort limits and purchase excess liability insurance for the City of Sunfish Lake.
See template
See template
Property Damage Personal Injury Claim Form (Other Than Vehicle)
PDF template
A municipal claim form for reporting property damage or personal injury within the Town of Innisfil's jurisdiction, excluding vehicle-related incidents.
See template
See template
LIC Operations Committee Meeting
PDF template
Two-day conference hosted by Baltimore Life focusing on operational innovation and strategic improvement in the insurance industry.
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
Garden Grove Teen Action Collaborative ApplicantS Information
PDF template
Waiver and consent form for participating in City of Garden Grove recreation programs, events, or activities for teens.
See template
See template
Group Medical Plan Waiver Form
PDF template
A form for employees to waive medical plan coverage by certifying alternative health insurance coverage and understanding ACA requirements.
See template
See template
TASBO Membership And Professional Liability Insurance Form
PDF template
Membership registration form for Texas Association of School Business Officials with optional professional liability insurance coverage
See template
See template
Preliminary Accident Report
PDF template
A comprehensive form documenting details of a vehicle accident, including driver, vehicle, and third-party information for insurance and risk management purposes.
See template
See template
Cooma Show 2024 Ground Space Booking Form
PDF template
Booking form for stallholders and vendors to reserve space at the 2024 Cooma Show with detailed terms and conditions.
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
Patient Demographic Form
PDF template
A comprehensive form for collecting patient personal, contact, and insurance information for medical services.
See template
See template
Informed Consent, Voluntary Waiver, Release Of Liability Assumption Of Risks Form
PDF template
Legal consent form for parents/guardians to authorize children's participation in summer youth programs at Clark State College, acknowledging risks and liability waivers.
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
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
2024 HIGH PERFORMANCE PLAYER WAIVER FORM
PDF template
Waiver and registration form for participants in athletic club activities, covering personal and emergency information along with liability release.
See template
See template
Eugene Metro Futbol Club Medical Release Release Of Liability Form
PDF template
Medical and liability consent form for youth soccer player registration and participation in soccer programs.
See template
See template
2024 Direct Member Reimbursement Request Form
PDF template
A form for Medicare plan members to request reimbursement for dental, eyewear, and hearing aid services.
See template
See template
BOAT NUMBER ACCIDENT WAIVER AND RELEASE OF LIABILITY
PDF template
Legal waiver for participants in the Missouri American Water MR340 river race, acknowledging significant physical risks and releasing event organizers from liability.
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
Group Medicare Enrollment Form Kaiser Permanente Medicare AdvantageSenior Advantage (HMO)
PDF template
Enrollment form for individuals seeking to join Kaiser Permanente's Medicare Advantage/Senior Advantage health plan through a group plan.
See template
See template
20232024 Season
PDF template
Registration and medical information form for volleyball team participants, including contact details, medical history, and insurance information
See template
See template
Stone X Spade, Inc. Blanket Rental Agreement
PDF template
Comprehensive rental agreement for equipment rental services with detailed payment, insurance, and service terms.
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
Credentials Check List For Tournament Teams
PDF template
Detailed guidelines for tournament team documentation and eligibility verification for Dixie Boys Baseball (DBB) tournaments.
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
Provincial Winter Fair Release Of Liability Acknowledgement Of Risk
PDF template
Legal document releasing liability for participants in provincial fair activities involving livestock and events
See template
See template
FY2024 Instructions For Preparing A Proposal Of Strategic Basic Research Programs ACT X
PDF template
Guidelines for submitting research proposals for the FY2024 Strategic Basic Research Programs, providing detailed submission requirements and instructions.
See template
See template
2025 Provider Referral Form
PDF template
A medical referral form for patients seeking enrollment in weight management or diabetes management programs through the Florida Department of Management Services.
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
FORM A PROPOSAL FORM
PDF template
A form for students to submit their honors thesis proposal and indicate graduation details for the Fulbright College Honors Program.
See template
See template
Group AdministratorS Member Transactions
PDF template
Form for group administrators to manage member insurance coverage changes, cancellations, and reinstatements
See template
See template
2045 LRTP Candidate Project Form
PDF template
A comprehensive form for submitting and documenting potential transportation infrastructure projects for long-range transportation planning.
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
SoonerCareInsure Oklahoma Referral Form
PDF template
A referral form for healthcare providers to refer patients for medical services within the SoonerCare/Insure Oklahoma program.
See template
See template
Road Service Reimbursement Request
PDF template
Form for AAA members to request reimbursement for roadside assistance services in specific states and territories.
See template
See template
Property Loss And Damage Report Form
PDF template
A document for reporting property loss and damage incidents, used for documenting financial transactions and potential insurance claims.
See template
See template
Form 216 F Health Carrier External Review Annual Report Form
PDF template
Annual reporting form for health carriers to provide aggregate information about external review requests in Virginia
See template
See template
RFP 22 0022 Transportation Program Services For Aging (SCDOA)
PDF template
Sedgwick County is seeking firms to provide contractual transportation rides for the Department on Aging through a competitive proposal process.
See template
See template
RFP 22 0056 Transportation Program Services For Aging (SCDOA)
PDF template
Sedgwick County is seeking a firm to provide contractual transportation rides for the Department on Aging.
See template
See template
Request For Proposals (RFP) 22 103 Contract Lifecycle Management System
PDF template
Request for proposals for a contract lifecycle management software system to improve contract management processes at Mississippi State University.
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
Participant Liability Release And Waiver Form
PDF template
A comprehensive liability release form for participants in cheer and dance events organized by Varsity Spirit LLC.
See template
See template
USA Volleyball Incident Report Form
PDF template
Comprehensive form for documenting injuries or property damage during USA Volleyball events
See template
See template
USA Volleyball Incident Report Form
PDF template
Official form for documenting injuries or property damage incidents during USA Volleyball events
See template
See template
Final Expense Frequently Asked Questions
PDF template
Comprehensive guide detailing payment methods, billing options, and administrative procedures for final expense insurance policies.
See template
See template
Hanford Employee Welfare Trust Short And Long Term Disability Plan And Disability Equalizer Benefit
PDF template
Summary plan description detailing short and long term disability benefits for Hanford employees
See template
See template
Claim Form
PDF template
Official form for submitting property damage or injury claims to the City of Mobile municipal government
See template
See template
Request For Proposal Package
PDF template
Guidelines and instructions for submitting a proposal to the Rhode Island Public Transit Authority for insurance broker services.
See template
See template
Wisconsin Youth Soccer Association Event Medical Release Form
PDF template
Medical and liability release form for youth soccer participants, covering medical consent and injury acknowledgment.
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
Technical Assistance Center (TAC) Cost Proposal RFP 24 017a
PDF template
A detailed budget proposal template for a technical assistance center project, outlining costs for salaries, services, supplies, travel, and employee benefits.
See template
See template
Group Whole Life Enrollment Forms And Statement Of Insurability Forms
PDF template
Regulatory standards for enrollment forms related to group whole life insurance policies, defining requirements for form submission and usage.
See template
See template
Public Official Bond Surety Application And Indemnity Agreement
PDF template
A surety application and indemnity agreement for public officials seeking bond coverage through a municipal insurance fund.
See template
See template
Emergency Contact Form
PDF template
A comprehensive emergency contact and medical information form for high school band and dance students in Fort Bend Independent School District.
See template
See template
Request For Certificate Of Insurance
PDF template
A form used to request a certificate of insurance from Purdue University's Risk Management department.
See template
See template
Certificate Of Compliance Workers Compensation Law
PDF template
A form documenting workers' compensation insurance compliance for Minnesota State Fair licensees, required by state law.
See template
See template
Personal Property Inventory Form
PDF template
Insurance claim form for documenting personal property damage and losses with comprehensive item tracking details.
See template
See template
Registration For Risk Purchasing Group (RPG)
PDF template
Official form for registering a risk purchasing group to conduct insurance activities in Wisconsin, as required by state statute.
See template
See template
Club Sport Waiver 2024 2025
PDF template
Legal waiver for Villanova University students participating in club sports during the 2024-2025 academic year, acknowledging potential risks and releasing the university from liability.
See template
See template
Town Of Hurley Requirements For Building Permit
PDF template
Comprehensive guide detailing documentation and requirements for obtaining a building permit in the Town of Hurley, New York.
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
UC ANR Waiver
PDF template
A legal waiver for participants attending the 2018 Western Region Leaders Forum events, releasing the University of California from liability for activities and potential risks.
See template
See template
Southern Michigan Insurance Company V State Farm Insurance Company
PDF template
A court of appeals case involving automobile no-fault insurance coverage and personal injury protection benefits for a spouse during ongoing divorce proceedings.
See template
See template
Non UH Event Or Activity Participant Consent, Waiver, Release And Indemnity Agreement
PDF template
Legal document outlining participant consent, risk acknowledgment, and liability release for non-University of Hawaii events or activities.
See template
See template
Participant Consent, Waiver, Release And Indemnity Agreement Non UH Event Or Activity
PDF template
A legal consent and release form for participants in non-University of Hawaii events, outlining health representations, risk assumptions, and liability waivers.
See template
See template
Claim Process For Swasthya Ratna Policy
PDF template
Detailed guide explaining cashless and reimbursement claim processes for insurance policy, covering planned and emergency hospitalizations.
See template
See template
CLAIM FORM FOR HEALTH DEPENDENT CARE EXPENSES
PDF template
A form for employees to request reimbursement for health and dependent care expenses through their Flexible Spending Account (FSA)
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
Loss Claim Form
PDF template
A guide for fish harvesters and processors to claim compensation for gear, vessel damage, or oil spills related to the Hibernia project.
See template
See template
Personal Automobile Rate And Rule Manual And Underwriting And Procedures Manual
PDF template
Comprehensive manual for personal automobile insurance rates, rules, underwriting guidelines, and procedures for Capitol Insurance Company.
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
PIP Checklist
PDF template
A comprehensive checklist for healthcare providers to ensure complete documentation and submission of required forms for personal injury protection insurance claims.
See template
See template
Senate Bill No. 320
PDF template
New Jersey legislative bill that restricts and regulates access to motor vehicle accident reports for specific parties.
See template
See template
Pension Application Form
PDF template
Comprehensive application form for pension insurance covering employer and employee details for individual or group policies.
See template
See template
Budget Form 1 Guidelines For Preparation Of Budget Forms
PDF template
Comprehensive instructions for preparing budget forms for a grant proposal, detailing required documentation and form completion process.
See template
See template
SOLICITATION NUMBER 363787 Staff Aug Shift Manager To Support ETF
PDF template
Request for proposal from Washington River Protection Solutions, LLC for a full-time Shift Manager position in support of the U.S. Department of Energy's Office of River Protection.
See template
See template
Administrative Procedure 3810 Claims Against The District
PDF template
Outlines the MiraCosta Community College District's responsibilities and procedures for handling claims involving injuries, property damage, and liability.
See template
See template
Medco Health Prescription Order Form
PDF template
A form for ordering prescription medications through Medco Health, with options for refills, new prescriptions, and payment methods.
See template
See template
ATHLETIC INSURANCE CERTIFICATION FORM
PDF template
A form certifying student insurance coverage for athletic participation at Gateway Middle School
See template
See template
Volunteer Coaching Release Of Liability
PDF template
Legal document releasing the university from liability for risks associated with volunteer coaching activities.
See template
See template
Legal Forms Of Business Organisations An Overview
PDF template
A comprehensive overview of different legal business forms and key considerations for selecting a business structure.
See template
See template
HUD Handbook 4240.4 REV 2
PDF template
Guidelines for HUD mortgage endorsement process, focusing on rehabilitation loan procedures and insurance requirements.
See template
See template
Electronic Debit Service Agreement
PDF template
Agreement for automatic monthly payments from a bank account for PEBB insurance coverage.
See template
See template
Phase II Energy Solutions RFP 2016 43
PDF template
A request for proposal by the University of Maine System for energy solutions, seeking competitive bids for a Phase II project.
See template
See template
NY Medicaid Provider Enrollment Form For Practitioners
PDF template
A form for healthcare providers to enroll in the New York State Medicaid Program, detailing privacy requirements and enrollment process.
See template
See template
New York State Medicaid Enrollment Form
PDF template
Form for healthcare practitioners to enroll as Medicaid providers in New York State, covering ordering, referring, and managed care network providers.
See template
See template
Medicare Reimbursement Account (MRA) Claim Form Instructions
PDF template
Detailed instructions for submitting Medicare Part B premium reimbursement claims through a Medicare Reimbursement Account.
See template
See template
Broker Agreement
PDF template
Document detailing requirements for brokers to initiate appointment process with AmWINS Program Underwriters
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
American Culinary Federation Salon Competition Agreement Form
PDF template
Legal agreement for culinary competition participants outlining competition rules, liability release, and media usage permissions.
See template
See template
Chapter 6 Final Endorsement
PDF template
Detailed guidelines for final endorsement procedures for mortgage insurance transactions involving construction loans.
See template
See template
HUD Handbook 4700.1 REV 1
PDF template
HUD handbook providing guidelines for lending institutions on credit application, investigation, and approval processes for insurance-backed loans.
See template
See template
Request For Proposal For Third Party Administrator For Self Insured Workers Compensation And Employe
PDF template
Request for proposal document for selecting a third-party administrator for workers' compensation and employers' liability insurance coverage for Boone County, Missouri.
See template
See template
Incident Or Injury ReportingInsurance
PDF template
A comprehensive procedure for reporting and documenting incidents, injuries, and equipment damage at Piedmont Technical College.
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
Product Standards For Service Contracts
PDF template
Regulatory guidelines for service contract providers in Oregon, defining filing requirements and contract standards for service agreements.
See template
See template
Shareholders Agreement Western Professional Insurance Company
PDF template
A legal agreement defining the terms of share ownership, board composition, and share transfer restrictions among insurance company shareholders.
See template
See template
Out Of Network Reimbursement Form
PDF template
A form for employees to submit out-of-network healthcare service reimbursement claims with detailed patient and service information.
See template
See template
NC Medicaid Enrollment Form
PDF template
Form for choosing or changing Medicaid health plans and primary care providers in North Carolina.
See template
See template
DEALERS OPEN LOT GARAGE KEEPERS LEGAL LIABILITY PROPOSAL FORM
PDF template
Insurance proposal form for automotive dealers, parking lots, and related businesses seeking garage keepers legal liability and dealers open lot coverage.
See template
See template
Georgia 4 H Participation Agreement And Waiver Form
PDF template
A legal waiver for participants in Georgia 4-H virtual programs, covering liability and consent for program participation.
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
M TIBA OUTPATIENT CLAIM AND PRE AUTHORIZATION FORM
PDF template
A comprehensive healthcare claim form for submitting outpatient medical treatment details and seeking pre-authorization for medical services.
See template
See template
Virginia Service Request Form
PDF template
Official form for insurance agents to request name changes, license updates, and address modifications in Virginia.
See template
See template
CMS 1500 Claim FormAmerican National Standards Institute (ANSI) Crosswalk For PaperElectronic Claims
PDF template
A comprehensive guide explaining how to file Medicare claims electronically or via paper form, detailing the correspondence between paper and electronic claim elements.
See template
See template
Weekly Disability Claim Form
PDF template
A comprehensive form for reporting disability status and medical information for the Greater St. Louis Construction Laborers' Welfare Fund.
See template
See template
INSURANCE COMPLAINT FORM
PDF template
Official form for consumers to file insurance-related complaints with the Office of the Commissioner of Insurance in Wisconsin.
See template
See template
Sample Letter For Insurance Claim Property Damage
PDF template
A template document for filing insurance claims related to property damage, covering motor vehicle and other property damage scenarios.
See template
See template
Direct Deposit Authorization Form
PDF template
Form for authorizing direct deposit of flexible spending account (FSA) or health reimbursement account (HRA) reimbursements.
See template
See template
MERIT BADGE PROPOSAL
PDF template
A document outlining the process and considerations for proposing new merit badges within the Scouts BSA organization.
See template
See template
Disability Claim Application Forms
PDF template
Comprehensive documentation requirements for submitting a disability insurance claim with multiple form and document submission instructions.
See template
See template
Appellate Division Court Document Daniel F. Imrie II V. Andrew R. Ratto Et Al.
PDF template
A court document detailing appeals from judgments and orders in a legal case involving multiple parties and insurance claims.
See template
See template
Fitness Reimbursement Request
PDF template
Form for members to request reimbursement for qualified fitness expenses through Blue Cross Blue Shield of Massachusetts.
See template
See template
Blue MedicareRx (PDP) 2024 ENROLLMENT FORM
PDF template
Enrollment form for Medicare beneficiaries who want to join a Medicare Prescription Drug Plan in Connecticut, Massachusetts, Rhode Island, and Vermont.
See template
See template
PROOF OF CLAIM FORM
PDF template
A claim form for potential claimants of a company being liquidated by the Florida Department of Financial Services as Receiver.
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
Cancellation Form
PDF template
A form for customers to request cancellation of various vehicle-related protection and service contracts with detailed submission instructions.
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
Proof Of Death ClaimantS Statement
PDF template
Insurance claim form for reporting and documenting the death of a policyholder, used to initiate a life insurance death benefit claim.
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
Interactive Registration For Policyholders
PDF template
A confidentiality agreement and registration form for accessing LWCC's online policy and claims information system for policyholders.
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
Citizens 4 Point Inspection Form
PDF template
A comprehensive inspection form for evaluating property risks and eligibility for insurance purposes, with updated requirements for inspectors.
See template
See template
Certificate Of Liability Insurance Form Florida
PDF template
A comprehensive overview of ACORD insurance certificates, explaining their purpose and importance for business risk management.
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
Incident Reporting Tool
PDF template
Comprehensive form for documenting incidents, injuries, and accidents within BSA programs and activities
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
Allegany College Of Maryland Athletics Emergency ContactInsurance Form
PDF template
Form for collecting athletic student emergency contact details and health insurance information at Allegany College of Maryland.
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
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
REQUEST FOR PROPOSAL Juvenile Justice Information System
PDF template
Request for proposal by Arkansas Department of Human Services for a Juvenile Justice Information System procurement solicitation.
See template
See template
Administrative Rule 722.1 Accident Reporting Procedures And Guidelines
PDF template
Guidelines for reporting and documenting student and staff accidents within a school district, including filing procedures and documentation distribution.
See template
See template
Workers Compensation Third Party Administrators (TPA) Licensing Packet
PDF template
Licensing documentation for third party administrators handling workers' compensation self-insurance for employers and pools in Tennessee.
See template
See template
Senate Bill No. 768
PDF template
Legislation modifying access rules for motor vehicle accident reports in New Jersey
See template
See template
Notice Of Injury Or Occupational Disease
PDF template
A form used to report workplace injuries or occupational diseases in Nevada, documenting details of the incident and potential worker's compensation claim.
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
Court Of Appeals Of Washington Opinion Clement Freeman V. Seneca Ventures, Et Al.
PDF template
Legal opinion regarding investment securities litigation involving hotel venture investments and alleged securities law violations.
See template
See template
Express Scripts PharmacySM Home Delivery Form
PDF template
A form for submitting prescription medication orders through Express Scripts' home delivery pharmacy service, including member and patient information, payment options, and shipping details.
See template
See template
HSMV 83392 Insurance Request Form
PDF template
Form for requesting insurance information on a vehicle involved in a crash in Florida, used by individuals or attorneys.
See template
See template
Questions And Answers From Early Intervention Insurance Assessment Webinar
PDF template
A comprehensive document addressing questions about insurance processes in early intervention services and related forms.
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
Proof Of Claim Form
PDF template
A form for filing claims against Freestone Insurance Company, which is in liquidation, with a deadline of December 31, 2015.
See template
See template
Community Use Of School District Buildings Sites Equipment Facility Request And Agreement Form
PDF template
A form for requesting use of school district facilities and equipment, with liability and insurance requirements.
See template
See template
Refund Request Section 232
PDF template
A U.S. Department of Housing and Urban Development form for requesting refunds related to Section 232 Healthcare Facility Insurance Program.
See template
See template
Conditional Commitment Direct Endorsement Statement Of Appraised Value
PDF template
Official HUD document outlining conditions and terms for mortgage insurance and property commitment
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
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
REQUEST FOR PROPOSAL FOR HOSTED WATER UTILITY BILLING PAYMENT IVR SYSTEM
PDF template
Request for proposal by City of Antioch for a hosted interactive voice response system for utility billing payments.
See template
See template
Eyer Ropes Challenge Course Release Of Liability, Waiver Of Claims, Assumption Of Risk And Indemnity
PDF template
Legal document releasing liability for participation in high-risk recreational activities at Eyer Ropes Challenge Course.
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
Waiver Of Liability Hold Harmless Agreement
PDF template
Legal document releasing Sam Houston State University from liability for risks associated with study abroad program participation.
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
Insurance Office Quick Reference Guide 2017
PDF template
Comprehensive reference for filing insurance claims, emergency contacts, and reporting procedures for various types of incidents.
See template
See template
AZA Standardized Research Application Form
PDF template
A comprehensive form for facilitating research proposal submissions by AZA accredited zoos and aquariums, designed to streamline the application and review process.
See template
See template
Accident Report Form
PDF template
A comprehensive form for documenting details of a traffic accident, designed for drivers to record witness information and accident circumstances.
See template
See template
Damage Report Form
PDF template
Form for reporting vehicle damage during AAA service, requiring detailed documentation and supporting evidence.
See template
See template
Damage Report Form
PDF template
A comprehensive form for reporting vehicle damage during AAA automotive services, requiring detailed incident documentation.
See template
See template
Booking Form For Tours Cruises
PDF template
A comprehensive booking form for travel tours and cruises, capturing personal details, trip preferences, and payment information.
See template
See template
Request For Proposal For An ISUOG Learning Management System (LMS)
PDF template
A request for proposals to develop a comprehensive Learning Management System for the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG)
See template
See template
Course Proposal Form Instructions
PDF template
Comprehensive instructions for submitting new or revised course proposals to the Academic Affairs Committee at an educational institution.
See template
See template
AASB Resolution Submission Form
PDF template
A form for submitting new resolutions, amendments, or comments to an organizational body.
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
RENTAL AGREEMENT FOR USE OF SCHOOL DISTRICT EQUIPMENT
PDF template
A rental form for borrowing equipment from the Dickinson Public School District with terms of use and liability provisions
See template
See template
AIChE BEER BREWING COMPETITION WAIVER AND RELEASE OF LIABILITY FORM
PDF template
Legal waiver for participants in an AIChE beer brewing competition, releasing the organization from potential liability and risks associated with the event.
See template
See template
Clark Atlanta University Academic Program Proposal Guidelines
PDF template
Guidelines for proposing and approving new and revised academic programs at Clark Atlanta University with detailed review and routing protocols.
See template
See template
Treatment Service Request Form
PDF template
A form for healthcare providers to request and authorize prescription of Nuplazid medication, including patient and insurance information.
See template
See template
Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare services.
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
NNSA Facility Access Identification Requirements
PDF template
Detailed document outlining acceptable forms of personal identification for accessing NNSA facilities for U.S. citizens.
See template
See template
Research Proposal Form (For Projects Using CentRIC Datasets)
PDF template
A proposal form for researchers seeking to use datasets from the Centre for Psychosocial Research in Cancer (CentRIC+)
See template
See template
Preliminary Research Proposal Form (For Projects Using CentRIC Datasets)
PDF template
A form for researchers to submit preliminary research proposals using datasets from the Centre for Psychosocial Research in Cancer.
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
Accidental Injury Claim Form
PDF template
Insurance claim form for documenting details of an accidental injury and related medical information for potential insurance coverage.
See template
See template
Vehicle CrashDamage Notice
PDF template
Official form for reporting vehicle accidents, damage, or crashes involving state-owned or managed vehicles in Minnesota.
See template
See template
Auto Accident Report Form
PDF template
Comprehensive form for documenting details of an auto accident, including vehicle, driver, and damage information
See template
See template
NORTHWESTERN UNIVERSITY ACCIDENT REPORT FORM
PDF template
A form for documenting accidents involving university vehicles, detailing damage, driver information, and incident specifics.
See template
See template
ACCIDENT REPORT FORM
PDF template
A document used to record details of an accident, including parties involved, location, circumstances, and witnesses.
See template
See template
Maritime General Insurance Co. Ltd. Claim Form
PDF template
Comprehensive insurance claim document for documenting vehicle and driver details in case of an insurance claim or occurrence.
See template
See template
Accident Report Form
PDF template
A bilingual form for documenting details of an accident, including location, date, injured person's information, and incident specifics.
See template
See template
DRIVERS ACCIDENT REPORT
PDF template
Official form for documenting details of a vehicle accident involving county personnel, to be completed at the accident scene and submitted to supervisor.
See template
See template
Accident Report
PDF template
Detailed form for documenting accidents, injuries, or damages during Adirondack Mountain Club activities or premises.
See template
See template
ACCIDENT REPORT FORM U3A
PDF template
A form used to document details of an accident, including parties involved, location, circumstances, and injuries.
See template
See template
Rideshare AccidentDamage Report Form
PDF template
A comprehensive form for documenting details of an accident or damage involving a rideshare vehicle and other parties.
See template
See template
STATE OF CALIFORNIA ACCIDENT REPORT
PDF template
Official confidential document for reporting non-motor vehicle accidents and potential legal claims involving state entities.
See template
See template
GoTriangle Vanpool Accident Report Form
PDF template
A comprehensive form for documenting details of an accident involving a GoTriangle vanpool vehicle, including driver and insurance information.
See template
See template
City Of Kirkland Accident Report Form
PDF template
A comprehensive form for reporting workplace accidents, injuries, and potential liability claims for City of Kirkland employees.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
A legal document that releases event organizers from liability and outlines participant responsibilities for various activities.
See template
See template
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
PDF template
A legal document that releases event organizers from liability and assumes personal risk for participation in an activity.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
Legal document releasing event organizers from liability for potential injuries or damages during the White River Dragon Boat Race and Festival.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
Legal document waiving liability for participants in indoor baseball training activities, releasing the organization from potential injury or damage claims.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
A legal document releasing the Lupus Foundation of America and event venue from liability for participation in an outdoor movie event.
See template
See template
BOROUGH OF OAKLAND ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
PDF template
A legal document that releases the Borough of Oakland from liability for potential injuries or damages during an event or activity.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
Legal document releasing Lincoln Academy from liability for potential risks and injuries during summer camp participation.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
Legal document releasing event organizers from liability for potential injuries or damages during participant's event involvement.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
Legal document outlining risk acknowledgment and liability release for participation in Swerve Robotics activities and workshops.
See template
See template
Release And Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
PDF template
A legal document releasing Shiloh Christian School from liability for potential injuries or damages during school activities.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
A comprehensive legal form releasing liability for various activities and events, covering potential risks and participant responsibilities.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
A comprehensive liability waiver for parents allowing children to participate in summer art sessions with acknowledgment of potential risks and medical authorization.
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
Insurance Certificate Issuer Contractors
PDF template
Instructions for insurance certificate issuers on how to complete and submit insurance certificates for University of Nebraska contractors.
See template
See template
CLAIM FORM
PDF template
A comprehensive insurance claim form for collecting detailed policyholder and incident information for processing an insurance claim.
See template
See template
Acknowledgement Of Risk And Waiver Of Liability
PDF template
A comprehensive guide for campus departments on using risk and liability waivers for various activities involving physical activity, travel, or minors.
See template
See template
Activity Participation Waiver
PDF template
A legal document that outlines participant risks and releases the organization from liability during an activity
See template
See template
Acknowledgment Of Risk And Consent Form
PDF template
Legal document for voluntarily participating in a college activity with acknowledgment of potential risks and liability waiver.
See template
See template
ACORD 66 MA
PDF template
Insurance application form for property coverage with detailed submission instructions and legal notices.
See template
See template
ACORD 126
PDF template
Insurance form for capturing details about employee benefits liability coverage and business insurance details.
See template
See template
ACORD 131
PDF template
Standard insurance policy application form for capturing liability and policy details across multiple insurance categories.
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
Certificates Of Insurance And Lenders
PDF template
Analysis of changes to ACORD insurance certificate forms and their impact on Freddie Mac and lenders' acceptance policies.
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 855 NY Construction Certificate Addendum
PDF template
Detailed addendum summarizing insurance policy provisions for construction-related general liability coverage
See template
See template
Acord Lost Policy Release Form
PDF template
A form for releasing or managing insurance policy documentation when original policy documents are missing or need to be replaced.
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
Quick Reference Guide MedicalBehavioral Health Providers
PDF template
A comprehensive guide for medical and behavioral health providers on claims submission, pre-authorization, and service procedures for Amida Care health plan.
See template
See template
PARENTSTUDENT PHYSICAL ACTIVITY WAIVER FORM
PDF template
A comprehensive waiver form for students participating in physical activities at Christendom College, outlining potential risks and legal protections.
See template
See template
Activity Participation Medical Release Form
PDF template
A comprehensive liability release form for participants in activities at Pacific Lutheran University that outlines potential risks and participant agreements.
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
ACTIVITYPROGRAM RELEASE And WAIVER FORM
PDF template
A legal document for releasing liability and obtaining consent for participation in organizational activities or programs.
See template
See template
Activity Waiver Form (Release, Waiver And Covenant Not To Sue)
PDF template
A legal document that releases Cape Fear Community College from liability for risks associated with participating in an activity or event.
See template
See template
Naugatuck Valley Activity Waiver Form
PDF template
A comprehensive waiver form for students participating in college-sponsored activities, covering transportation, emergency contacts, and liability release.
See template
See template
REQUEST FOR PROPOSAL FOR THE APPOINTMENT OF DIGITAL MAGAZINE PUBLISHING AGENCY AT INSTITUTE OF ACTUA
PDF template
Request for Proposal document for selecting a digital magazine publishing agency for the Institute of Actuaries of India.
See template
See template
Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, contact, medical, and insurance information for chiropractic services.
See template
See template
Acute Inpatient Hospital Assessment Form
PDF template
Form for requesting authorization for hospital admissions and stay extensions for Blue Cross and Blue Care Network commercial plans
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
Pre Authorization Form Instructions
PDF template
Detailed instructions for completing a medical pre-authorization request form, including required documentation and submission process.
See template
See template
REQUEST FOR PROPOSALS Interactive Voice Response System
PDF template
A request for proposals for an Interactive Voice Response (IVR) system for the Duluth Transit Authority with updated proposal submission details.
See template
See template
REQUEST FOR PROPOSALS Supply And Install Telecommunications System
PDF template
Request for proposals for a telecommunications system procurement with potential cloud-based or on-premises solution for Duluth Transit Authority.
See template
See template
PWC 2122051 Request For Proposals Demand Response Aggregation And Implementation
PDF template
Official addendum modifying specifications and proposal documents for a public works commission request for proposals on demand response services.
See template
See template
Addendum No. 4 To The Payroll Banking And Related Services RFP
PDF template
Formal addendum extending proposal deadline and providing additional documents for a payroll banking services RFP for the City of New York.
See template
See template
Indemnification Agreements And Additional Insureds Under Pennsylvania Law
PDF template
A comprehensive legal document examining indemnification agreements, insurance procurement, and additional insured provisions under Pennsylvania law.
See template
See template
Request For Proposals National Mortgage Settlement Funds
PDF template
Detailed budget proposal form for applicants seeking funds from the National Mortgage Settlement program, requiring comprehensive financial documentation.
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
MS Culminating Project Proposal Form
PDF template
Form for Master's students to propose their final statistical research project in the Ad Hoc MS in Applied Statistics program.
See template
See template
Accident Report
PDF template
Official form for documenting accidents and injuries associated with Adirondack Mountain Club activities or premises.
See template
See template
Security Incident Report And Self Insurance Form
PDF template
A comprehensive form for reporting and documenting security incidents in Prince George's County Public Schools.
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
New Mexico 4 H Adult Medical And Liability Release Code Of Conduct Contract And Media Release Form
PDF template
A comprehensive form for 4-H adult volunteers covering medical information, liability release, code of conduct, and participation guidelines.
See template
See template
Emergency Medical Form ADULT
PDF template
Comprehensive medical authorization and emergency contact form for adult participants in MUMC trips.
See template
See template
Adult Confidential Medical Information And Emergency Notification Form
PDF template
Comprehensive medical information and emergency contact form for participants in the 2007 Big Sky Regional Science Bowl
See template
See template
Adult Medical Release Form
PDF template
Medical and liability release form for participants in Diocese of Little Rock youth ministry events
See template
See template
Adult Registration Form
PDF template
Comprehensive form for collecting patient personal and insurance information for healthcare purposes.
See template
See template
NDA Adult Volunteer Registration And Waiver Form
PDF template
A legal waiver form for adult volunteers participating in a neighborhood district association event, releasing the organization from liability.
See template
See template
Provider Appeal Request
PDF template
A form for healthcare providers to submit appeals for denied claims or authorizations with Advanced Health.
See template
See template
Provider Appeal Request
PDF template
A form for healthcare providers to request an appeal of a denied claim or authorization with Advanced Health.
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
Advantage Plus Enrollment Form
PDF template
Enrollment form for Kaiser Permanente Medicare Advantage optional supplemental benefits package in the Mid-Atlantic States Region.
See template
See template
Family Leader Evaluation Form
PDF template
A survey form for evaluating the grant proposal review process and providing feedback on scientific proposals.
See template
See template
AEP 4910 Independent Study For Honors Research Proposal
PDF template
A form for students in Applied and Engineering Physics to propose an independent research or honors thesis project.
See template
See template
Commercial Prescription Drug Claim Form
PDF template
A form for submitting prescription drug claims to Aetna Pharmacy Management for reimbursement or processing.
See template
See template
Prescription Drug Claim Form
PDF template
A comprehensive form for submitting prescription drug claims to Aetna Pharmacy Management for reimbursement or processing.
See template
See template
AETNA STUDENT HEALTH CLAIM FORM
PDF template
Insurance claim form for Aetna Student Health covering medical and accident-related expenses for university students.
See template
See template
Covenant Not To Sue And Indemnity Agreement
PDF template
Legal document waiving liability and assuming risk for participation in Aero Club flying activities.
See template
See template
Affidavit Of Domestic Partner Status And Tax Dependency Status
PDF template
A form for employees to declare domestic partner and dependent status for health and welfare benefits eligibility
See template
See template
Insurance Form For County Affiliates
PDF template
Insurance documentation form for county-level cattle industry affiliate events in Missouri.
See template
See template
Accidental Injury Claim Form
PDF template
Insurance claim form for documenting details of an accidental injury for potential insurance benefits and reimbursement.
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
Insurance claim form for reporting disability due to sickness or injury, used by Aflac for processing disability claims.
See template
See template
M0272B Flexible Spending Account Claim Form
PDF template
Form for requesting reimbursement from a Flexible Spending Account for medical and dependent care expenses.
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
AFLAC Optional Insurance
PDF template
Document detailing optional insurance offerings from AFLAC for the Housing Authority of the City of Los Angeles (HACLA)
See template
See template
Sickness Claim Form
PDF template
A comprehensive form for filing insurance claims related to sickness, disability, hospitalization, and other health events with Aflac.
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
Adventures In Good Company, Inc. Acknowledgment And Assumption Of Risks Release And Indemnity Agree
PDF template
A legal document outlining participant risks, liability release, and indemnification for Adventures in Good Company (AGC) trips.
See template
See template
ADVENTURES IN GOOD COMPANY, INC. ACKNOWLEDGMENT AND ASSUMPTION OF RISKS RELEASE AND INDEMNITY AGREE
PDF template
Legal document detailing risks, liability release, and participant responsibilities for Adventures in Good Company travel trips.
See template
See template
Reed Insurance Agency Bill Invoice Form
PDF template
A form used by Reed Insurance to document policy transaction details, billing information, and payment verification.
See template
See template
52675 (0820) Checklist
PDF template
A comprehensive checklist for insurance agents applying to contract with Americo, outlining required documentation and process steps.
See template
See template
AgentS Report
PDF template
A form for agents to report and settle surety bond transactions with details about bond execution and premiums.
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
Medical Reimbursement Form
PDF template
Form for members to request reimbursement for medical services covered under their health plan
See template
See template
AIM Issuing Orphan Endorsements
PDF template
Instructions for issuing an orphan endorsement to a policy issued outside the AIM+ environment.
See template
See template
AIR TOUR BOOKING FORM
PDF template
A comprehensive travel booking form for reserving holidays with Woods Holidays Limited, covering passenger details and travel arrangements.
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
Pre Authorization Checklist For Acute LymphocyticLymphoblastic Leukemia
PDF template
A medical form used by healthcare providers to pre-authorize treatment for pediatric leukemia patients through the Philippine Health Insurance Corporation.
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
What To Do In Case Of An Accident
PDF template
A step-by-step guide for handling an automobile accident and reporting a claim to Allstate Insurance.
See template
See template
STUDENT CLASS PROJECT PROPOSAL And REQUEST FORM Form ALP 111
PDF template
A form for students to propose and request facilities for class projects in the College of Arts and Letters at California State University, Los Angeles
See template
See template
STUDENT CLASS PROJECT PROPOSAL And REQUEST FORM Form ALP 111
PDF template
A form for students at California State University, Los Angeles to propose and request facilities for class projects in the College of Arts and Letters.
See template
See template
Participant Accident WaiverRelease Of Liability Form
PDF template
A comprehensive liability waiver for participants in motorcycle events, covering risks, personal fitness, and legal responsibilities.
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
All Musicians Club And Musicians Performance Studio Club Membership Form
PDF template
Membership application and liability waiver for the All Musicians Club and Musicians Performance Studio Club for Laguna Woods Village residents and guests
See template
See template
Cost Proposal Form And Unbundled Service Hour Rate Form
PDF template
A detailed cost proposal form for transit service operations covering five years of service hour rates and operational expenses.
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
COBRA Eye Care Insurance Form
PDF template
Form for documenting employee and dependent eye care insurance coverage under COBRA regulations.
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
Group Insurance Form Eye Care
PDF template
Insurance enrollment form for group eye care coverage, allowing employees to enroll, change, or waive insurance benefits
See template
See template
AMI Insurance Application
PDF template
A comprehensive insurance application form for personal health coverage with options for individual or family plans.
See template
See template
Angeles New Waiver Forms FAQ
PDF template
Comprehensive guide explaining the Sierra Club's new Participation Agreement, its purpose, usage, and implementation details.
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
Commercial Proposal Form
PDF template
A form for submitting commercial proposals for transport, treatment, and disposal of hazardous and non-hazardous chemicals.
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
RFQRFP For Museum Development Consultant
PDF template
Request for qualifications and proposals for a museum development consultant project in a preliminary stage of planning.
See template
See template
Member Claim Form
PDF template
Insurance claim form for submitting medical expenses and service details to Anthem Blue Cross health insurance.
See template
See template
Prescription Reimbursement Claim Form
PDF template
A form for patients to submit claims for prescription medication reimbursement from their insurance provider.
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
Dental Claim Form
PDF template
Official form for submitting dental insurance claims and treatment documentation to dental benefit plans.
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
COVID 19 Assumption Of The Risk Forms
PDF template
Proposal for risk mitigation forms to address COVID-19 exposure in fraternity settings, covering various participant types.
See template
See template
Texas Department Of Insurance, Division Of Workers Compensation Adopted Amendments To Chapter 133
PDF template
Amendments to medical billing forms and procedures for the Texas workers' compensation system, specifically updating electronic billing and pharmacy claim forms.
See template
See template
Assumption Of The Risk And Hold Harmless Agreement
PDF template
Legal document outlining risk assumption and liability waiver for contractors working in a fraternity chapter facility.
See template
See template
Administrative Procedure 354 Risk Management And Third Party Promotion
PDF template
Administrative procedure outlining the school district's guidelines for managing risks associated with third-party events and promotions in schools.
See template
See template
AP Course Audit Syllabus Self Evaluation Checklist
PDF template
A comprehensive checklist for educators preparing and reviewing AP course syllabi to ensure compliance with College Board requirements.
See template
See template
Release And Waiver Of Liability Form
PDF template
Liability waiver for students enrolled in De Anza College's adapted swimming courses, outlining participation requirements and risk assumptions.
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
Institutional Review Board Proposal
PDF template
A comprehensive form for submitting research proposals to the Institutional Review Board at Elmhurst University for review and approval.
See template
See template
Project Proposal Review Form
PDF template
A form used by the National Park Service for reviewing and proposing projects related to the Appalachian National Scenic Trail.
See template
See template
Appendix A Proposal Form
PDF template
Proposal document for design-build services for a parking guidance system at Philadelphia International Airport
See template
See template
RELEASE, WAIVER OF LIABILITY, COVENANT NOT TO SUE
PDF template
Legal document releasing Columbus State University from liability for potential injuries during a camp or conference event.
See template
See template
Course Application Form
PDF template
Guidelines for submitting a detailed proposal for a new graduate-level academic course at the University of Maryland.
See template
See template
Essex County Fairgrounds Task Force Application Checklist
PDF template
Comprehensive checklist for rental application and requirements for using Essex County Fairgrounds facilities.
See template
See template
JOB APPLICATION FORM (STUDENT WORKER)
PDF template
An application form for students seeking on-campus employment at North South University's Central Library
See template
See template
Application For Policy Changes (High Net Worth Products Except Signature Wealth)
PDF template
Insurance policy modification form for making various changes to an existing life insurance policy, including smoking class adjustments and other policy updates.
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
Texas Tech University System Camp And Conference Non Sports And Sport Camps Insurance Application
PDF template
Insurance application for Texas Tech University System camps covering participant and staff insurance details
See template
See template
Direct AgentAgency Electronic Appointment Onboarding Process
PDF template
Detailed guide for agents and agencies to electronically complete their appointment process with Scott and White Health Plan and FirstCare Health Plans.
See template
See template
Resident Insurance ProducerInsurance AdjusterReal Estate Appraiser Background Check Consent Form
PDF template
A consent form for criminal history record checks required for licensing insurance producers, adjusters, and real estate appraisers in Minnesota.
See template
See template
Inter University PhD In Educational Studies Dissertation Proposal Approval Form
PDF template
A form used by academic committees to review and approve doctoral dissertation research proposals.
See template
See template
Approval Of Practicum Proposal Form
PDF template
A form for obtaining supervisory committee approval for a student's practicum project proposal.
See template
See template
Attachment B Price Proposal Form
PDF template
A pricing form for submitting cost details for a dispatch software proposal with breakdown of first-year and ongoing annual costs.
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
Teacher Program Agreement Media Release Form
PDF template
A document for teachers participating in UCLA's AP Readiness Program, including program commitment and media release consent.
See template
See template
Albuquerque Public Schools Domestic Partners Policy
PDF template
Policy outlining benefits eligibility for employees with domestic partners, including medical, dental, and insurance coverage.
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
Guidelines For Filing Applications For Dry Cleaning Facilities
PDF template
Official guidelines from Westchester County Department of Health for submitting permit applications for dry cleaning facilities, including requirements and documentation needed.
See template
See template
Arkansas Motor Vehicle Accident Report (SR 1)
PDF template
Official form for reporting motor vehicle accidents involving property damage over $1,000 or bodily injury/death.
See template
See template
Belmont Forum Registration Form
PDF template
Registration form for research project proposals under the Belmont Forum ARC 2024 initiative, covering project details and submission guidelines.
See template
See template
Application For Architects And Engineers Professional Liability Insurance
PDF template
Insurance application for architecture and engineering firms seeking professional liability coverage with detailed firm information and financial reporting requirements.
See template
See template
Architects And Engineers Professional Liability Insurance Application
PDF template
An insurance application for architects and engineers to evaluate professional liability coverage eligibility.
See template
See template
Draft Round 6 Proposal Form
PDF template
Official proposal form for the Sixth Call for Proposals by the Global Fund to Fight AIDS, Tuberculosis and Malaria, outlining guidelines for grant funding submissions.
See template
See template
Arizona SPDSCLUE Waiver Form
PDF template
A form allowing buyers and sellers to waive property disclosure statement and insurance claims history report in a real estate transaction.
See template
See template
Recommended Finish Floor Elevation Affidavit
PDF template
A document for property owners acknowledging flood risk information and recommended floor elevation based on FEMA Base Level Engineering data.
See template
See template
Accident Report Form
PDF template
A form for reporting accidents during ART teaching activities, used to comply with public liability insurance requirements.
See template
See template
Prospective Member Insurance Qualification Information
PDF template
Insurance qualification form for prospective pilots seeking membership in Artisan Aviation Inc., collecting personal and flight history information.
See template
See template
MMB Insurance Form
PDF template
A form for documenting artwork details and insurance values for an art exhibition by the Madison Arts Commission.
See template
See template
Referral Form
PDF template
Medical referral form for new patient intake and treatment evaluation at Ascend Health Center, focusing on mental health services.
See template
See template
Assumption Of Risk, Waiver, Release And Indemnity Agreement
PDF template
Legal document outlining risks and liability for participation in various recreational activities at the Anne Springs Close Greenway.
See template
See template
Student Accident Report Form
PDF template
Comprehensive form documenting details of student accidents and injuries within a school district setting.
See template
See template
Liability Waiver Form For ASF Members
PDF template
A legal document waiving liability for children participating in activities at Scandinavia House Children's Center and authorizing emergency medical treatment.
See template
See template
ASNC Payer Policy Feedback Form
PDF template
A form for physicians to report issues and provide feedback about health plan and insurance carrier interactions related to medical imaging 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
COVID 19 Assumption Of The Risk Forms
PDF template
Comprehensive guidance for creating risk assumption forms to address COVID-19 exposure in fraternity settings, with five different versions for various participant types.
See template
See template
ANNUAL ATHLETIC FACILITES AGREEMENT
PDF template
An agreement between an Athletic Association and North Lebanon Township detailing terms of facility usage, responsibilities, and liability requirements.
See template
See template
TMU Athletics Secondary Insurance Disclosure Form
PDF template
Detailed explanation of athletic injury insurance coverage for student athletes at The Master's University, outlining insurance policy terms and student responsibilities.
See template
See template
Melba Schools Activity Policy
PDF template
Comprehensive policy document covering insurance waiver, drug testing consent, and activity participation guidelines for Melba School District students.
See template
See template
GMN AT Proposal Form March 2021
PDF template
A form for proposing and obtaining approval for Advanced Training activities within the Texas Master Naturalist Program's Guadalupe Chapter.
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
RFP Document Attachment B 1. BidProposal Instructions Form
PDF template
Instructions for preparing and submitting a bid or proposal for a solicitation, including guidelines for completing the bid/proposal form.
See template
See template
ATTACHMENT B VENDOR PROFILE
PDF template
A vendor document detailing insurance requirements and company profile information for a municipal contract in Duluth, Minnesota.
See template
See template
RH RFA 2020 001 Grant Application Form
PDF template
A comprehensive form for submitting a grant application with requirements for organizational details, program description, and implementation plan.
See template
See template
Independent Contractor Agreement
PDF template
A contract between Your Health Idaho and an independent contractor for providing specified services through a competitive proposal process.
See template
See template
Recommended County Sponsored Legislative Proposal Form
PDF template
A comprehensive form for proposing legislative initiatives at the County of Los Angeles level, requiring detailed background, proposal, and fiscal impact information.
See template
See template
RFEP 01, ATTACHMENT B.1 EXPERIENCE FORM
PDF template
A form for solar energy project providers to document team experience and contact information for a Montgomery County energy proposal submission.
See template
See template
Long Term Disability Claim Form
PDF template
A comprehensive medical form for documenting a patient's disability claim, including medical history, diagnosis, treatment, and current condition.
See template
See template
West Kentucky ATV Recreational Area Release And Waiver Of Liability And Indemnity Agreement
PDF template
Legal document releasing liability for participants entering and using the West Kentucky ATV Recreational Area for off-highway vehicle riding.
See template
See template
New Academic Program Proposal Form
PDF template
A comprehensive form for proposing new academic programs at Fitchburg State University, detailing program specifics, requirements, and implementation plans.
See template
See template
Patient Intake Form
PDF template
Comprehensive patient intake form for collecting personal, contact, and medical insurance information at Auburn University Clinical Health Services clinics.
See template
See template
HOLD HARMLESS, VOLUNTARY WAIVER, AND ASSUMPTION OF RISK FORM
PDF template
A legal document that releases Auburn University from liability for potential injuries or damages during a field trip event.
See template
See template
Authorization Form For Insurance Complaint
PDF template
A form authorizing a representative to discuss and access medical information related to an insurance complaint or appeal.
See template
See template
Authorization And Driving History Form
PDF template
A form documenting employee driving authorization, vehicle operation details, and liability requirements for state vehicle use.
See template
See template
WaiverAuthorization Form
PDF template
A legal liability waiver for participants in Keep Florence Beautiful community activities and events.
See template
See template
DriverS Accident Report Form
PDF template
A comprehensive form for documenting details of a vehicle accident, including driver, vehicle, and accident information.
See template
See template
Auto Accident Report Form
PDF template
A comprehensive form for documenting details following a motor vehicle accident, including vehicle, driver, and injury information.
See template
See template
Automobile Accident Report
PDF template
Comprehensive form for reporting vehicle accidents involving University of Delaware vehicles or employees
See template
See template
Auto Accident Report Form
PDF template
A comprehensive form for documenting details of a vehicle accident involving Oregon State University personnel, vehicles, or property.
See template
See template
New PIP Patient Form
PDF template
Detailed form for documenting vehicle accident details and patient information for insurance or medical purposes.
See template
See template
Auto Incident Report Form
PDF template
A comprehensive form for documenting details of an auto collision involving a nonprofit organization's vehicle.
See template
See template
Client Interview Form Auto Accidents
PDF template
Comprehensive form for collecting client information related to an auto accident insurance or legal claim.
See template
See template
Colony Specialty Automobile Vehicle Inspection Form
PDF template
Comprehensive inspection form for evaluating the condition of vehicles and trailers, assessing various mechanical and safety components.
See template
See template
Vehicle Accident Report Form
PDF template
A comprehensive form for documenting details of a vehicle accident, including driver, vehicle, damage, and witness information.
See template
See template
Arbitration Award Certas Direct Insurance Company V. Allstate Insurance Company Of Canada
PDF template
Arbitration award resolving an insurance priority dispute between two insurers following a motor vehicle accident in 2018.
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
Premium And Billing Change Request
PDF template
A form for changing insurance premium payment methods, including pre-authorized check plan and billing modifications for American Heritage Life Insurance Company policies.
See template
See template
Medical Expense Claim Form
PDF template
A form for employees to claim medical expenses through a Flexible Spending Account with detailed submission instructions.
See template
See template
Alfond Youth Community Center New England Sports Camps Medical History Form 2023
PDF template
Comprehensive medical history and emergency contact form for children attending various sports camps in Maine.
See template
See template
Member Request For Medical Reimbursement Form
PDF template
A form used by UnitedHealthcare Community Plan members to request reimbursement for medical services, co-payments, coinsurance, and deductibles.
See template
See template
Securing Waivers Of Liability From Volunteers Of Nonprofit Organizations
PDF template
A comprehensive guide for nonprofit organizations on obtaining and using liability waivers to protect against potential legal claims from volunteers.
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
My Choice Wisconsin BadgerCare Plus Authorization Form
PDF template
A comprehensive form for requesting healthcare service authorizations under the BadgerCare Plus program in Wisconsin.
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
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
St. Ignatius Basketball Camp Liability Waiver Form
PDF template
Liability waiver and emergency contact form for participation in St. Ignatius Basketball Camp for student-athletes.
See template
See template
VolunteerParental Consent Form
PDF template
Legal document outlining volunteer responsibilities, liability waivers, and consent for volunteering at Bernie's Book Bank, including provisions for minor volunteers.
See template
See template
Liability Media Release Form
PDF template
A release form for parents/guardians to authorize child participation in music school programs and grant media usage permissions.
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 Reimbursement
PDF template
A form for members to request reimbursement for healthcare expenses paid out-of-pocket directly to providers.
See template
See template
SNFAcute IPR Assessment Form
PDF template
Prior authorization form for skilled nursing facility and inpatient rehabilitation services for Blue Cross Blue Shield of Michigan and Blue Care Network providers.
See template
See template
Member Reimbursement
PDF template
A form for Blue Cross Blue Shield members to request reimbursement for healthcare expenses paid out of pocket.
See template
See template
Medical Expense Claim
PDF template
A claim form for submitting medical expenses to Blue Cross and Blue Shield of Alabama for reimbursement.
See template
See template
Member Reimbursement
PDF template
Form for members to request reimbursement for healthcare expenses paid out-of-pocket.
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
Prescription Drug Claim Form
PDF template
A form for submitting prescription drug claims, allowing members to request reimbursement for pharmacy expenses.
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
My Benefit Plan Summary
PDF template
Comprehensive healthcare benefit plan summary for SEIU Clerical Employees detailing coverage limits and medical benefits.
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
Member Billing Form
PDF template
A form for submitting medical bills from non-participating healthcare providers for reimbursement or claim processing.
See template
See template
Member Reimbursement Form
PDF template
A form for healthcare members to request reimbursement for out-of-pocket medical expenses they have paid directly.
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
Mental HealthSubstance Use Treatment Claim Form
PDF template
A claim form for submitting mental health and substance use treatment services to Beacon Health Options for reimbursement.
See template
See template
Beazley Financial Institutions Directors Officers Proposal Form
PDF template
A comprehensive proposal form for financial institutions seeking Directors & Officers liability insurance coverage, requiring detailed company information and ownership details.
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal information, medical history, insurance details, and current health status.
See template
See template
Beneficiary Designation
PDF template
A form for designating beneficiaries for an insurance or retirement plan, allowing members to specify beneficiary allocation and revocability.
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
Health Sector Occupational Pension Scheme (DEATH BENEFIT APPLICATION FORM)
PDF template
A form for claiming death benefits for deceased health sector workers in Ghana, to be completed by beneficiaries.
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
Benefit Cost Analysis For Grant Applications
PDF template
A comprehensive form for evaluating and documenting grant proposal details, benefits, costs, and funding parameters.
See template
See template
Course Proposal Form
PDF template
A form for faculty to propose a new or repeated course at Benerd College, including course details and administrative information.
See template
See template
Informed Consent, Voluntary Waiver, Release Of Liability, Assumption Of Risk, And Photography Releas
PDF template
Legal document for parental consent and liability release for child participation in a program at Bethel University
See template
See template
Bidders Proposal Form
PDF template
Proposal document for bidding on a 42' triple axle trailer with specific specifications and requirements for Fall River County.
See template
See template
Proposal Form
PDF template
A proposal form for submitting pricing and contact information to Crook County Facilities for a potential project or service.
See template
See template
Bid Forms For Painting Contractors
PDF template
Document outlining bid submission requirements and guidelines for painting contractors seeking to bid on a project.
See template
See template
Proposal Form
PDF template
A proposal form for property acquisition and development in Van Wert County, Ohio with details about bidding process and property use.
See template
See template
Bid Proposal Form
PDF template
Bid proposal for purchasing a warehouse forklift for the Siskiyou County Office of Emergency Services
See template
See template
Billing 101 What You Need To Know
PDF template
A comprehensive guide addressing billing, reimbursement, and professional practice considerations for athletic trainers seeking third-party payor reimbursement.
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 479.3 Literature Research Proposal Form
PDF template
A form for students to propose and outline a research project in biology, including project details, assessment metrics, and supervisor approval.
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
Release And Assumption Of Risk Form
PDF template
Legal document releasing the Bermuda Institute of Ocean Sciences from liability during scientific, research, or recreational activities.
See template
See template
Exhibition Proposal Form
PDF template
A form for students to propose and submit details for an art exhibition at a university gallery.
See template
See template
Blackwell Line Railroad Sale Request For Proposals
PDF template
Request for proposals for the sale of the Blackwell Line railroad in Oklahoma by the state transportation department.
See template
See template
Driver Agreement Form
PDF template
A form documenting driver responsibilities and information for university club sports team vehicle transportation.
See template
See template
Health Insurance Claim Form
PDF template
Comprehensive form for collecting patient medical insurance information, health coverage details, and claim submission details.
See template
See template
Blue Cross Blue Shield Insurance Claim Form
PDF template
A comprehensive medical insurance claim form for collecting patient and insurance information for medical service reimbursement.
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
Member Claim Form
PDF template
A comprehensive medical claim form for submitting healthcare service expenses to Anthem Blue Cross insurance.
See template
See template
Blue View VisionSM Reimbursement Form
PDF template
A form for submitting out-of-network vision care service reimbursement claims to Blue View Vision insurance.
See template
See template
Bert Miller Nature Club Waiver
PDF template
Annual waiver form for Bert Miller Nature Club members and guests to acknowledge risk and provide emergency contact information.
See template
See template
All FUR Fun Stay Play Dog Care Service Agreement Form
PDF template
A service agreement for dog daycare and boarding services, outlining responsibilities, risks, and liability limitations.
See template
See template
Exhibitor Appointed Contractor Form
PDF template
A form authorizing a non-official contractor to design, set up, and/or dismantle an exhibit at a trade show event with specific insurance requirements.
See template
See template
Exhibitor Appointed Contractor Form
PDF template
Form authorizing a non-official contractor to design, set up, or dismantle an exhibit at BOMA 2022 trade show event.
See template
See template
Bond Application (For Corporation Partnership)
PDF template
Application form for corporations and partnerships to request a surety bond from Pacific Union Insurance Company
See template
See template
Fidelity Bond Purchase Agreement
PDF template
A document for purchasing fidelity bond packages to assist ex-offenders and at-risk job applicants in securing employment through insurance coverage.
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 Terms And Conditions
PDF template
Comprehensive booking terms and conditions for travel services outlining customer rights, obligations, and important travel guidelines.
See template
See template
BOOKING FORM
PDF template
Comprehensive booking form for travel expedition including personal, medical, and payment details
See template
See template
BOOKING CONTRACT FORM AAPI JAPAN AND SOUTH KOREA TOUR APRIL 07 20, 2024
PDF template
A comprehensive travel booking contract for a tour to Japan and South Korea with detailed traveler and insurance information.
See template
See template
Booking Form
PDF template
A comprehensive travel booking form and travel guidance document providing instructions for booking trips and essential travel preparation information
See template
See template
Booking Form
PDF template
A comprehensive guide for booking travel, including login instructions, passport requirements, and travel protection recommendations.
See template
See template
Bornblum Travel Proposal Form
PDF template
A comprehensive travel request form for academic travel, documenting conference, research, and instructional commitments.
See template
See template
Academic Degree Program Proposal Form
PDF template
A form for proposing and documenting new academic degree programs with institutional and accreditation details.
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
Application For Grant Funding
PDF template
A grant funding application for non-profit organizations, schools, or teams seeking financial support from the Bridgeport Field of Dreams Foundation.
See template
See template
RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
PDF template
Legal document for releasing liability and obtaining consent for YMCA program participation and activities.
See template
See template
Consent To Treat Form
PDF template
A medical form authorizing treatment, information release, and benefit assignment for medical services at a healthcare facility.
See template
See template
Medi Cal To Healthy Families Bridging Consent Form
PDF template
A consent form allowing transfer of Medi-Cal case file information to the Healthy Families Program for low-cost health coverage for children.
See template
See template
Sales Order Form
PDF template
Order form for BIBA (British Insurance Brokers' Association) Broker Assess system license, capturing company and contact details for membership registration.
See template
See template
Sales Order Form
PDF template
Sales order form for purchasing BIBA Broker Assess licensing with staff pricing and contact details.
See template
See template
Informed Consent, Release Agreement, And Authorization
PDF template
A comprehensive consent and medical authorization document for participating in Scouting activities, covering emergency medical treatment and risk acknowledgment.
See template
See template
2023 DIRECTED RESEARCH PROPOSAL FORM
PDF template
A form for students to propose and obtain approval for an independent research project, including project details and required signatures.
See template
See template
BTEC 255 Medical Billing Uniform Course Syllabus
PDF template
A comprehensive course syllabus for medical billing, covering procedures, professional skills, and insurance claim processing.
See template
See template
Budget Form 1 Guidelines For Preparation Of Budget Forms
PDF template
Comprehensive guidelines for preparing and completing a set of budget forms for grant proposal submissions.
See template
See template
Budget Development
PDF template
A guide for preparing research grant proposals with tips on budget preparation, documentation, and submission process for the UW-L Office of Research & Sponsored Programs.
See template
See template
Building Rental Agreement
PDF template
Comprehensive rental agreement for utilizing the Nashville Dog Training Club facility, detailing rental fees, insurance requirements, and liability terms.
See template
See template
Accident Waiver And Release Of Liability Form And Photo Release
PDF template
Legal document waiving liability for participants in a recreational event, covering potential risks and injuries.
See template
See template
OVERSEAS TAVEL RISK ASSESSMENT FORM
PDF template
A comprehensive form for staff and students to assess risks associated with international travel to high-risk areas.
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
Burglary Insurance Proposal Form
PDF template
An insurance proposal form detailing coverage, exceptions, and terms for burglary insurance by M & C General Insurance Company Ltd.
See template
See template
Business Entity Affiliation Cancellation Form 202C
PDF template
Official form for cancelling business entity licensee affiliations in New Mexico, used to notify the Office of Superintendent of Insurance about licensee terminations.
See template
See template
DCCAS Guide To Choosing The Right Legal Form For Your Business
PDF template
A comprehensive overview of different business entity types, their characteristics, ownership, registration, management, and liability considerations.
See template
See template
Play At Own Risk Waiver And Participant Consent To Treat Form
PDF template
Legal waiver and medical consent form for participants in a regional basketball championship tournament
See template
See template
Feedback Form
PDF template
A bilingual survey assessing individuals' understanding and intentions regarding health insurance coverage and preventive care services.
See template
See template
Property And Casualty Certificate Of Insurance Act
PDF template
Legal code defining rules and definitions for property and casualty insurance certificates in Utah, including scope, applicability, and key terms.
See template
See template
Accident Report Form
PDF template
A form for collecting comprehensive details about a vehicle accident for insurance claim purposes.
See template
See template
Domestic Travel Request Form
PDF template
A form for requesting and documenting domestic travel arrangements, expenses, and approvals for institutional travel.
See template
See template
CADRE PROPOSAL FORM
PDF template
A form for faculty and staff to propose and submit a cadre program for review by University Ministries.
See template
See template
WEST VIRGINIA WESLEYAN COLLEGE CAFETERIA PLAN MEDICAL CARE EXPENSE CLAIM FORM
PDF template
A form for submitting medical expense reimbursement claims under a cafeteria plan with detailed certification and documentation requirements.
See template
See template
REQUEST FOR PROPOSALS FOR VIDEO PRODUCTION SERVICES
PDF template
An addendum modifying the original Request for Proposals for video production services, including changes to contract terms and pricing forms.
See template
See template
CAHC Provider Accreditation Application
PDF template
Application document outlining requirements for provider accreditation by CAHC, including legal authority, business registration, and compliance verification.
See template
See template
Service Request Form
PDF template
A comprehensive form for making changes to an insurance policy, including beneficiary updates, name changes, address changes, and coverage cancellation.
See template
See template
Member Reimbursement Claim Form
PDF template
Detailed instructions for submitting a medical reimbursement claim to an insurance provider with guidelines for documentation and submission process.
See template
See template
DIVER BOOKING FORM
PDF template
Comprehensive form for collecting diver personal information, experience details, travel insurance, and equipment rental preferences for a diving trip.
See template
See template
PatientS Information Form
PDF template
Comprehensive medical form for collecting patient personal, contact, insurance, and healthcare provider information.
See template
See template
Camp Dora Golding Medical Form
PDF template
A comprehensive medical form for parents to provide health and emergency contact information for children attending Camp Dora Golding.
See template
See template
AU STRING CAMP Liability Medical Release Form
PDF template
Liability and medical release form for Anderson University String Camp participants, covering medical information, emergency contacts, and participant waivers.
See template
See template
University Of Arkansas Camps Insurance Form
PDF template
Form for calculating insurance charges for university camps based on participants and duration
See template
See template
Jewelry Warranty Claim Form
PDF template
A form for submitting warranty claims for jewelry items, including personal details, school information, and payment instructions.
See template
See template
Program Coverage Cancellation Request Form
PDF template
A form for requesting cancellation of various vehicle protection and service programs with refund details and contract termination acknowledgment.
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
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
Cancer Claim Form
PDF template
Claim form for filing a cancer-related insurance claim with Aflac New York, requiring policyholder and patient details along with medical documentation.
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
Prescription Drug Claim Form
PDF template
A comprehensive form for submitting prescription drug claims, including standard, compound, and Medicare-related prescriptions and test kits.
See template
See template
Billing Inquiry Form
PDF template
A form for patients to request fee waivers, reductions, or contest billing issues for healthcare services at CAPS (Counseling and Psychological Services).
See template
See template
Capsule Research Proposal Form
PDF template
A standardized form for capturing research proposal details at the University of Baguio Research and Development Center.
See template
See template
Youth Sports League Roster Waiver
PDF template
A comprehensive form for youth sports team registration, including player and guardian contact information and liability release.
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
Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims with detailed patient and insurance information requirements.
See template
See template
Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims to an insurance provider or healthcare plan.
See template
See template
Carrier Contact Form
PDF template
Form for collecting contact details and information for workers' compensation insurance carriers in Utah.
See template
See template
CASE RESEARCH And DEVELOPMENT GRANT APPLICATION FORM
PDF template
A comprehensive grant application form for research funding at the University of North Alabama, requiring detailed budget and submission of supporting materials.
See template
See template
Adobe Customer Story Unum
PDF template
Case study highlighting how Unum improved customer service and document processing speed using electronic signatures and digital document management.
See template
See template
CASL Medical Release Form
PDF template
A comprehensive medical release and liability waiver form for soccer players, allowing medical treatment and releasing organizations from liability.
See template
See template
Instructions For Application To Sell UnitedHealthcare Products
PDF template
Comprehensive guide for agents and agencies seeking authorization to sell UnitedHealthcare insurance products and complete the appointment process.
See template
See template
WAIVER FORM
PDF template
A legal form allowing corporate officers, directors, general partners, and LLC managing members to opt out of workers' compensation insurance coverage in California.
See template
See template
Proposal Budgets Module 6
PDF template
Training module on creating research proposal budgets using Cayuse S2S software, covering key budget concepts and budget management techniques.
See template
See template
Harford Mutual Insurance Group Agency Portal Terms Of Use
PDF template
Legal terms governing access and use of Harford Mutual Insurance Group's agency web portal for agents and users.
See template
See template
BADGE REQUIREMENTS LACS CARD REQUIREMENTS
PDF template
Comprehensive guide outlining acceptable forms of identification for citizenship verification and badge issuance.
See template
See template
State Of Kansas CMAR Cost Proposal Form
PDF template
A form for construction management at-risk (CMAR) firms to submit cost proposals to the Kansas Department of Administration.
See template
See template
Request For Proposals For Contact Center As A Service (CCaaS)
PDF template
Idaho Health Insurance Exchange seeks proposals for Contact Center as a Service (CCaaS) solution with integrated CRM/Ticketing capabilities.
See template
See template
CCA Conference Session Proposal Form
PDF template
A form for proposing and submitting conference session proposals for CCA's statewide conferences focused on bargaining, advocacy, and membership.
See template
See template
Medicare Advantage Plan Enrollment Form
PDF template
Enrollment form for MassHealth Standard members over 65 to join a Medicare Advantage Plan
See template
See template
Student Activity Travel General Release And Waiver Of Liability
PDF template
Legal document releasing Calhoun Community College from liability during student activity travel events.
See template
See template
Liability Waiver And Release Form (Minor Child)
PDF template
A legal document releasing the Chesterfield County Fair from liability for minor children participating in volunteer activities at the fairgrounds.
See template
See template
Certificate Of Insurance
PDF template
Insurance documentation for residential contractors and remodelers in Minnesota, certifying general liability and property damage coverage.
See template
See template
Certificate Of Insurance Covering General Liability And Property Damage Liability Insurance Coverage
PDF template
Official document certifying insurance coverage for construction contractors in Minnesota, meeting state statutory requirements for liability insurance.
See template
See template
Volunteer Form
PDF template
A comprehensive form for individuals interested in volunteering, collecting personal information and including liability waivers and consent agreements.
See template
See template
Covered California For Small Business Change Request Form For Employers
PDF template
A form for employers to request changes to their Covered California small business health insurance coverage, including ownership, address, and plan modifications.
See template
See template
Cottonwood Crossing Summer Institute Health Information Form
PDF template
A comprehensive medical form for student participation in summer institute activities, collecting health insurance, medical history, and emergency treatment authorization.
See template
See template
CCUK Resource Research Proposal Form
PDF template
A form for researchers seeking to use data from the Cleft Care UK (CCUK) research collection for their scientific studies.
See template
See template
Personal Vehicle Travel Liability And Insurance Form
PDF template
A liability release form for students using personal vehicles for university-sponsored off-campus activities
See template
See template
Course Proposal Form
PDF template
A form for proposing and documenting a new course offering details about the course format, instructors, and objectives.
See template
See template
CDPHP Co Pay Reimbursement Form
PDF template
Form for employees to submit medical co-pay expenses for reimbursement through Hudson Valley Community College's healthcare program.
See template
See template
Exhibitor Appointed Contractor Form
PDF template
Form for exhibitors to authorize independent contractors for services at Calgary Expo 2024, with specific requirements and restrictions.
See template
See template
Course Proposal Form
PDF template
A form for instructors to propose new courses for Community & Continuing Education at Pierce College Puyallup.
See template
See template
PATIENT REGISTRATION MEDICAL HISTORY FORM
PDF template
Comprehensive medical registration form for patient intake, collecting personal, contact, and insurance information for medical services.
See template
See template
2017 SAFETY INCENTIVE PROGRAM
PDF template
A comprehensive safety program guide for insurance fund members focusing on workplace safety, health, and wellness efforts.
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
Copper Mountain College Community Education Proposal Form
PDF template
Form for instructors to propose and submit details for a community education course at Copper Mountain College
See template
See template
Certificate Of Insurance
PDF template
Insurance certification document required for obtaining a pesticide operator licence in Newfoundland and Labrador.
See template
See template
ContractorS, ArchitectS AndOr EngineerS Certificate Of Insurance Form
PDF template
A formal document certifying insurance coverage details for a construction or design project with multiple insurance companies.
See template
See template
Certificate Of Insurance Form For ContractorS Architects AndOr EngineerS
PDF template
A certificate of insurance detailing coverage for contractors, architects, and engineers for a specific project.
See template
See template
Certificate Of Liability Insurance
PDF template
A standard insurance document that provides information about liability insurance coverage without conferring specific rights to the certificate holder.
See template
See template
ContractorS Certificate Of Workers Compensation Insurance (Form 61A)
PDF template
A form for contractors to provide details about their workers' compensation insurance status and business information for compliance purposes in Virginia.
See template
See template
Certification Of Need And Waiver Of Liability (Prescription Delivery)
PDF template
A form for patients without transportation to receive prescription medication delivery, including liability release and risk assumption.
See template
See template
Vehicle Accident Report
PDF template
A comprehensive form for documenting details of a vehicle accident involving non-state-owned vehicles used in cooperative extension service activities.
See template
See template
Budget History And Proposal Budget Form
PDF template
A comprehensive financial form for documenting historical budget performance and proposed project budget details including income and expenses.
See template
See template
Daily Waiver Form
PDF template
Comprehensive waiver form for participants of Wilmette Park District Fitness Center, covering injury risks, medical treatment, and photography consent.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting injuries and incidents at CrossFit facilities, used for risk management and insurance purposes.
See template
See template
Candia Farmers Market Accident Waiver And Release Of Liability Form
PDF template
Legal document releasing Candia Farmers Market from liability for potential accidents or injuries during market participation.
See template
See template
GRANT APPLICATION FORM
PDF template
A comprehensive grant application form for non-profit organizations seeking funding for social accountability projects
See template
See template
CFP Sample
PDF template
A multi-page form for submitting conference presentation proposals with details about the author, presentation, and learning objectives.
See template
See template
CFP Sample FAQs
PDF template
A comprehensive form for submitting conference presentation proposals, including author information, abstract details, and session descriptions.
See template
See template
CG 20 40 12 19 Commercial General Liability Endorsement
PDF template
Insurance endorsement that automatically adds additional insureds for parties involved in construction contracts, specifically for completed operations liability.
See template
See template
Amendment Of Insured Contract Definition
PDF template
Insurance policy endorsement modifying the definition of 'insured contract' in a commercial general liability coverage part.
See template
See template
ElitePac General Liability Extension Endorsement
PDF template
A comprehensive summary of additional coverages and modifications for a commercial general liability insurance policy.
See template
See template
International Group Travel Release
PDF template
Legal release document for participants in international group travel programs, outlining risks and liability waivers for Claremont Graduate University programs.
See template
See template
MEDICAL INFORMATION AND RELEASE FORM
PDF template
A comprehensive medical form for participants in Hartwick College Challenge Programs, collecting health information and liability acknowledgment.
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 Contractor Form
PDF template
Instructions and form for changing contractors on a building permit in Southwest Ranches, Florida, with requirements for licensing, insurance, and notification.
See template
See template
Mercy Housing Charitable Partnership Proposal Form
PDF template
A form used for establishing cause-related marketing relationships and commercial partnerships with Mercy Housing to support their national programs.
See template
See template
Release Of Liability, Acknowledgement Of Risk And Acceptance Of Responsibility
PDF template
Legal document waiving liability for risks associated with participating in a Community Corrections Chase event.
See template
See template
Faculty Of Science Sponsored Project Checklist
PDF template
A comprehensive checklist for submitting research project proposals within the Faculty of Science, detailing investigator, sponsor, and project information.
See template
See template
Research Proposal Documents Checklist
PDF template
Comprehensive checklist of mandatory documents required for submitting a research proposal to FAPESP research awards program.
See template
See template
Checklist For Business Visa
PDF template
A comprehensive checklist of documents and requirements for obtaining a business visa for travel to Schengen countries.
See template
See template
Cherry Hill Counseling New Client Information Packet
PDF template
Comprehensive new client forms for mental health counseling services, including medical history, insurance, and privacy documentation.
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 And LIABILITIES RELEASE FORM
PDF template
A comprehensive form for medical information and liability release for children participating in church activities and programs.
See template
See template
5185 3 Choosing The Legal Form For Your New Business
PDF template
A guide to selecting the appropriate legal structure for a new business, discussing different ownership and liability options.
See template
See template
Insurance FAQ
PDF template
Comprehensive overview of liability insurance coverage provided by the Sports Field Management Association (SFMA) for chapter officers, directors, and events.
See template
See template
Chromebook Optional Insurance Plan
PDF template
Optional insurance plan for Chromebooks at Dexter Community Schools, covering repair or replacement costs for students
See template
See template
Chronic Illness Benefit Application Form 2022
PDF template
Application form for Bankmed members on Essential and Basic Plans to apply for Chronic Illness Benefit coverage.
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
Remedi Medical Aid Scheme Application Form
PDF template
Application form for patients seeking medical aid coverage through Remedi Medical Aid Scheme, requiring patient and medical professional details.
See template
See template
Malcor Medical Aid Scheme Application Form
PDF template
An application form for joining the Malcor Medical Aid Scheme, requiring patient and medical details.
See template
See template
GreenlandAntarctica Travel Affidavit And Questionaire
PDF template
A comprehensive travel risk assessment and insurance document for individuals traveling to Greenland or Antarctica, requiring detailed travel and health information.
See template
See template
Non Employee IncidentAccident Report
PDF template
A form used to document details of non-employee incidents or accidents, capturing key information about the event, parties involved, and potential damages.
See template
See template
CIEF Membership Form 2019 2020
PDF template
Membership form for competing and non-competing members of a sports or equestrian organization
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
Cigna Dental Specialty Referral Form
PDF template
A referral form for specialty dental services under Cigna Dental Care, outlining payment guidelines and patient responsibilities.
See template
See template
Medical Claim Form
PDF template
Form for submitting medical claims for fellows, trainees, and patients seeking international health insurance reimbursement.
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
PHILHEALTH CIRCULAR No. 2018 XXX
PDF template
Official guidelines for PhilHealth Accredited Collecting Agents on using the Electronic Collection Reporting System for premium contribution reporting and remittance.
See template
See template
Claim For Money Or Damages Against The City Of Moreno Valley
PDF template
A legal form for filing monetary claims or damages against the City of Moreno Valley, California.
See template
See template
Employability Assessment Form (PA 1663)
PDF template
A comprehensive guide for healthcare providers on completing the Pennsylvania Medicaid Employability Assessment Form to verify patient health conditions and disability status.
See template
See template
BENEFICIARY CONTACT FORM
PDF template
A comprehensive form for collecting contact and demographic information about Medicare beneficiaries and their representatives.
See template
See template
MEDICAL EXPENSE CLAIM
PDF template
Form for filing medical expense claims with Blue Cross and Blue Shield of Alabama when a healthcare provider does not file a claim directly.
See template
See template
First NIHR CLAHRC West Call For Research Proposals And Ideas
PDF template
Guidance document for submitting research proposals to NIHR CLAHRC West, focusing on applied health research to improve patient care and public health.
See template
See template
Claims Adjustments And Project Form
PDF template
A form for healthcare providers to request claims adjustments, retractions, or resolution of billing issues with WellSense Health Plan.
See template
See template
Death Claim Discharge Form
PDF template
A discharge form for claiming death benefits from SBI Life Insurance Company, documenting claim details and financial settlement.
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
City Of Lawrence Claim Form
PDF template
A legal form for submitting claims for property damage or personal injury against the City of Lawrence, Kansas.
See template
See template
CIEE Claim Form
PDF template
A comprehensive medical claim form for student health insurance reimbursement and documentation of medical conditions or treatments.
See template
See template
Prescription Claim Form
PDF template
A form for submitting prescription reimbursement claims under a Medicare Part D manufacturer patient assistance program
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
Claim For Damages To Person Or Property
PDF template
Official form for filing a claim for damages against Riverside County, detailing injury or property damage incidents.
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
Claim Form Finder And User Guide
PDF template
Comprehensive guide to help healthcare providers select the appropriate claim form for various submission scenarios and corrections.
See template
See template
Claim Form Finder
PDF template
Comprehensive guide for healthcare providers detailing claim modification forms and processes for Neighborhood Health Plan of Rhode Island.
See template
See template
Details Of Hospital Claim Form Part B
PDF template
A comprehensive medical claim form for documenting patient hospital admission, treatment, and insurance claim details.
See template
See template
National Grid Claim Form
PDF template
Claims form for reporting property damage or personal injury related to National Grid services.
See template
See template
Claim Form ICS Non Medical Expenses
PDF template
A comprehensive claim form for reporting non-medical insurance damages across multiple insurance types including household contents, travel/baggage, liability, and extra costs.
See template
See template
PRADHAN MANTRI SURAKSHA BIMA YOJANA (PMSBY) CLAIM CUM DISCHARGE FORM
PDF template
Official claim form for submitting accidental disability or death claims under the Pradhan Mantri Suraksha Bima Yojana insurance scheme.
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
Claim Inquiry Form
PDF template
A form for healthcare providers to submit claim-related inquiries to Carelon Behavioral Health regarding claim status, denials, or clarifications.
See template
See template
City Of Columbus Claim Packet
PDF template
Guidance for filing injury or property damage claims against the City of Columbus, including claim submission procedures and legal liability information.
See template
See template
Retiree Claim For Reimbursement
PDF template
A form for retirees to submit healthcare expense reimbursement claims through their health reimbursement arrangement (HRA)
See template
See template
MVP Health Care Claim Reimbursement Form
PDF template
Detailed instructions for MVP Health Care members to submit medical and dental expense reimbursement claims with required documentation.
See template
See template
Claims Reporting Reference Guide
PDF template
A comprehensive guide for reporting and managing various types of insurance claims across different coverage areas.
See template
See template
Certificate Of Insurance And Claims History FAQ
PDF template
Frequently asked questions about obtaining certificates of insurance and claims history from Rush, covering procedures, requirements, and limitations.
See template
See template
CLAIM FORM
PDF template
A comprehensive form for reporting property damage or personal injury claims related to National Grid services or incidents.
See template
See template
Member Reimbursement Form For Medical Claims
PDF template
A form for patients to submit medical claims for reimbursement, detailing patient, subscriber, and provider information.
See template
See template
MOTOR WINDSCREEN AND WINDOW GLASS DAMAGE REPORT FORM
PDF template
Insurance claim form for reporting windscreen and window glass damage to a vehicle under Lion of Kenya Insurance Company's policy.
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
Claim Procedure Note
PDF template
A detailed guide explaining the process for obtaining cashless medical insurance claims through a network hospital and third-party administrator.
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
Claims Reporting Reference Guide
PDF template
A comprehensive guide for reporting insurance claims across multiple coverage types and managing workplace incidents
See template
See template
Workforce Development Training Class Proposal Form
PDF template
A form for proposing and detailing a new workforce development or training class, including curriculum and logistical details.
See template
See template
LC Classification Proposal Form
PDF template
A form for proposing changes or additions to Library of Congress classification system.
See template
See template
Hermitage Visual Arts School Class Proposal Form
PDF template
A form for instructors to propose and detail a visual arts class at the Hermitage Museum & Gardens Visual Arts School.
See template
See template
General Media Release Form
PDF template
A comprehensive form for media use authorization and liability release for The Cutting Edge Classroom's activities.
See template
See template
PacificSource Enrollment Application
PDF template
A comprehensive group health insurance enrollment form for employees and their dependents to select medical and dental coverage.
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 Claim Form
PDF template
Comprehensive form for filing cancer-related insurance claims, detailing required documentation and submission instructions.
See template
See template
BENEFICIARY CONTACT FORM
PDF template
A form for collecting contact and demographic information for Medicare beneficiaries and their representatives during counseling sessions.
See template
See template
Client Insurance Form
PDF template
Insurance form for collecting client insurance information and authorizing claims submission and payment
See template
See template
Client Endorsement Request Form
PDF template
A form for customers to request changes to their existing insurance policy with Colwood Insurance Services.
See template
See template
Accident Waiver And Release Of Liability
PDF template
A comprehensive legal document releasing event organizers from liability for potential injuries or damages during an athletic event.
See template
See template
Notice Of Field Trip And Waiver Of Liability
PDF template
A legal document for students participating in a voluntary field trip, requiring a signed waiver of liability by the participant.
See template
See template
Clubhouse Rental Agreement And Statement Of Indemnity
PDF template
A rental agreement for Heathlake Community Association's clubhouse, outlining terms, fees, and liability conditions for residents.
See template
See template
Club Sports Informed Consent Form
PDF template
A legal consent and liability release form for students participating in club sports at Connecticut College, acknowledging risks and insurance responsibilities.
See template
See template
CLUE STUDY ANCILLARY PROPOSAL FORM
PDF template
A comprehensive form for submitting a research study proposal, including investigator details, study type, and human subjects approval 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
Funeral Home Claim Form
PDF template
A claim form for processing funeral service insurance benefits with detailed documentation requirements.
See template
See template
CM 600 WEB Claim Form
PDF template
Insurance claim form for processing death benefits from American Memorial Life Insurance Company or Union Security Insurance Company.
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
Form CMS L564R297 (0923) Request For Employment Information
PDF template
A form used to verify group health plan coverage for Medicare special enrollment based on current employment.
See template
See template
CMS Model Consent Form For Marketplace Agents And Brokers
PDF template
A model consent form for documenting consumer permission for health insurance agents or brokers to assist with marketplace coverage enrollment.
See template
See template
CMS Model Consent Form For Marketplace Agents And Brokers
PDF template
A model consent form for documenting consumer permission for health insurance agents or brokers to assist with Marketplace coverage enrollment.
See template
See template
HIRER COLLISION Or DAMAGE REPORT FORM
PDF template
A comprehensive form for documenting details of a vehicle rental accident, including renter, driver, vehicle, and incident information.
See template
See template
Curriculum Approval Form
PDF template
A comprehensive form for proposing, reviewing, and approving academic program changes at a university.
See template
See template
Conservation Northwest Field Volunteer Waiver Form
PDF template
A legal waiver form for volunteers participating in wildlife monitoring and conservation field work with Conservation Northwest.
See template
See template
Conservation Northwest Field Volunteer Waiver Form
PDF template
A legal waiver form for volunteers participating in wildlife monitoring and outdoor conservation projects with Conservation Northwest.
See template
See template
SPORT CLUB COACHES MEMBERSHIP FORM
PDF template
Form for coaches to apply for membership and participation in university recreational sports programs with liability waiver and approval process.
See template
See template
BOOKING FORM
PDF template
Travel booking form for collecting passenger details and holiday reservation information
See template
See template
COBRADirect Billing Participant Use ONLY ACH Agreement Form
PDF template
Form for authorizing automatic health insurance premium payments via bank account deduction.
See template
See template
Coconino County Volunteer Service Agreement
PDF template
A comprehensive volunteer service agreement that outlines volunteer responsibilities, terms, and participant details for Coconino County.
See template
See template
Medical Release Form
PDF template
A medical consent and release form for student participation in activities, allowing emergency medical treatment with parental authorization.
See template
See template
Referral Form
PDF template
A form for healthcare providers to request patient referrals and provide medical background information.
See template
See template
COGS Content Specialization Proposal Submission Form
PDF template
A form for PhD students in Cognitive Science to submit and receive authorization for their content specialization topic and coursework plan.
See template
See template
Election To Fellowship Application Form
PDF template
Application form for professionals seeking fellowship status with the Chartered Insurance Institute (CII)
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
Subcontractor Proposal (Bid) Form
PDF template
A proposal form for subcontractors bidding on the Ketchum City Hall Remodel project, detailing submission requirements and contract conditions.
See template
See template
College Sponsored Related Medical And Travel Form
PDF template
A medical and travel authorization form for students participating in college-sponsored activities with COVID-19 compliance and liability waiver provisions.
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
Insurance Claim Processing Instructions
PDF template
Instructions for submitting an insurance claim, including required documentation and processing details for Colonial Life & Accident Insurance Company.
See template
See template
General Service Provider Data Sharing And Confidentiality Agreement
PDF template
Agreement establishing terms for data sharing and confidentiality between Colonial Life Insurance and a service provider for insurance administration services.
See template
See template
Application For Policy Changes Part 1
PDF template
Insurance policy form for requesting changes such as cash surrender, partial withdrawal, and policy modifications.
See template
See template
AFI PRE AUTHORIZATION FORM FOR HOSPITALIZATION FROM PANEL NON PANEL HOSPITALS
PDF template
A form for obtaining pre-authorization for hospitalization from panel and non-panel hospitals for insurance coverage.
See template
See template
Information Disclosure Consent Form For UN COVID 19 Medical Evacuation (MEDEVAC) Services
PDF template
Consent form for medical information disclosure and liability release for UN COVID-19 medical evacuation services.
See template
See template
NEW PATIENT REGISTRATION FORM
PDF template
Comprehensive form for new patient medical registration, including personal information, medical history, insurance details, and a physician-patient arbitration agreement.
See template
See template
CGL CERTIFICATE OF INSURANCE
PDF template
Official insurance certificate documenting commercial general liability coverage for an insured party with the City of Vancouver
See template
See template
Loss Or Damage Report Form Commercial
PDF template
Insurance claim form for reporting commercial property loss or damage incidents with comprehensive details about the incident and policyholder.
See template
See template
Commercial Surety Bond Application
PDF template
A comprehensive application form for obtaining a commercial surety bond from Lexington National Insurance Corporation, collecting business and personal financial information.
See template
See template
Commission Inquiry Form
PDF template
Form for agents to submit inquiries about commission payments for L.A. Care Covered health insurance policies.
See template
See template
NAIC Enterprise Risk Report (Form F) Implementation Guide
PDF template
A guide for preparing and reviewing annual enterprise risk reports for insurance holding company systems as part of NAIC accreditation requirements.
See template
See template
Community Event Proposal Form Salt Wagon Clinic
PDF template
A comprehensive form for organizing community events in collaboration with Salt Wagon Clinic, covering event details, financial information, and organizational requirements.
See template
See template
Community Membership Form
PDF template
A medical history and liability waiver form for campus recreation membership at Lees-McRae College, requiring personal and medical information along with a hold harmless agreement.
See template
See template
COMPANY MOTOR PROPOSAL FORM
PDF template
Insurance proposal form for company vehicle coverage detailing vehicle ownership, use, and driver information.
See template
See template
Comparable Coverage Premium Certification
PDF template
Certification document for insurers offering renewal policies to Texas Windstorm Insurance Association policyholders, detailing coverage and premium requirements.
See template
See template
Complaint Form
PDF template
A detailed form for submitting complaints about insurance companies and policy-related issues in Washington state.
See template
See template
Consumer Complaint Form
PDF template
Official form for filing insurance-related complaints with the Nevada Division of Insurance
See template
See template
ComplaintInquiry Form
PDF template
Official form for filing insurance-related complaints or inquiries with the State of Hawaii Insurance Division.
See template
See template
COMPLAINT RESOLUTION FORM
PDF template
A form for customers to submit and document complaints or service issues with Takaful Emarat.
See template
See template
Affordable Care Act ACA Compliance Form Filing Submission Worksheet
PDF template
A comprehensive worksheet for insurance providers to submit compliance documentation for ACA-related insurance products and services.
See template
See template
IEEE AP SUSNC URSI 2024 EXHIBITORS COMPULSORY INSURANCE FORM
PDF template
Mandatory insurance form for exhibitors at the IEEE AP-S/USNC URSI 2024 conference, detailing insurance coverage requirements and policies.
See template
See template
Research Agenda Inquiry
PDF template
A form for researchers to submit their research agenda, topics, and contact information for review.
See template
See template
R.A.D. International Training Certification Conference Instructor Proposal Form
PDF template
A form for instructors to submit course proposals for the R.A.D. International Training & Certification Conference.
See template
See template
CONSENT INSURANCE FORM
PDF template
A comprehensive form for collecting medical insurance and consent information for a cadet or applicant, including parent/guardian details and insurance policy information.
See template
See template
Parental Consent Form
PDF template
Parental consent and liability waiver form for participation in hockey school activities, including insurance and concussion acknowledgment.
See template
See template
Authorization For Medical Treatment Of Child
PDF template
A form allowing school representatives to consent to medical treatment for a student when parents cannot be reached during an emergency.
See template
See template
Authorization For Medical Treatment Agreement
PDF template
A legal document authorizing medical treatment and insurance payment for elder care services at Horizon Internal Medicine.
See template
See template
USA Hockey National Championships Consent To TreatMedical History Form
PDF template
A comprehensive medical history and consent to treat form for USA Hockey participants, covering emergency contact, medical history, and insurance information.
See template
See template
Authorization Informed Consent
PDF template
Consent form for behavioral health services covering patient authorization, medical record release, and payment agreements.
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
USA Hockey National Championships Consent To TreatMedical History Form
PDF template
Medical consent and history form for USA Hockey participants, allowing medical treatment and collecting health information for emergency purposes.
See template
See template
Consent To Treat Form
PDF template
A legal document allowing medical treatment for patients, including consent for minors and adults, insurance filing, and patient rights.
See template
See template
Consent To Treat Form
PDF template
A medical consent form allowing treatment authorization and insurance filing by a healthcare provider.
See template
See template
CONSENT, WAIVER, RELEASE AND INDEMNITY AGREEMENT
PDF template
A legal document outlining participant consent, risk assumption, and liability waiver for a university program or activity.
See template
See template
Consent, Waiver, Release And Indemnity Agreement
PDF template
Legal document outlining participant consent, risk assumption, and liability waiver for international medical exchange programs.
See template
See template
Amendment Proposal Form
PDF template
A form for proposing amendments to VM-00 Exposure Draft related to principle-based valuation reserve requirements.
See template
See template
Consultant Certification Form
PDF template
Certification form for consultants submitting proposals to the New York State Department of Transportation, covering vendor responsibility, workplace policies, and conflict of interest.
See template
See template
Consultant Certification Form
PDF template
A certification form for consultants submitting proposals to the New York State Department of Transportation, requiring compliance with state regulations and vendor responsibilities.
See template
See template
Individual Products Independent Contractor Form
PDF template
Form for adding or updating independent insurance agents as 1099 contractors for a contracted agency
See template
See template
NAIC Funded Consumer Representative Travel Expense Reimbursement Policy
PDF template
Policy detailing travel expense reimbursement procedures for NAIC consumer representatives attending national and interim meetings.
See template
See template
2024 NAIC Funded Consumer Representative Travel Expense Reimbursement Policy
PDF template
Guidelines for reimbursing NAIC consumer representatives' travel expenses for national and interim meetings, with up to $5,500 allocated per representative in 2024.
See template
See template
Contact Information And Medical Form
PDF template
A comprehensive medical form collecting participant's personal information, emergency contacts, medical history, and health conditions for University of Maine at Presque Isle program participation.
See template
See template
Corporation And Foundation Contact Approval Form
PDF template
A form for obtaining approval to contact corporations or foundations for potential funding or partnership opportunities.
See template
See template
What Forms Are Required To Process A Contract
PDF template
Comprehensive guide detailing documentation and procedural requirements for contract processing based on contract value thresholds.
See template
See template
Contracted Agreement
PDF template
A contractual agreement outlining patient responsibilities, payment terms, and cancellation policies for healthcare services.
See template
See template
Change Of Contractor Form
PDF template
A form allowing property owners to change contractors for permitted work and release liability for Hillsborough County.
See template
See template
Contractor Frequently Asked Questions
PDF template
Comprehensive overview of contractor licensing requirements and regulations in Hawaii, covering license application process, exemptions, and legal guidelines.
See template
See template
Building Permit Application
PDF template
A document for contractors to apply for a building permit, detailing contractor information and workers' compensation insurance requirements.
See template
See template
Commonwealth Of Virginia Agency Contract Form Addendum To ContractorS Form
PDF template
A legal document that modifies a standard contractor's form for use by a Virginia state agency, with specific terms and limitations of liability.
See template
See template
Diversity Management System (DMS) Submission Documentation
PDF template
A detailed tracking document for contractor submissions, insurance requirements, and project documentation across federal and state projects.
See template
See template
College Of DuPage Honors Program Honors Contract Proposal Form
PDF template
A form for students to propose an honors contract for a specific course with additional academic requirements or project work.
See template
See template
Contract Request Form (CRF)
PDF template
Form for healthcare providers to request a contract and credentialing with Molina Healthcare
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
Contract Types And Required Documents
PDF template
Comprehensive guide outlining document requirements for different types of consultant agreements and contracts.
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
New Art Center Curatorial Opportunity Program (COP) Guidelines
PDF template
Guidelines for submitting group exhibition proposals for the New Art Center's Curatorial Opportunity Program, accepting proposals for 6-week exhibitions from September 2019 to May 2020.
See template
See template
Liability Waiver Form
PDF template
A legal document releasing the University of Louisville from liability for participation in the Suzuki Studies Program and acknowledging program policies.
See template
See template
City Of Socorro 2024 Cornhole League Registration
PDF template
Registration form for participating in the City of Socorro's 2024 Cornhole League, including league rules and liability waiver.
See template
See template
PROJECTACTIVITY PROPOSAL FORM
PDF template
A form for faculty to request funding for professional development and scholarly activities with a maximum request of $3,000.
See template
See template
Certificate Of Trust
PDF template
A document used to establish or update trust insurance and annuity policy ownership with Pacific Guardian Life insurance company.
See template
See template
Council Proposal Form
PDF template
A comprehensive form for submitting organizational change proposals, detailing problem identification, proposed solutions, and potential impacts.
See template
See template
Course Proposal Submission Form
PDF template
A comprehensive form for proposing a new academic course, including details about course content, prerequisites, and learning objectives.
See template
See template
UW Colleges Continuing Education Instructor Proposal Form
PDF template
A form for potential instructors to submit course proposals for UW-Colleges Continuing Education program, detailing course specifics and instructor qualifications.
See template
See template
Travel Course Proposal
PDF template
A form for proposing and documenting travel-based academic courses, including course details, learning outcomes, and logistical information.
See template
See template
Waiver Form
PDF template
A comprehensive waiver form for participation in camp activities, requiring participant information and acknowledging potential risks.
See template
See template
Waiver Form
PDF template
A comprehensive waiver document for participants at Covenant Harbor Bible Camp and Retreat Center, covering liability and participation risks.
See template
See template
COVID 19 OTC Test Reimbursement Form
PDF template
Form for submitting reimbursement claims for personally purchased FDA-approved COVID-19 over-the-counter tests.
See template
See template
Communicable Disease Related Hold Harmless, Release, Waiver Of Liability, And Indemnity Agreement
PDF template
Legal document releasing event organizers from liability related to potential communicable disease exposure during an event.
See template
See template
COVID Vaccine Patient Intake Form 2021
PDF template
Patient intake form for COVID-19 vaccination at Stauffer's Drug Store and Stauffer's LTC Pharmacy, collecting patient information and insurance details.
See template
See template
COVID 19 Release Of Liability Form
PDF template
Release of liability form for Pacific Crest Trail Association volunteers during COVID-19 pandemic, outlining risks and participant responsibilities.
See template
See template
PARENTALGUARDIAN, SCOUT, LEADER COVID 19 ACKNOWLEDGEMENT CONSENT WAIVER FORM
PDF template
A waiver form acknowledging COVID-19 risks for scout activities and granting permission for participation during the pandemic.
See template
See template
Work Comp MVA Patient Intake Form
PDF template
Comprehensive medical intake form for documenting patient information, injury details, and insurance details for workers' compensation and motor vehicle accident claims.
See template
See template
Capstone Project Proposal Form
PDF template
A formal document for submitting a capstone project proposal for MSE-PD or M.S.-C&I degree programs.
See template
See template
Course Proposal Form For Student Facilitated Courses
PDF template
A form for proposing and documenting student-led academic courses at the undergraduate or graduate level.
See template
See template
Driver Proof Of Insurance Form
PDF template
Form for volunteer drivers to document and verify current automobile insurance coverage for Catholic Pro-Life Committee activities.
See template
See template
Credit Card Authorization Form
PDF template
A form allowing Tranquility Psychiatry and Counseling Services to keep a credit card on file for service payments and outstanding balances.
See template
See template
Instructions For Credit Life And Health Insurance Experience Reports
PDF template
Detailed instructions for insurance carriers to submit statistical reports on credit life and health insurance cases in Maryland.
See template
See template
CRESEMBA Support Solutions Enrollment Form
PDF template
A comprehensive enrollment form for patients seeking support and prescription assistance for CRESEMBA medication through Astellas Patient Assistance Program.
See template
See template
Certificate (Policy) Service Request Form
PDF template
A form for requesting various insurance contract services such as withdrawal, surrender, ownership assignment, or duplicate contract issuance.
See template
See template
Flight Attendant Optional Short Term Disability (OSTD)
PDF template
An optional short-term disability insurance program for flight attendants that provides income protection during periods of disability between paid sick time and long-term disability benefits.
See template
See template
Waiver Of Liability, Assumption Of Risk, And Indemnity Agreement
PDF template
Legal document waiving liability for participation in University of California community service transportation program.
See template
See template
Grace Period Extension Agreement
PDF template
An agreement allowing insurance customers additional time to pay premiums during the COVID-19 pandemic without plan termination.
See template
See template
CT State Shared Governance Statewide Discipline Council (SDC) Curriculum Proposal Feedback Form
PDF template
A form for providing detailed feedback on curriculum proposals across Connecticut State colleges and universities.
See template
See template
CUNY Release Agreement For Activities In A Destination Under A Travel Warning
PDF template
A legal document outlining risk assumptions and compliance requirements for CUNY travelers going to destinations with travel warnings or advisories.
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
University Undergraduate Curriculum Committee Curricular Proposal Form Guide
PDF template
A comprehensive guide and form for proposing curricular changes, new programs, and course modifications at the university level.
See template
See template
Certification Course CMBP Designation
PDF template
A comprehensive training program covering medical billing fundamentals, insurance types, claims processing, and medical office forms.
See template
See template
Custom EnrollmentApplication Certification Instructions
PDF template
A compliance checklist for customized enrollment forms to ensure regulatory requirements are met before submission.
See template
See template
Custom EnrollmentApplication Certification Instructions
PDF template
Instructions and checklist for ensuring compliance of customized enrollment forms prior to submission to regulatory authorities.
See template
See template
Customer Accessibility Feedback Form
PDF template
A form designed to collect customer feedback about service accessibility and satisfaction at Heartland Farm Mutual Insurance Inc.
See template
See template
Prescription Claim Form
PDF template
A form for submitting prescription reimbursement claims under a Medicare Part D manufacturer patient assistance program.
See template
See template
Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims, including patient and pharmacy information, insurance details, and claim reasons.
See template
See template
Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims, used to process pharmacy expense reimbursements.
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
Accident Waiver, Release Of Liability Informed Consent Form
PDF template
Legal document waiving liability for participants in activities at the Colonial Williamsburg Musket Range.
See template
See template
Accident Waiver, Release Of Liability Informed Consent Form
PDF template
Legal document waiving liability for participants in activities at the Colonial Williamsburg Musket Range.
See template
See template
Patient Registration Form
PDF template
A comprehensive medical intake form for collecting patient personal and insurance details for healthcare services.
See template
See template
General Consent For Treatment
PDF template
A consent form allowing medical treatment for minor patients at The C. W. Williams Community Health Center, including medical and dental procedures.
See template
See template
MODEL INDIVIDUAL ENROLLMENT REQUEST FORM TO ENROLL IN A MEDICARE ADVANTAGE PLAN (PART C)
PDF template
Official form for individuals with Medicare who want to enroll in a Medicare Advantage Plan, outlining eligibility and enrollment periods.
See template
See template
MOTOR ACCIDENT REPORT FORM
PDF template
Comprehensive form for reporting motor vehicle accidents, documenting incident details, vehicle information, and driver statements.
See template
See template
STATE OF LOUISIANA DRIVER AUTHORIZATION FORM
PDF template
Official form for authorizing state employees to drive vehicles on state business and documenting driving credentials and insurance compliance.
See template
See template
MEMBER REIMBURSEMENT DENTAL CLAIM FORM
PDF template
A form for members to request reimbursement for out-of-network dental services from their insurance provider.
See template
See template
Damage Report Form
PDF template
A form for reporting and documenting insurance damage claims with contact and incident details.
See template
See template
Damage Report Form
PDF template
A detailed form documenting damage incidents at a cemetery, including damage details, witnesses, police reports, and potential insurance claims.
See template
See template
Damage Report Form
PDF template
A form documenting damage to cemetery property, stones, or monuments, including details of the incident and potential repair process.
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
All FUR Fun Stay Play Dog Care Service Agreement Form
PDF template
A service agreement for dog daycare and boarding that outlines responsibilities, health certifications, and liability waivers for pet owners.
See template
See template
Dayspace Studio Rental Agreement
PDF template
A comprehensive rental agreement for studio equipment outlining terms, conditions, responsibilities, and risks for equipment rental from Day Space Studio.
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
Client Interview Form Defense Base Act
PDF template
A comprehensive form for collecting client information related to workplace injuries under the Defense Base Act
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
DC 54 Complaint Form
PDF template
Instructional guide for filing a complaint related to Temporary Disability Insurance or Prepaid Healthcare issues in Hawaii.
See template
See template
RETIRED LAW ENFORCEMENT OFFICER IDENTIFICATION CARD
PDF template
Liability waiver for retired law enforcement officers seeking to carry a concealed firearm under LEOSA provisions.
See template
See template
Some Early Thoughts On Liability Standards For Online Providers Of Legal Services
PDF template
An academic article exploring potential legal liability issues for online legal service providers and the intersection of technology and legal institutions.
See template
See template
DD FORM 2876 3, TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
PDF template
Official Department of Defense form for enrolling, disenrolling, or changing primary care managers in the TRICARE Prime healthcare program.
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
Draw Down The Lightning Grants Proposal Form
PDF template
A comprehensive grant proposal form for requesting funding from a university for a project aligned with institutional strategic framework.
See template
See template
Delta Dental Of Colorado Enrollment Form
PDF template
Form for enrolling in Delta Dental insurance coverage, including employee and dependent information.
See template
See template
Delta Dental Enrollment Form
PDF template
Enrollment form for obtaining dental insurance coverage through Delta Dental of Massachusetts
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
Death Benefit Application Form
PDF template
A form for Fiji Bank & Finance Sector Employees Union members to apply for death benefits for themselves or eligible family members.
See template
See template
DECA ICDC 2023 Registration Guide
PDF template
Official registration and permission form for DECA conference attendance, including medical authorization and conduct agreement.
See template
See template
Interdisciplinary Independent Major (IIM) Proposal Form
PDF template
A form for Goucher College students to propose and declare an Interdisciplinary Independent Major across three disciplines.
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
Participant Agreement, Release And Assumption Of Risk
PDF template
Legal waiver and risk assumption document for participants in trampoline and interactive activities, specifically for participants under 19 years old.
See template
See template
Specialty Care Referral Form
PDF template
A form for referring patients to dental specialists with patient, enrollee, and referral details.
See template
See template
Dental Claim Form
PDF template
A standardized form for submitting dental treatment and insurance claim information to Delta Dental of Illinois.
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
ENROLLMENT FORM
PDF template
Dental insurance enrollment form for University of Tennessee Health Science Center (UTHSC) student plan.
See template
See template
Demand For Documents Letter
PDF template
A letter requesting legal documentation, potentially related to debt collection or insurance matters, with guidance on proper letter composition and legal considerations.
See template
See template
Patient Intake Form
PDF template
Comprehensive patient registration form collecting personal, contact, and insurance information for medical practice.
See template
See template
Demographics And Insurance Form Surgery Registration
PDF template
Comprehensive patient intake form for surgical procedures, collecting patient demographics, insurance, and medical contact information.
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 Examination Waiver Form
PDF template
A form for parents/guardians to request a waiver from required dental examination for school-enrolled children in Illinois.
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
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
Dental Claim Form
PDF template
A comprehensive form for filing dental insurance claims, collecting patient and insurance information.
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
Patient Referral Form
PDF template
A comprehensive medical and dental referral form for patient intake and specialist consultation at Boston Children's Hospital dental services.
See template
See template
DepartureTransfer Out CHECKLIST
PDF template
A comprehensive checklist for international students preparing to leave their current location, covering health insurance, student accounts, housing, and financial matters.
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 Audit Form
PDF template
A form for employees to verify and update dependent insurance coverage information and personal details.
See template
See template
Proposal Form For Depository Services
PDF template
A proposal document for independent school districts to select a bank for depository services, outlining compensation methods and financial terms.
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
Designation Of Beneficiary And Emergency Contact Form
PDF template
A form for designating beneficiaries and emergency contacts for funds owed by the International Atomic Energy Agency (IAEA)
See template
See template
Des Plaines Park District Waiver Form
PDF template
Waiver and release form for sports team participants to acknowledge and accept potential risks associated with participation.
See template
See template
Grant Inquiry Form
PDF template
A form and guide for faculty and staff to submit grant proposals through the Grants Office at BPCC.
See template
See template
2014 Legislative Proposal Form
PDF template
A form for proposing legislative changes related to the Department of Hawaiian Home Lands (DHHL) and Hawaiian Home Lands trust.
See template
See template
MASTER SERVICES AGREEMENT
PDF template
Legal agreement governing use of Digital 55's website, services, and platform with terms of service and liability limitations.
See template
See template
FEMME PHYSIOCARE PATIENT INTAKE FORM
PDF template
Comprehensive patient intake form for physiotherapy services with personal information, insurance, and consent sections.
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
Directed Inquiry (KINE 798) Proposal Form
PDF template
A comprehensive guide for graduate students in Kinesiology to propose and complete a directed inquiry research experience.
See template
See template
Liability And Insurance Form Instructions
PDF template
Comprehensive instructions for electronically filling out and submitting a liability and insurance form across different devices and platforms.
See template
See template
Molina Healthcare Of California Direct Referral To Specialist
PDF template
A referral form for Molina Healthcare members to receive specialized medical services within their network of contracted specialists.
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
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 carpenters to claim disability health and welfare hours due to illness or injury, requiring participant and physician statements.
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 medical and employment details for Teamsters Joint Council No. 83 members.
See template
See template
Disability Claim Form
PDF template
A comprehensive form for filing a disability claim through the Teamsters Joint Council No. 83 of Virginia Health & Welfare and Pension Funds.
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
Continuing Disability Claim Form
PDF template
A comprehensive form for filing a disability insurance claim covering various types of disability and patient information
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
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
Disabled Dependent Authorization Form
PDF template
Insurance form for documenting dependent status, eligibility, and coverage details for a disabled dependent under 26 years old.
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
Directed Independent Study (DIS) Proposal Form For Undergraduate Graduate Students
PDF template
A form for students to propose and obtain approval for an independent study course with a faculty supervisor at the university.
See template
See template
Ph.D. Dissertation Proposal Form Mechanical And Industrial Engineering Doctoral Students
PDF template
A form for Mechanical and Industrial Engineering doctoral students to document their dissertation proposal details and committee composition.
See template
See template
Dissertation Proposal Approval Form
PDF template
A formal academic document used to approve a student's dissertation proposal through multiple levels of academic review.
See template
See template
Dissertation Proposal Approval Form
PDF template
A formal document for academic review and approval of a doctoral dissertation proposal at Indiana University School of Education.
See template
See template
Doctoral Dissertation Proposal Approval
PDF template
A formal document for certifying and approving a doctoral student's dissertation proposal by an academic advisory committee.
See template
See template
International Medical History Form
PDF template
Comprehensive medical form for collecting personal health information, emergency contacts, and medical history for international travel purposes.
See template
See template
International Medical History Form
PDF template
Comprehensive medical history and emergency contact form for international travelers to ensure safety and medical preparedness.
See template
See template
Distinctive Americas Holiday Booking Form
PDF template
A comprehensive travel booking form for reserving holidays with Distinctive Americas, including personal details, travel insurance, and payment information.
See template
See template
UM Diver Proof Of Insurance Form
PDF template
Form requiring proof of medical insurance coverage for potential scuba diving accidents and hyperbaric oxygen therapy
See template
See template
UM Diver Proof Of Insurance Form
PDF template
A form requiring divers to prove they have medical insurance coverage for potential scuba diving accidents involving hyperbaric oxygen therapy.
See template
See template
Guidelines For Maintaining An Equipment Inventory
PDF template
Comprehensive guidelines for managing and tracking equipment owned by a PEF Division, including insurance coverage, custodianship, and inventory tracking.
See template
See template
Guidelines For Maintaining An Equipment Inventory
PDF template
Comprehensive guidelines for managing and tracking equipment owned by a PEF Division, including insurance coverage, custodianship, and inventory tracking.
See template
See template
Claims Reporting Procedure Manual
PDF template
Comprehensive guide for reporting and managing various types of claims for state-owned property, vehicles, and liability incidents in Alaska.
See template
See template
DIY Docs
PDF template
An online legal document creation and storage tool provided by ARAG for employees to generate and manage legal documents independently.
See template
See template
Denver Mac Repair Service Agreement
PDF template
Service agreement outlining repair procedures, liability, and customer responsibilities for Mac computer repair services.
See template
See template
Individual Volunteer Registration AgreementTime Record
PDF template
Agreement for volunteers to register and track service time with the Department of Natural Resources, including liability waiver and image consent.
See template
See template
Organizational Hold Harmless And Indemnity Agreement
PDF template
Legal document that provides liability protection for Boy Scouts of America against claims from non-BSA scouting groups and organizations.
See template
See template
Minor (Under 18) Participant Form
PDF template
Registration and liability waiver form for minors participating in sports activities at Accelerate Sports complex.
See template
See template
The 1st Annual Ridgecrest Regional Hospital Dodgeball Tournament 2017 Waiver Form
PDF template
Legal waiver for participants in the Ridgecrest Regional Hospital Dodgeball Tournament, releasing the hospital from liability for potential injuries.
See template
See template
Request For Proposal (RFP) For IS Audit Of Dolphin Application
PDF template
Request for proposal for conducting an information systems audit of a pay and accounting software for the Defence Accounts Department of India
See template
See template
Proposal Form Domestic Maid (Lite)
PDF template
Insurance proposal form for obtaining domestic maid insurance coverage in Singapore.
See template
See template
Domestic Maid (Lite) Proposal Form
PDF template
Insurance proposal form for domestic maid coverage in Singapore, detailing proposer and maid particulars.
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
RELEASE INDEMNIFICATION FOR DOMESTIC TRAVEL FORM
PDF template
A legal document for releasing liability and indemnifying the university for domestic student travel activities.
See template
See template
Do Not File Insurance Waiver Form
PDF template
A document allowing patients to request that Oklahoma State University Medicine not file an insurance claim for a specific date of service.
See template
See template
Driver Services Release Form
PDF template
A legal document for releasing liability related to a vehicular accident, allowing a releasor to waive claims against a released party.
See template
See template
Application, Liability Release And Rental Agreement Form
PDF template
A liability release and rental application form for using the Glen Echo Town Hall meeting room, including details about event, attendance, and sponsorship requirements.
See template
See template
Job Displacement Insurance A Policy Typology
PDF template
A research paper examining policy approaches for insuring workers against earnings losses from unemployment and job displacement.
See template
See template
DQE Proposal Feedback Form
PDF template
Evaluation form for doctoral students' research proposal by psychology department committee members.
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
Motor Vehicle Accident Report Form
PDF template
Confidential report form for documenting details of a motor vehicle accident involving injury, death, or property damage over $1,000.
See template
See template
Chapter 133 General Medical Provisions Health Care Provider Billing Procedures
PDF template
Regulatory document outlining electronic and paper billing procedures for health care providers in workers' compensation and insurance contexts.
See template
See template
Chapter 133. General Medical Provisions Subchapter B. Health Care Provider Billing Procedures
PDF template
Regulatory document specifying required electronic and paper billing formats for healthcare providers in workers' compensation and insurance contexts.
See template
See template
Artist ApplicationAgreement
PDF template
A legal document for artist participation in Buttonwood Art Space activities, including a waiver of liability and hold harmless agreement.
See template
See template
Indemnity Data CallReporting Contact Form
PDF template
Form for insurance affiliates to designate primary data reporting contacts for NCCI Group Codes.
See template
See template
STATE OF LOUISIANA DRIVER AUTHORIZATION FORM
PDF template
Annual form for authorizing state employees to drive vehicles on state business and verifying driving credentials
See template
See template
Driver Insurance Form Field Trips And Athletics
PDF template
A form for parents/guardians to complete insurance and driving history information for school-related transportation and field trips.
See template
See template
DriverForm Rev12.2016 VOLUNTEEREMPLOYEE DRIVER FORM
PDF template
A form for collecting driver information, vehicle details, insurance coverage, and driving history for volunteers and employees who drive vehicles.
See template
See template
New Drivers Of University Vehicles
PDF template
Form for collecting driver information and authorization for new drivers of university vehicles, specifically for golf carts or low-speed electric vehicles.
See template
See template
DriverS Accident Reporting Packet
PDF template
Comprehensive guide for handling vehicle accidents involving University of California vehicles, providing step-by-step instructions for reporting and managing post-accident procedures.
See template
See template
CIBC Insurance DriveSmart Program Terms And Conditions
PDF template
Policy terms and conditions for CIBC Insurance DriveSmart telematics driving program with Certas Direct Insurance Company.
See template
See template
Installment Agreement
PDF template
Official form for resolving driver's license reinstatement through an installment payment plan with specific procedural requirements.
See template
See template
Student Insurance Claim Form
PDF template
A comprehensive insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
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
Change Of Information Form
PDF template
A form for patients to update their personal, contact, insurance, and payment information with Double Talk Therapy, PLLC.
See template
See template
Outgoing Travel Policy For Visitors
PDF template
Policy and instructions for booking travel to Singapore for visitors and faculty associated with Duke-NUS
See template
See template
Durable Power Of Attorney
PDF template
A form allowing employees to designate an attorney-in-fact to conduct insurance-related transactions with the Employees Group Insurance Division (EGID).
See template
See template
Workers Compensation Complaint Form
PDF template
Official form for filing a complaint related to workers' compensation violations in Texas, detailing alleged system participant infractions.
See template
See template
DyAnsys Brief Proposal Form
PDF template
A comprehensive form for researchers seeking project support and equipment loan from DyAnsys, including project details and research objectives.
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
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
Workers Compensation Commission Self Insurance Program Application
PDF template
Comprehensive application guide for employers seeking self-insurance status for workers' compensation in Maryland.
See template
See template
Exhibitor Appointed Contractor Form
PDF template
Form detailing requirements and guidelines for third-party contractors working at Gulf Coast Conference (GCC) event.
See template
See template
Assumption Of The Risk, Release Waiver Of Liability
PDF template
Liability waiver for participants in a research program, acknowledging risks and providing emergency consent.
See template
See template
INITIAL DISABILITY CLAIM FORM
PDF template
A comprehensive form for filing disability insurance claims covering various types of disability scenarios with patient and policyholder information.
See template
See template
Third Party Fundraising Event Proposal Form
PDF template
A form for individuals or groups proposing to host a fundraising event on behalf of the Epilepsy Association of Western and Central PA.
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
PELHAM SCHOOL DISTRICT POLICY EBBB ACCIDENT REPORTS
PDF template
Comprehensive policy detailing requirements for reporting accidents involving students or employees in school settings, including notification procedures and documentation guidelines.
See template
See template
Accident Reporting
PDF template
Policy outlining procedures for reporting accidents involving students or employees at school or school-sponsored activities.
See template
See template
Claim Form
PDF template
A comprehensive form for submitting claims for various flexible spending and healthcare reimbursement accounts.
See template
See template
North Carolina Workers Compensation Electronic Billing And Payment Companion Guide
PDF template
A companion guide for electronic billing and payment processes in North Carolina's workers' compensation system, based on national electronic billing standards.
See template
See template
Volunteer Field Trip Waiver Form
PDF template
A waiver form for volunteers participating in activities with the East Bay Regional Park District, covering liability, medical consent, and photo permissions.
See template
See template
EasyCare Cancellation Form
PDF template
Form for cancelling vehicle protection or GAP coverage contract with specific documentation requirements.
See template
See template
Elk County Catholic High School Building Usage Form
PDF template
A form for external groups to request use of school facilities, including details about event, facilities, and insurance requirements.
See template
See template
LSU Early Child Education Laboratory Preschool Proposal Form
PDF template
A form for researchers to submit proposals for conducting research with preschool children at the LSU Early Child Education Laboratory Preschool.
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
Electronic Transmission Authorization And Consent Form
PDF template
A form authorizing electronic submission and exchange of personal health information for insurance claims processing and administration.
See template
See template
ECU Leased Equipment Policy Change Form
PDF template
A form for documenting changes to leased equipment at East Carolina University, including equipment details, location, and lease information.
See template
See template
ECU Leased Equipment Policy Change Form
PDF template
A form for documenting changes to leased equipment at East Carolina University, including equipment details, location, and lease information.
See template
See template
Editing Request Submission Form
PDF template
A form for requesting professional editing services for academic documents such as proposals, journal articles, theses, and dissertations.
See template
See template
COEHD Education Abroad Proposal Form
PDF template
A comprehensive form for faculty proposing and documenting international education programs within the College of Education and Human Development.
See template
See template
Education Proposal Form FAQ
PDF template
Frequently asked questions about submitting an education project proposal to the College of Professional Learning and Leadership (CoPLL)
See template
See template
Horizon Europe Evaluation Form (HE MSCA)
PDF template
Official guidelines for scoring and evaluating research proposals under the Horizon Europe Marie Skodowska-Curie Actions (MSCA) program.
See template
See template
Traveler Health And Medical Information
PDF template
A comprehensive guide for group leaders to collect and manage travelers' medical information and health considerations during travel programs.
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
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
Electronic Communications Requirements
PDF template
Document outlining electronic communication services and requirements between Western National Insurance Group and its agencies for policy information transmission and business communications.
See template
See template
EFT And ERA Electronic Funds Transfer And Electronic Remittance Advice Transactions Basics
PDF template
A comprehensive overview of Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) transactions in healthcare payment systems.
See template
See template
IAIABC Electronic Partnering Agreement
PDF template
A document establishing guidelines and expectations for electronic data exchange between trading partners in industrial accident and workers' compensation domains.
See template
See template
Electronic Proposal Routing Approval Form (EPRAF)
PDF template
A comprehensive form for submitting and routing research project proposals, capturing key details about funding, project team, and administrative information.
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
Emergency Contact Form
PDF template
A comprehensive form for collecting student emergency contact details, medical information, and guardian contact information for school records.
See template
See template
Health Office Emergency Contact Form
PDF template
A comprehensive form collecting student contact, medical, and insurance information for school emergency purposes.
See template
See template
Emergency Contact Form
PDF template
A comprehensive form for recording family contacts, medical care providers, and insurance details for emergency reference.
See template
See template
Emergency Information
PDF template
A comprehensive emergency contact and medical information form for students participating in university activities.
See template
See template
Emergency Medical Form
PDF template
Form for updating student emergency contact, insurance, and athletic participation information for school records.
See template
See template
Clauses To Emergency Use Agreement
PDF template
Legal document outlining terms and conditions for emergency service provision between City of Dripping Springs/ESD #6 and a vendor during emergency situations.
See template
See template
EmergencyMedical Authorization Waiver Form For Minor Participants
PDF template
A form authorizing emergency medical treatment and waiving liability for minor participants in a Ferris State University camp or program.
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
EMFG Venue Check List
PDF template
Comprehensive checklist of required documents and steps for preparing an event venue at a fairgrounds facility.
See template
See template
Health Insurance Claim Form
PDF template
Standard health insurance claim form for submitting patient and insurance information for medical reimbursement and processing.
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
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
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
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
GIC Employment Status Change Form
PDF template
A form for documenting changes in employment status, leave of absence, and associated health insurance coverage elections.
See template
See template
2023 EMRA RenewalSurvey Form
PDF template
Form for renewing and surveying emergency medical transport agency licenses in Oklahoma, with two renewal options for 2024 and 2025.
See template
See template
Out Of Network Vision Services Claim Form
PDF template
A form for submitting out-of-network vision service claims with instructions for online or mail submission.
See template
See template
Application Part 1 Proposal Form
PDF template
A comprehensive form for organizations to submit grant proposals, capturing project details, contact information, and funding requirements.
See template
See template
Architects And Engineers Professional Liability Insurance Application
PDF template
An insurance application form for architects and engineers to obtain professional liability coverage.
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
Youth Programs Mandatory Forms
PDF template
Comprehensive legal document for youth program participation, covering travel, risk, and liability waivers for participants or their guardians.
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
VEHICLE INSPECTION FORM
PDF template
A comprehensive form for documenting vehicle condition and existing damage for insurance purposes.
See template
See template
Enrichment Program Proposal
PDF template
A form for submitting proposed educational enrichment programs to Rochester Community Schools for review and potential approval.
See template
See template
Enrollment Change Waiver Group Insurance Form
PDF template
Insurance enrollment form for adding or changing group dental and eye care coverage for employees and their dependents.
See template
See template
Continuing Consent To Treatment And Authorization To Release Information
PDF template
A consent form allowing medical treatment for a minor student and authorizing release of medical information to insurance services.
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
SISC Flex Plan Enrollment Form
PDF template
Employee enrollment form for health care, limited purpose, and dependent care flexible spending accounts with benefit election options.
See template
See template
Delta Dental Of Rhode Island Enrollment Form
PDF template
An enrollment form for Delta Dental insurance coverage in Rhode Island, used to add or modify dental insurance coverage for individuals and families.
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
Application And Change Form For Delta Dental Individual And Family
PDF template
A comprehensive dental insurance enrollment form for individual and family coverage with personal and dependent information sections.
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
PDF template
A comprehensive form for enrolling in insurance coverage and adding spouse and dependent information for IBEW Local 26 members.
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
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
VEHICLE INSPECTION FORM
PDF template
Insurance form for documenting existing vehicle damage during policy inspection or claim process.
See template
See template
Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, contact, medical, and insurance information for healthcare providers.
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
Release Of Liability, Promise Not To Sue, Assumption Of Risk And Agreement To Pay Claims
PDF template
A legal document that releases a university from liability for potential injuries or damages during an activity or related travel.
See template
See template
Youth Sports Medical History Form
PDF template
A comprehensive medical history form for youth sports participants, requiring detailed health information and medical practitioner verification.
See template
See template
English Profile Research Proposal Form
PDF template
A structured template for submitting research proposals to the English Profile program, outlining project details and research methodology.
See template
See template
Equipment Agreement Form
PDF template
Form for borrowing equipment from KC STEM Alliance, outlining rental terms, liability, and borrower responsibilities.
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
Accident Waiver, Release Of Liability And IndemnityHold Harmless Agreement For The Use Of Loaned Equ
PDF template
Legal document releasing White Lake Community Library from liability when borrowing and using library equipment
See template
See template
Waiver And Release Agreement
PDF template
A document allowing student photography and releasing the school district from liability for potential harm or damages.
See template
See template
Equitable Distribution Inventory Affidavit
PDF template
Legal document for disclosing assets and liabilities during divorce proceedings in North Carolina's district court system.
See template
See template
ERM 14 FormConfidential Request For Ownership Information
PDF template
A confidential form for reporting changes in business ownership, legal entity status, or organizational structure for workers compensation insurance purposes.
See template
See template
Applied Behavior Analysis (ABA) Clinical Service Request Form
PDF template
A form for requesting clinical services related to Applied Behavior Analysis treatment, used by Blue Cross Blue Shield of Texas for initial or concurrent treatment requests.
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
MASTERS THESIS RESEARCH PROPOSAL FORM ESE 597
PDF template
A form for students to propose and obtain approval for a master's thesis research project in the Electrical and Systems Engineering department.
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
Getting Started With Home Delivery From Express Scripts Pharmacy
PDF template
Comprehensive guide for managing prescription home delivery services through Express Scripts online platform and mobile app.
See template
See template
NREL Form Estimated Budget Form
PDF template
A comprehensive budget and cost estimation form for project proposals submitted to the National Renewable Energy Laboratory (NREL)
See template
See template
EVENT AND BUDGET PROPOSAL FORM
PDF template
A form for leaders to propose and request funding for community events related to sustainability and urban innovation.
See template
See template
ST. JUDE DRIVE EVENT PROPOSAL FORM
PDF template
A form for proposing and documenting details of a St. Jude Drive fundraising event with driver and event information.
See template
See template
Event Proposal Form
PDF template
A comprehensive form for military personnel to propose and plan squadron recreational and social events with detailed funding and activity breakdowns.
See template
See template
EVENT PROPOSAL FORM For RacesRuns Special Events
PDF template
A comprehensive form for individuals or groups to propose and request special events at county parks with detailed event and service requirements.
See template
See template
Event Proposal Form
PDF template
A comprehensive form for proposing and documenting details of an upcoming event, including purpose, participants, and event specifics.
See template
See template
Events, Programs Special Projects Proposal Form
PDF template
A comprehensive form for submitting event, program, or project proposals at Seattle University School of Law with detailed guidelines and requirements.
See template
See template
Event Proposal Form
PDF template
A form for student organizations to propose and document campus or community events, including event details, expenses, and impact.
See template
See template
Event Proposal Form
PDF template
A form for members to propose and detail potential events or projects for the Tau Beta Pi engineering honor society chapter.
See template
See template
Ski Area Release Agreement
PDF template
Legal document waiving liability for ski-related activities at Lake Louise Ski Area, covering potential injuries and property damage.
See template
See template
Waiver Form
PDF template
A legal document providing consent and releasing liability for participation in a St. Jude Children's Research Hospital event.
See template
See template
Release Of All Claims
PDF template
Legal release form for participants of a community garden, acknowledging risks and waiving liability for potential accidents or injuries.
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
Exchange Privilege Application
PDF template
A form for requesting policy exchanges between term life insurance policies without requiring evidence of insurability.
See template
See template
Southwestern Community College District Excursion Liability Release Agreement Form
PDF template
A liability release form for students participating in off-campus activities or field trips sponsored by Southwestern Community College District.
See template
See template
Exercise Waiver And Release Form
PDF template
A legal document releasing fitness facilities or trainers from liability for potential injuries during exercise activities.
See template
See template
Master Services Agreement
PDF template
An agreement between Chartis International and MMR Information Systems for providing electronic medical record storage services to insurance customers.
See template
See template
Exhibit Agreement And Inventory Form
PDF template
A form detailing terms and conditions for displaying exhibits in Hunter Library, including exhibitor responsibilities and liability waivers.
See template
See template
Bid Proposal Form
PDF template
A bidding document for a municipal sewer rehabilitation project with base bid and add alternate bid sections.
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
Exhibit B Proposal Form
PDF template
A proposal form for security guard services detailing hourly rates and contract terms for Benton County.
See template
See template
Washoe County Liability Property Loss Report Form
PDF template
A comprehensive form for reporting personal injuries, property damage, and county property losses in Washoe County.
See template
See template
Notification Of Intent To Use Exhibitor Appointed Contractor
PDF template
Form for exhibitors to notify event management about using a non-official service contractor for an event
See template
See template
Liability Waiver Form
PDF template
A liability waiver form for exhibitors at conferences or events at the Hyatt Regency Newport, requiring insurance documentation and releasing Hyatt from potential claims.
See template
See template
Exhibition Proposal Form
PDF template
A form for submitting exhibition proposals to the San Francisco Public Library's Office of Exhibitions & Programming.
See template
See template
Instructions For Application To Sell UnitedHealthcare Products
PDF template
Comprehensive guide for external producers seeking authorization to sell UnitedHealthcare insurance products and become appointed agents.
See template
See template
Fundraising Activity Proposal Form
PDF template
A form used by McLennan Community College employees to propose and get approval for fundraising activities and solicitations.
See template
See template
Out Of Network Vision Services Claim Form
PDF template
A claim form for submitting out-of-network vision services reimbursement to First American Administrators for EyeMed Vision Care plans.
See template
See template
EnrollmentChange Form
PDF template
A form for enrolling or changing employee and family insurance coverage with Fidelity Security Life Insurance Company.
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
Out Of Network Claim Form
PDF template
A form for EyeMed Vision Care members to submit claims for out-of-network vision care services and receive reimbursement.
See template
See template
OTHER INSURANCE FORM
PDF template
A form for collecting details about additional insurance coverage for a Medicaid client
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
PDP Prescription Reimbursement Request Form
PDF template
A form for members to request reimbursement for prescription medications purchased at retail cost when standard prescription drug coverage was not used.
See template
See template
Medical Dental Time Loss Claim Form
PDF template
A comprehensive medical claim form for employees and dependents to submit healthcare and time loss claims.
See template
See template
Dual Option Enrollment Form
PDF template
An enrollment form for dental insurance coverage through Transport Workers Union, Local 100, allowing members to select dental plans and add dependents.
See template
See template
General Provider Billing Manual
PDF template
Comprehensive guide for healthcare providers on billing procedures for workers' compensation and crime victims services in Washington state.
See template
See template
Request For Proposal Implementation Of PeopleSoft Academic Advisement
PDF template
Solicitation document for implementation of PeopleSoft Academic Advisement system at the University of Central Florida
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
F262 024 000 Claims Suppression Complaint Form
PDF template
A form for reporting potential claims suppression by employers in workers' compensation cases.
See template
See template
EXHIBIT 4 PROPOSAL FORM
PDF template
Proposal form for a construction project involving remodeling buildings at CBJTC with base bid and alternate proposal options.
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
Enrollment Form F33
PDF template
Comprehensive enrollment form for employees to register dependents and update personal information for benefit plans
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
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
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
Huntsville Public Library Standard Rental Agreement Form
PDF template
A comprehensive form for renting rooms and facilities at the Huntsville Public Library, including event details, insurance requirements, and payment information.
See template
See template
Owen County Family YMCA Room Rental Application Form
PDF template
Application and liability waiver for renting rooms at the Owen County Family YMCA, including rental terms and liability release.
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
Domestic Academic Student Travel Waiver Form
PDF template
A legal waiver document for students participating in academic field trips or off-campus activities, outlining risk assumptions, medical consent, and vehicle use conditions.
See template
See template
Faculty Request To Support Graduate Student Research Proposal Or Thesis
PDF template
A form for WellStar College of Health & Human Services faculty to request professional development funds for supporting graduate student research projects.
See template
See template
Faculty Handbook Change Proposal Form
PDF template
A form for proposing changes to the university's Faculty Handbook, to be reviewed by the Faculty Governance Committee.
See template
See template
ODU Faculty Led Study AbroadAway Proposal Form
PDF template
A proposal form for Old Dominion University faculty to submit details for potential study abroad or away academic programs.
See template
See template
Faculty Professional Development Proposal Form
PDF template
A form for faculty to outline goals and details of a professional mentorship activity for the current academic term.
See template
See template
MDST Proposal Form Faculty Proposal
PDF template
A form for faculty to submit proposals for new academic areas of study within the MDST major, requiring detailed curriculum and rationale documentation.
See template
See template
Faculty Research Proposal
PDF template
A formal document for faculty members to submit research project proposals seeking funding and approval from the university research council.
See template
See template
Exhibitor Appointed Contractors (EACs)Third Party Contractor Guidelines
PDF template
Comprehensive guidelines for exhibitors using third-party contractors for booth installation, dismantling, and services at a trade show event.
See template
See template
Westtown Township Health And Fitness Registration And Insurance Form
PDF template
Registration form for fitness programs with health history and medical information collection
See template
See template
Community Gallery Proposal Form
PDF template
Application form for non-profit organizations seeking to exhibit artwork in a community gallery space
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
FAMILY EMERGENCY CONTACT FORM
PDF template
A comprehensive document listing essential emergency contacts and insurance information for family disaster preparedness.
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
FAQs About Affordable Care Act Implementation Part 31, Mental Health Parity Implementation, And Wome
PDF template
Frequently Asked Questions regarding implementation of market reform provisions in healthcare, covering preventive services, mental health parity, and women's health rights.
See template
See template
FAQs About Affordable Care Act Implementation Part 31, Mental Health Parity Implementation, And Wome
PDF template
Guidance document providing frequently asked questions about preventive services coverage under the Affordable Care Act, Mental Health Parity Act, and Women's Health and Cancer Rights Act.
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
Farm Emergency Contact Form
PDF template
A comprehensive emergency contact and insurance information form for farm operations, listing critical emergency and support service contacts.
See template
See template
Farm Emergency Contact Form
PDF template
Comprehensive form for documenting emergency contacts, insurance policies, and critical service providers for a farm operation.
See template
See template
Professional Development Program Research Proposal Form
PDF template
A form for faculty or staff to propose professional development activities, research projects, or presentations at Florida Atlantic University Libraries.
See template
See template
Cancellation Form
PDF template
A form for subscribers to cancel their health or dental insurance coverage with Farm Bureau Health Plans.
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
INCLUSA CLAIM FORM
PDF template
A claim form for submitting healthcare service claims to Inclusa Family Care through WPS Health Insurance.
See template
See template
Director Proposal Form For Fauquier Community Theatre (FCT)
PDF template
A comprehensive form for theatre directors to propose and detail a potential production for Fauquier Community Theatre.
See template
See template
PHASE VII FDP DEMONSTRATION PROPOSAL FORM
PDF template
A form for proposing new or ongoing demonstrations within an organizational framework, detailing project objectives and implementation.
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
DISSERTATION PROPOSAL APPROVAL
PDF template
Official form for submitting and obtaining approval for a doctoral dissertation proposal in Sacred Theology.
See template
See template
OWCP 92 Uniform Billing Form
PDF template
Guidelines for submitting medical service bills for federal employees under compensation programs related to work-related injuries and occupational illnesses.
See template
See template
NATIONAL FLOOD INSURANCE PROGRAM PUBLICATIONS ORDER FORM
PDF template
Order form for free publications from the National Flood Insurance Program covering flood insurance resources and materials.
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
Form Of Exercise And Transfer (FET)
PDF template
A legal document for exercising rights of United Engineers Limited Preference Shareholders under Section 215(3) of Singapore Companies Act
See template
See template
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
PDF template
A comprehensive legal document that releases liability for participants in various group activities and events.
See template
See template
MIRACOSTA COMMUNITY COLLEGE DISTRICT EXCURSION LIABILITY RELEASE And AGREEMENT
PDF template
A comprehensive form outlining guidelines and requirements for field trip participation at MiraCosta Community College District.
See template
See template
Release Of Liability, Waiver Of Right To Sue, Assumption Of Risk And Agreement To Pay Claims
PDF template
A legal document that releases California State University from liability for potential injuries or damages during an activity or event.
See template
See template
Release Of Liability, Waiver Of Claims, Express Assumption Of Risks, And Hold Harmless Agreement
PDF template
Legal document releasing Florida Atlantic University from liability for potential risks and damages during a field trip.
See template
See template
FIELD TRIPTRANSPORTATION PERMISSION AND WAIVER FORM
PDF template
A legal document granting permission for student participation in a field trip while releasing the school from potential liability.
See template
See template
FIRST YEAR INTEREST GROUP (FIG) PROPOSAL FORM FALL 2024
PDF template
A proposal form for creating a First-Year Interest Group (FIG) course cluster for incoming university students.
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
YMCA Camp Independence 2024 Health History And Examination Form
PDF template
Medical form for collecting camper health information and emergency contact details for YMCA summer camp participation.
See template
See template
Artist Release, Waiver Of Liability Loan Agreement
PDF template
Legal document outlining terms for an artist loaning artwork to the Children's Museum of Oak Ridge for a temporary exhibition.
See template
See template
D50 Hawaii Lions Constitution, By Laws And Standing Policies Proposal Form
PDF template
A form for proposing amendments or additions to the Hawaii Lions District 50 Constitution, By-Laws, and Standing Policies.
See template
See template
PROJECTACTIVITY PROPOSAL FORM
PDF template
A form for faculty to request funding for professional development and scholarly activities within the department's priorities and goals.
See template
See template
Patient Demographics Form
PDF template
Comprehensive medical intake form collecting patient personal, contact, insurance, and consent information for healthcare services.
See template
See template
Cost Share Request Form
PDF template
A form for documenting and requesting cost sharing details for research project proposals across multiple years.
See template
See template
Facility Rental Agreement
PDF template
A rental agreement for using museum facilities, outlining terms, fees, and liability conditions for event spaces.
See template
See template
Client Financial Responsibility Agreement
PDF template
A comprehensive agreement outlining financial responsibilities and payment terms for clients receiving services from The Wellness Centre.
See template
See template
ClaimIncident Report Form
PDF template
A comprehensive form for documenting insurance claims, liability incidents, and property damage details.
See template
See template
Volunteer Indemnity Agreement
PDF template
Legal document indemnifying Bay Cliff Health Camp against liability for volunteer injuries or losses during camp activities.
See template
See template
PRODUCER AGREEMENT
PDF template
A legal agreement between KIS Surety Bonds, LLC and an independent insurance producer defining their business relationship and operational responsibilities.
See template
See template
Massachusetts Collaborative Behavioral Health Level Of Care Request Form
PDF template
A comprehensive form for requesting behavioral health services and documenting patient clinical information for insurance and treatment purposes.
See template
See template
2024 25 PermissionWaiver Emergency Information Form Minor
PDF template
A comprehensive form for minor participants to provide emergency contact information and release liability for church activities
See template
See template
NPI Partnership Agreement Letter
PDF template
A collaborative agreement form for partners to work together on a joint project, outlining organizational roles and contact details.
See template
See template
Patient Registration Form
PDF template
Comprehensive medical intake form for collecting patient personal information, emergency contact details, insurance information, and health history.
See template
See template
Arizona JKA 2024 Summer Payson Camp Waiver Form
PDF template
Legal document releasing liability for participation in martial arts training and activities, acknowledging inherent risks of physical injury.
See template
See template
JMC Special Course Proposal Form
PDF template
A form for students to propose and document special variable credit courses with instructor approval.
See template
See template
Sports Participant Waiver Form
PDF template
Legal waiver for participants in sports activities, releasing the organization from liability for potential injuries or damages.
See template
See template
Waiver Form
PDF template
A liability waiver form for user groups utilizing School District No. 5 (Southeast Kootenay) properties and facilities.
See template
See template
CLARK COUNTY SCHOOL DISTRICT VOLUNTEER WAIVER AND RELEASE
PDF template
Legal document releasing Clark County School District from liability for volunteer activities and potential risks during service.
See template
See template
Annual Report Form For Administrators
PDF template
Annual reporting form for insurance administrators holding a certificate of authority under Texas Insurance Code Chapter 4151
See template
See template
Dental Patient Information Form
PDF template
Comprehensive form for collecting patient personal, dental, and insurance information for dental services.
See template
See template
Guide To Completing AEIF Proposal Form
PDF template
A comprehensive guide for international exchange alumni to create strong project proposals for the Alumni Engagement Innovation Fund (AEIF)
See template
See template
Kentucky FAIR Plan Reinsurance Association Homeowner Manual
PDF template
Comprehensive manual for homeowner insurance policies and guidelines issued by the Kentucky FAIR Plan Reinsurance Association.
See template
See template
Brother Joseph Miggins Service Program Proposal Form
PDF template
A student proposal form for documenting community service project details and plans.
See template
See template
Contract Types And Required Documents
PDF template
Guidelines for required documentation for different types of consultant agreements based on contractor status and licensing
See template
See template
Suburban Urologic Associates Financial Policy
PDF template
Detailed financial policy outlining insurance, payment, and billing procedures for a urology medical practice.
See template
See template
REQUEST FOR PROPOSAL Financial Transparency And Data Visualization Tool
PDF template
Request for proposal for a financial transparency and data visualization tool to be provided to the City of Westminster's Policy & Budget Department.
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
First Book Liability And Media Release Form
PDF template
A legal document providing liability waiver and media release for participants in First Book events, particularly for minors.
See template
See template
Fitness Center Use Agreement And Release Of Liability
PDF template
Legal document outlining liability release and risk assumption for using a fitness center facility in Walnut Creek, California.
See template
See template
FITNESS INSTRUCTORPERSONAL TRAINER Insurance Program And Enrollment Form
PDF template
Insurance program designed for U.S.-based fitness instructors providing coverage for personal training and exercise activities.
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
HealthFitness Center Reimbursement Form
PDF template
A form for Capital Health Plan members to request reimbursement for health and fitness center memberships up to $150 per family or member.
See template
See template
Fitness Benefit Coverage Form Instructions
PDF template
Instructions and form for members to request reimbursement for fitness-related expenses through their health plan
See template
See template
FL401T Template Supporting Statement
PDF template
A legal template for individuals seeking a court order for protection against harassment or to determine property occupation rights
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
MEDICAL FLEX REIMBURSEMENT FORM
PDF template
A form for employees to request reimbursement for medical and dental expenses through a flexible spending account program.
See template
See template
MINORS ONLY FLOWRIDER ARBITRATION AGREEMENT
PDF template
Legal document outlining risks and arbitration terms for minors participating in the FlowRider water amusement ride.
See template
See template
Privacy Impact Assessment For Federal Long Term Care Insurance Program (FLTCIP) System
PDF template
Assessment of privacy considerations for the Federal Long Term Care Insurance Program's system that manages insurance enrollment and claims for federal employees and uniformed service members.
See template
See template
Form FMC 67 Ocean Transportation Intermediary (OTI) Insurance Form
PDF template
Insurance form certifying financial responsibility for ocean transportation intermediaries under the Shipping Act of 1984.
See template
See template
FARTHEST NORTH PICKLEBALL CLUB MEMBERSHIP FORM
PDF template
Membership registration form for the Farthest North Pickleball Club with liability waiver and annual dues information.
See template
See template
FOOD POLICY WAIVER OF LIABILITY FORM
PDF template
A form for event organizers to acknowledge responsibility for food preparation, safety, and liability when catering non-university events.
See template
See template
FOOT Medical And Insurance Form
PDF template
Medical and insurance form for participants in the Yale First-Year Outdoor Orientation Trips (FOOT) program, collecting health and emergency contact information.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
Legal document releasing St. Vincent de Paul from liability for potential injuries during charity walk/run event
See template
See template
FORAY CHECK INCHECK OUT FORM
PDF template
Waiver and check-in form for participants in mycological society mushroom forays, capturing participant details and liability release.
See template
See template
AV Systems Proposal Final
PDF template
A proposal from Ford Audio-Video Systems for an audio-video system installation for the Oklahoma County Clerk's office.
See template
See template
Student Travel Profile General Liability Waiver
PDF template
A comprehensive waiver and medical procedure document for students participating in a mission trip, covering liability release and medical emergency protocols.
See template
See template
International Travel Waiver Form
PDF template
A consent form allowing parent/guardian permission for a minor to participate in an international travel event, including liability release and emergency medical consent.
See template
See template
Foreign Travel Insurance Guidelines For STUDENTS
PDF template
Guidelines for foreign travel insurance coverage for California State University students traveling domestically or internationally.
See template
See template
TxDOT Form 1560 Certificate Of Insurance
PDF template
An official form for contractors to provide proof of required insurance coverage for TxDOT contracts.
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
Expenditure Approval Form 201
PDF template
A form for South Carolina fire departments to request approval for utilizing local Firemen's Inspection Fund expenses
See template
See template
Form 22 Request For Confidentiality
PDF template
A form for contractors to request confidential treatment of specific sections in a proposal submitted to an agency.
See template
See template
Form 22 Request For Confidentiality
PDF template
A form for contractors to request confidential treatment of proposal materials, with specific instructions and limitations
See template
See template
FORM 28C
PDF template
A North Carolina Industrial Commission form for reporting workers' compensation settlement details and payments.
See template
See template
Acceptance Of Site Specific Health And Safety Plan (SSHASP) Form
PDF template
Internal form for documenting compliance and acceptance of a contractor's site-specific health and safety plan by an NJSDA Field Compliance Inspector.
See template
See template
Report Of Job Injury Or Illness
PDF template
A form for workers to report work-related injuries or illnesses to their employer and SAIF Corporation.
See template
See template
Adult Recreation Programs Release, Indemnification Medical Form
PDF template
Legal release and assumption of risk form for adult participants in Bainbridge Island Metropolitan Park & Recreation District programs.
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
PROPOSAL FORM
PDF template
A formal proposal document for submitting a construction bid to Tuskegee University with details about the bidder and proposed work.
See template
See template
Form C Student Waiver Form
PDF template
A legal document outlining conditions and medical treatment provisions for students performing services at Rutgers University.
See template
See template
Accident Report Form
PDF template
Comprehensive form for documenting details of a vehicle accident involving a mini-bus, including vehicle information, witness details, and incident description.
See template
See template
Informed Risk Insurance Form For Allied Health Students
PDF template
A form documenting student awareness of potential infectious disease risks in clinical settings and insurance requirements for Allied Health students.
See template
See template
REQUEST FOR PROPOSALS Workforce Innovation And Opportunity Act (WIOA) Title I Workforce Developmen
PDF template
A request for proposals for workforce development services under the Workforce Innovation and Opportunity Act (WIOA) for Adult, Dislocated Worker, and Youth Programs.
See template
See template
Preliminary Information For LSU Participation In A Significant Joint Project
PDF template
Guidelines for LSU's collaborative project proposal process, outlining requirements for review and endorsement of significant external partnerships.
See template
See template
FORM K FIELD TRIP LIABILITY WAIVER FOR ADULTS
PDF template
Legal waiver form for adult participants on field trips, releasing liability for the diocese and associated organizations.
See template
See template
Nebraska FBLA Medical Release Form
PDF template
A medical release and emergency contact form for Future Business Leaders of America (FBLA) chapter members during events or activities.
See template
See template
Form PF 1 A Annual Report For Prepaid Funeral Benefits And Funds
PDF template
Annual report form for funeral homes to verify prepaid funeral contract details and compliance with regulatory requirements.
See template
See template
Professional Liability Insurance Declaration Form
PDF template
A form for healthcare professionals to confirm their professional liability insurance coverage for the 2024-2025 period.
See template
See template
Patient Registration
PDF template
A comprehensive medical patient registration form for collecting personal, contact, and insurance information for a dental practice.
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
SERVICE REQUEST FORM
PDF template
A healthcare service request form for Medi-Cal, Healthy Families, and Medicare prior authorization submissions.
See template
See template
Keenan Insurance Scholarship Application
PDF template
A scholarship application for students pursuing insurance, risk management, financial services, or benefits-related education
See template
See template
Financial Agreement Appointment Reminders
PDF template
A comprehensive financial agreement outlining patient payment responsibilities, insurance billing, and appointment policies for counseling services.
See template
See template
Change Address
PDF template
Guide for employees to update personal information and manage insurance-related documentation
See template
See template
ACORD Forms Added Or Updated In AMS360 2016 R2
PDF template
Comprehensive list of ACORD insurance forms added or updated in the AMS360 2016 R2 software release.
See template
See template
FORTIFIED Roof Designation Requirement FORTIFIED HomeHigh Wind ROOFING COMPLIANCE FORM
PDF template
A form for documenting roof installation and compliance with FORTIFIED Home high wind roofing standards.
See template
See template
Foster Provider Liability Insurance Incident Report Form
PDF template
A comprehensive form for reporting incidents involving foster care providers, documenting details of potential insurance claims and liability events.
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
Florida Petroleum Liability Restoration Insurance Program Claim
PDF template
Florida state form for reporting petroleum storage tank discharges and claiming liability restoration insurance under Section 376.3072.
See template
See template
FRANK Education Loan Application
PDF template
Comprehensive loan application form for education financing, collecting personal, employment, and financial details from applicants.
See template
See template
Patient Registration Form
PDF template
A comprehensive patient intake and dental insurance information form for a dental practice in Lancaster, Ohio.
See template
See template
Volunteer Form Release Of Claims
PDF template
Legal release form for volunteers participating in activities with Friends of the Blue Ridge Parkway, covering volunteer responsibilities and liability waivers.
See template
See template
Medical Reimbursement Form
PDF template
A comprehensive checklist for submitting medical reimbursement claims to Mass General Brigham Health Plan, detailing required documentation and submission process.
See template
See template
Incident Report Form
PDF template
A comprehensive form used to report serious incidents, breaches, injuries, or emergencies within an organization or chapter.
See template
See template
VendorExhibitorThird Party Entity Agreement Form
PDF template
A contractual agreement outlining terms and conditions for vendors, exhibitors, and third-party entities conducting business on Auburn University campus.
See template
See template
Dependent Care And Health Care Reimbursement Claim Form
PDF template
Form for submitting claims for dependent care and health care expenses under a flexible spending account benefit plan.
See template
See template
Flexible Spending Account Claim Form
PDF template
A form for employees to request reimbursement for healthcare and dependent care expenses through a Flexible Spending Account.
See template
See template
Healthcare FSA Expense Claims
PDF template
A form for submitting unreimbursed medical expenses for reimbursement through a Flexible Spending Account (FSA)
See template
See template
Reimbursement Of Orthodontic Expenses
PDF template
Detailed guidelines for reimbursing orthodontic expenses, explaining IRS guidelines and requirements for monthly service reimbursements.
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
Hawaii PRAMS Full Proposal Approval Form
PDF template
A form for researchers to request and obtain approval for using Hawaii Department of Health PRAMS data with required documentation and compliance guidelines.
See template
See template
Fundraising Proposal Form
PDF template
A form for potential fundraisers to propose and submit details about an event or program to benefit the Alameda County Community Food Bank.
See template
See template
Fundraising Proposal Form
PDF template
A form for student organizations to propose and document details of a fundraising event on campus.
See template
See template
SUNY COBLESKILL FUNDRAISING REQUEST FORM
PDF template
A form for processing fundraising solicitations and proposals at SUNY Cobleskill through the Office of College Advancement.
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
MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal information, medical history, and dental visit details
See template
See template
Pre Authorization Form
PDF template
Medical form for patients seeking insurance pre-authorization for hospital treatment, documenting patient and medical details for insurance approval.
See template
See template
Rental Checklist
PDF template
A comprehensive checklist for renting the Fairmount Water Works venue, outlining required steps, documentation, and payment procedures.
See template
See template
Exhibitor Appointed Contractor Form
PDF template
A form for exhibitors to declare independent contractors working at the event with required insurance and service details.
See template
See template
Out Of Network Claim Form
PDF template
A comprehensive form for submitting out-of-network vision care claims to EyeMed Vision Care for reimbursement of medical services.
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
Non Tagged Mobile (Transient) Property Inventory FY2023 DOAS Insurance Agreement Renewals
PDF template
Instructions for Kennesaw State University departments to submit an inventory of mobile property for insurance coverage purposes.
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
Non Tagged Mobile (Transient) Property Inventory FY2022 DOAS Insurance Policy Renewal
PDF template
A document requiring Kennesaw State University departments to provide an accurate inventory of non-tagged mobile property for insurance coverage purposes.
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
FY25 Small Grants Program Instructions And Grant Application Form
PDF template
Comprehensive instructions for submitting a research grant proposal to the McDonnell Center for Systems Neuroscience with specific formatting and content requirements.
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
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
Accident And Claim Reporting Procedure
PDF template
Procedure for reporting accidents and filing insurance claims during dance activities for the Folk Dance Federation of California, South, Inc.
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
MedicalEmergency Information And Waiver Of Liability And Parental Consent Form
PDF template
A comprehensive medical information and liability waiver form for participants in Great Bay Rowing activities, collecting emergency contact details and medical history.
See template
See template
FORTIFIED Home Continuous Load Path Form
PDF template
A form documenting the proper installation of continuous load path design elements in a home construction project, verifying structural integrity.
See template
See template
GCAA Form 7 Liability Waiver Form
PDF template
A liability waiver form for student athletes participating in GCAA athletic events, requiring parent or guardian signature.
See template
See template
Global Counseling Patient Intake Form
PDF template
Comprehensive medical intake form for counseling services, collecting patient personal and insurance information.
See template
See template
Property And Casualty Model Rate And Policy Form Law Guideline
PDF template
A comprehensive model law guideline for regulating property and casualty insurance rates, policy forms, and competitive market practices.
See template
See template
Medical Claim Form
PDF template
Comprehensive guide for completing and submitting medical insurance claims to GEHA, including instructions for in-network and out-of-network claims.
See template
See template
CLAIM FORM
PDF template
Claim form for reporting property loss or damage related to utility operations by Consolidated Edison Company of New York, Inc.
See template
See template
Louisiana Department Of Insurance Complaint Report Form
PDF template
A form for filing complaints against insurance companies or agents with the Louisiana Department of Insurance for various insurance-related disputes.
See template
See template
Certification As To Status Of Licensure Licensed General Contractor
PDF template
Official document certifying a general contractor's license status, insurance coverage, and legal compliance for construction contracts in North Carolina.
See template
See template
General Liability Insurance For MTNA Affiliated State And Local Associations
PDF template
Comprehensive guide to liability insurance coverage for Music Teachers National Association (MTNA) state and local associations, detailing event coverage and insurance procedures.
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
General Liability Incident Report
PDF template
A state-level form for reporting general liability incidents not involving automobiles, used by Minnesota state agencies.
See template
See template
General Liability Loss Reporting Form
PDF template
A comprehensive form for reporting general liability insurance claims, documenting injuries, property damage, and incident details.
See template
See template
GENERAL LIABILITY PERSONAL INJURY CLAIM FORM
PDF template
A comprehensive form for documenting details of a personal injury claim, including claimant, injured person, incident, and witness information.
See template
See template
Liability Waiver Form Stained Glass Workshop
PDF template
A legal document outlining safety procedures and liability release for participants in stained glass classes at MOCA and SHill Creations Studio.
See template
See template
WAIVER OF LIABILITY PERMISSION MEDICAL RELEASE FORM
PDF template
A liability waiver and medical release form for students staying overnight in a Mount Holyoke College residence hall, covering medical consent and risk acknowledgment.
See template
See template
General Release And Medical Information Form
PDF template
A comprehensive form for youth program participants covering medical information, emergency contacts, and liability release for recreational activities.
See template
See template
Prior Authorization Form
PDF template
A form for healthcare providers to request prior authorization for prescription medications through Express Scripts.
See template
See template
New ProgramInitiative Proposal Form
PDF template
A comprehensive form for proposing new academic programs or initiatives with detailed evaluation criteria and implementation planning.
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
Duchesne County Volunteer Application Form
PDF template
Application form for individuals interested in volunteering with Duchesne County, including personal information, driver's license details, and legal acknowledgments.
See template
See template
Medical Release, Photo Release, Liability Waiver Form
PDF template
Comprehensive waiver for participants in a construction training program, covering medical risks, property damage, and legal liability.
See template
See template
MEDICAL HISTORY AND RELEASE FORM
PDF template
Medical history and consent form for DeMolay participants under 21 years of age, including health history and liability release.
See template
See template
Section 5. Refill Reminder Program Consumer Enrollment Form
PDF template
A form for consumers to enroll in a pharmacy's prescription refill reminder and medication management service.
See template
See template
Pre Authorization For Genomic Testing Form
PDF template
A form for obtaining insurance pre-authorization for genomic testing with required patient and clinical information.
See template
See template
Personal Vehicle Use Form
PDF template
Form documenting employee personal vehicle usage and insurance details for official district business and field trips.
See template
See template
General Education Course Proposal
PDF template
A form for proposing new courses, revising existing courses, or deleting courses from the General Education curriculum.
See template
See template
Patient Intake Form
PDF template
Comprehensive patient intake document for healthcare services, collecting personal, contact, and medical information with insurance and consent provisions.
See template
See template
ACCIDENT INFORMATION FORM
PDF template
A comprehensive form for documenting details of a motor vehicle accident, including personal and insurance information.
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
Short Term Disability Claim Form
PDF template
A form for employees to file a claim for short-term disability benefits, documenting medical leave and disability details.
See template
See template
Quartz Medicare Advantage (HMO) Quartz CashCard Reimbursement Form
PDF template
Form for Medicare members to request reimbursement for fitness memberships or medical transportation rides using their Quartz CashCard.
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
Giant Food Pharmacy Vaccine Informed Consent
PDF template
A comprehensive form for collecting patient information, insurance details, and consent for vaccination at Giant Food Pharmacy.
See template
See template
Gibson Beach Rentals, Inc. Rental Policies
PDF template
Comprehensive rental policies for daily, weekly, and monthly beach rental guests, covering payment terms, cancellation rules, and travel insurance options.
See template
See template
Illegal Immigration Reform And Enforcement Act Notice
PDF template
Official document outlining requirements for verifying lawful presence for insurance applications in Georgia.
See template
See template
Advancing Access Patient Support Form
PDF template
A comprehensive form for patient information, contact authorization, and insurance details for Gilead medication support programs
See template
See template
Je SRP1(EPSRC)
PDF template
Research proposal form for the Engineering & Physical Sciences Research Council (EPSRC) with details of a proposed research project.
See template
See template
Health And Medical History Form
PDF template
A comprehensive medical history and health information form for American Heritage Girls members, valid for 12 months.
See template
See template
Girl Scouts Health History And Medical Examination Form For Minors
PDF template
Comprehensive medical and health history form for Girl Scout participants to capture essential health information and emergency contact details.
See template
See template
Health History And Medical Examination Form For Minors
PDF template
Comprehensive medical form for collecting health information and medical history for Girl Scouts participants under 18 years old.
See template
See template
City Of Ann Arbor Volunteer Release Waiver Of Liability
PDF template
Legal document outlining liability and risk assumptions for City of Ann Arbor volunteers, detailing participant responsibilities and legal protections.
See template
See template
Gresham Japanese Garden Release, Waiver Of Liability And Indemnity Agreement
PDF template
Legal agreement for renting the Gresham Japanese Garden property, outlining risks and liability limitations for renters.
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
Long Term Disability Claim Form PhysicianS Statement
PDF template
A comprehensive medical form for submitting a long-term disability insurance claim, requiring detailed patient and medical information.
See template
See template
Commercial General Liability
PDF template
An insurance endorsement modifying commercial general liability policy to provide additional coverage and protections for insureds.
See template
See template
Rental Agreement Form
PDF template
Rental form for airsoft equipment, outlining rental terms, responsibilities, and equipment details.
See template
See template
Rental Agreement Form
PDF template
Rental form for airsoft equipment with terms of responsibility and rental details.
See template
See template
Government Claim
PDF template
Official form for filing a claim against state agencies or employees in California, detailing incident information and damages.
See template
See template
OPIC Handbook
PDF template
Comprehensive guide for international investment and political risk insurance provided by the Overseas Private Investment Corporation (OPIC)
See template
See template
PATIENT ENROLLMENT FORM
PDF template
A comprehensive form for collecting patient personal, insurance, and contact information for medical enrollment purposes.
See template
See template
UNL Graduate Certificate Proposal Form
PDF template
A comprehensive form for proposing and documenting a new graduate certificate program at the University of Nebraska-Lincoln.
See template
See template
Student Health Insurance Plan Cancellation Form
PDF template
Form for cancelling health insurance coverage for spouse, partner, or dependent students at Washington State University for Spring 2024 semester.
See template
See template
Graduate Curriculum Proposal Approval Form
PDF template
A multi-step approval form for graduate curriculum proposals involving various academic committees and administrative offices.
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
Certificate Of Insurance On Grain In Licensed Missouri Public Grain Warehouses
PDF template
Official document certifying insurance coverage for grain warehouses in Missouri, demonstrating compliance with state regulations.
See template
See template
CARTA Interdisciplinary Seed Grant Opportunity Application Form
PDF template
Application form for research seed grant funding within the College of Communication, Architecture + The Arts at Florida International University.
See template
See template
College Of Arts And Sciences Grant Proposal Cover Sheet
PDF template
A comprehensive cover sheet for submitting research grant proposals with details about funding, teaching replacements, and cost-sharing.
See template
See template
GRCC Grant Project Information Form
PDF template
A comprehensive form for submitting grant project proposals, capturing project details, budget, and strategic priorities.
See template
See template
Grant Proposal Form
PDF template
A comprehensive form for submitting grant proposals within an educational institution, covering project details, budgeting, and approval processes.
See template
See template
PEARL RIVER COMMUNITY COLLEGE GRANT PROPOSAL FORM
PDF template
A comprehensive form for submitting and obtaining institutional approvals for grant proposals at Pearl River Community College.
See template
See template
Grant Proposal Form
PDF template
A comprehensive form for submitting grant proposals, detailing project information, budget, and organizational requirements.
See template
See template
Grant Proposal Form
PDF template
A comprehensive form for non-profit organizations seeking funding from the McHenry Area Rotary Charitable Foundation Inc.
See template
See template
Grant Submission Form
PDF template
Form for submitting grant proposals to the Grants Management Office (GMO) with comprehensive proposal details and submission instructions.
See template
See template
Pre Authorisation Form Group Care
PDF template
A medical insurance form for requesting cashless hospitalization, to be filled by the patient and treating doctor
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 Policy Change Form
PDF template
A form used to modify group life insurance policy details, including member information, beneficiary changes, and account transfers.
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
SCENE75 ENTERTAINMENT CENTER ALL VENUE ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
PDF template
Legal document releasing Scene75 Entertainment Center from liability for potential accidents or injuries during participation in venue activities.
See template
See template
Thesis Process And Deadlines
PDF template
Comprehensive guide for graduate students outlining thesis proposal, committee requirements, and submission process for Master's and PhD programs.
See template
See template
G.S. 58 65 40
PDF template
Legal statute governing hospital service corporation contract filing and rate approval requirements with the Commissioner of Insurance.
See template
See template
GSASGSA Budget Proposal Form For Student Grant Applications
PDF template
A form for students to submit detailed budget proposals for grants from GSAS or GSA, including itemized cost requests.
See template
See template
Blach V. Diaz Verson Supreme Court Of Georgia Decision
PDF template
Supreme Court of Georgia case examining whether an insurance company qualifies as a 'financial institution' under the state's garnishment statute.
See template
See template
Tag Along Insurance Form
PDF template
Form for purchasing required Tag-Along Insurance coverage for non-registered children and adults attending Girl Scout troop activities.
See template
See template
Intent For International Travel
PDF template
Form for Girl Scout troops to request approval and document details for international travel experiences.
See template
See template
GSS Waiver
PDF template
Legal document releasing UBC Graduate Students Society from liability for potential risks during an event or activity.
See template
See template
Girl Scouts Health History And Medical Examination Form For Minors
PDF template
Comprehensive health history and medical examination form for Girl Scout participants to document medical information and insurance details.
See template
See template
Accident Claim Form
PDF template
Insurance claim form for documenting student accident details and health information authorization
See template
See template
Dental Claim Form
PDF template
Comprehensive form for documenting dental procedures, treatments, and insurance billing details.
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
Illinois Indiana Sea Grant College Program Guidelines For Completing The Budget Form (90 4) And Narr
PDF template
Guidelines for preparing budget forms and narratives for Sea Grant College Program grant proposals with matching fund requirements.
See template
See template
Accident Waiver And Release Of Liability
PDF template
Legal document waiving liability for participants in a university athletic event involving physical risks and potential injury.
See template
See template
Reimbursement Form
PDF template
A form for submitting optical service reimbursement claims to General Vision Services by members.
See template
See template
REIMBURSEMENT FORM
PDF template
Form for submitting optical services reimbursement to General Vision Services by members.
See template
See template
COVID 19 CVD Registry Powered By Get With The Guidelines Investigator Initiated Research Proposal Fo
PDF template
A form for researchers to submit investigator-initiated research proposals related to the COVID-19 Cardiovascular Disease Registry by the American Heart Association.
See template
See template
Reimbursement Request Form
PDF template
A form for members to request reimbursement for eligible healthcare services paid out-of-pocket.
See template
See template
PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, contact, insurance, and medical information for healthcare providers.
See template
See template
Request For Proposals Habitat Hollow
PDF template
Request for creative and interactive proposals for a new zoo exhibit focusing on habitat exploration and learning experiences.
See template
See template
Town Hall Rental Form
PDF template
Application form for renting the Duluth Township Town Hall, with requirements for event details, insurance, and usage guidelines.
See template
See template
Notification Of Injury
PDF template
Detailed guidelines for submitting medical accident insurance claims, including documentation requirements and claim processing procedures.
See template
See template
Kadena Marina Watercraft Rental Agreement
PDF template
Comprehensive rental agreement for watercraft usage at Kadena Marina, outlining renter responsibilities, safety rules, and liability waivers.
See template
See template
Harden Foundation Grant Application
PDF template
A comprehensive guide for nonprofits seeking grants from the Harden Foundation, providing application strategies and instructions.
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
Wellness Reimbursement Form Instructions
PDF template
Instructions and guidelines for submitting wellness program and fitness reimbursement claims through Harvard Pilgrim Health Care.
See template
See template
Registration Form
PDF template
Comprehensive intake form for collecting patient personal, contact, insurance, and medical history information for mental health services.
See template
See template
Registration Form
PDF template
Comprehensive registration form for healthcare services, collecting patient demographic, contact, insurance, and medical history information.
See template
See template
H.B. No. 119
PDF template
Legislation addressing manufacturer liability for modified automated motor vehicles and accident reporting requirements in Texas.
See template
See template
Record Of Employment
PDF template
A form used by employers to document an employee's job separation for unemployment insurance purposes in New York State.
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
CruzCare Enrollment Cancellation Form
PDF template
Pre-paid access for students waiving UC SHIP, providing on-campus health care visits for acute illness or injury at the Student Health Center.
See template
See template
Health Referral And Coverage Form
PDF template
A comprehensive health referral form capturing patient details, insurance information, and social determinants of health
See template
See template
HEALTHCARE ADVOCATE TOOLS LINKS PHONE NUMBERS
PDF template
Comprehensive guide for AlaskaCare employees and retirees with contact information and resources for health insurance plans and provider networks.
See template
See template
Huntley Community Centre Outdoor Rink Rental Application
PDF template
Rental application for Huntley Community Centre and outdoor rink facilities, including terms of use and liability requirements.
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
Henderson County Parks Recreation Program Proposal Form
PDF template
A comprehensive form for instructors and contractors to propose recreational programs to Henderson County Parks and Recreation department.
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
Health And Temperament Agreement
PDF template
A legal agreement outlining owner responsibilities and liability waivers for dogs attending a dog daycare facility.
See template
See template
Expense Reimbursement Voucher For Healthcare Flexible Spending Account (Healthcare FSA)Health Reimbu
PDF template
A form for employees to request reimbursement for medical expenses through their flexible spending account or health reimbursement arrangement.
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
Health History Form
PDF template
Comprehensive health form for students to provide medical history, insurance, and emergency contact information to the university's student health center.
See template
See template
Health Information Form
PDF template
Detailed medical history and personal health form for participants, collecting comprehensive health information and emergency contact details.
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 Insurance Refund Request Form For F 1 Students
PDF template
Form for international F-1 students to request a refund of their health insurance premium under specific conditions at Santa Monica Community College.
See template
See template
Medical Claim Form
PDF template
A comprehensive form for submitting medical insurance claims, capturing patient, subscriber, and medical service details.
See template
See template
10 Day Agreement Review Cancellation
PDF template
A form for subscribers to request cancellation of a health insurance policy within 10 days of coverage effective date.
See template
See template
New Provider Contract Inquiry Form
PDF template
A comprehensive form for healthcare providers seeking to join a health insurance network, detailing provider information and contract review process.
See template
See template
Health And Safety Student Waiver Form Part A
PDF template
COVID-19 safety waiver for students participating in boot camp activities at the Bahamas Technical and Vocational Institute.
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
DCH 1315 Health Risk Assessment
PDF template
A confidential form for collecting personal health information to help individuals improve their health and healthcare coverage through the Healthy Michigan Plan.
See template
See template
Heartland Anglers Membership Form
PDF template
Membership registration form for Heartland Anglers fishing tournament participants with liability release and contact information collection.
See template
See template
Mexican Springs Chapter Heavy Equipment Rental Agreement Form
PDF template
A rental agreement form for grader and backhoe equipment from the Mexican Springs Chapter, including rental terms and liability provisions.
See template
See template
Wildlife Heritage Account Project Proposal Form
PDF template
A form for submitting wildlife conservation project proposals to the Board of Wildlife Commissioners for funding from the Wildlife Heritage Account.
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
Release And Waiver Of Liability
PDF template
Legal document releasing Habitat for Humanity from liability for volunteers participating in construction and related activities
See template
See template
Important Notice For Household Goods Carriers Previously Designated As Type B
PDF template
Notice for household goods carriers regarding registration status, requirements, and re-establishing active registration with the Texas Department of Transportation.
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
HIRER COLLISION Or DAMAGE REPORT FORM
PDF template
Comprehensive form for documenting details of a vehicle rental accident, including vehicle, driver, witness, and incident information.
See template
See template
Accident Report Form
PDF template
A comprehensive form for documenting details of a motor vehicle accident for legal and insurance purposes.
See template
See template
Community Project Proposal Form
PDF template
A form for community agencies to propose partnership projects with Help Me Grow North Texas to support families and child development in the North Texas region.
See template
See template
Hmsa Travel Assistance Request Form
PDF template
A form for requesting travel-related medical assistance or coverage through HMSA health plan
See template
See template
Harvard Outing Club Medical Form
PDF template
A comprehensive medical form for Outing Club members to provide emergency medical information and disclose health conditions that might impact trip participation.
See template
See template
HOME INVENTORY
PDF template
A comprehensive guide for documenting household valuables to assist in theft recovery, insurance claims, and disaster preparedness.
See template
See template
HOME INVENTORY FORM
PDF template
A comprehensive form for documenting household possessions and their replacement costs across different rooms for insurance purposes.
See template
See template
Honors Project Proposal Form
PDF template
A form for Purdue University Fort Wayne students to propose and document their honors project for graduation.
See template
See template
Honors Project Proposal Form
PDF template
A form for students to propose and document their honors project details, including contact information, project proposal, and presentation plans.
See template
See template
Hospitalization Pre Authorization Form
PDF template
A comprehensive form for patients and healthcare providers to request pre-authorization for hospital admission and medical treatment from Jubilee Health Insurance.
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
AUTHORIZATION FOR PRE AUTHORIZED DEBITS (PADS) AND CREDIT CARD DEBITS
PDF template
A form authorizing Howick Mutual Insurance Company to automatically debit insurance premiums from a bank account or credit card.
See template
See template
How To Choose The Correct Proof Of Insurance Form
PDF template
A decision tree for University of Illinois staff, faculty, students, and medical professionals to determine the appropriate proof of insurance form to submit.
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
Short Term Disability Claim Form
PDF template
Instructions for filing a short-term disability insurance claim through Mutual of Omaha, detailing submission methods and required sections.
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
Terms Of Reference (ToR) For Short Term Technical Assistance To Support The Optimization Of Implemen
PDF template
Request for technical assistance proposal from Heifer International Nigeria Program to support implementing partner application optimization
See template
See template
Entity Professional Liability Insurance Application
PDF template
An insurance application form for healthcare entities seeking professional liability coverage for their practice and healthcare professionals.
See template
See template
Health Reimbursement Arrangement (HRA) Claim Form
PDF template
Claim form for health reimbursement arrangements for members of Operating Engineers Local #49, used to request reimbursement for eligible healthcare expenses.
See template
See template
Mid Central Operating Engineers Health And Welfare Fund Health Reimbursement (HRA) Account Reimburse
PDF template
A form for submitting health care expense reimbursement claims through a Health Reimbursement Arrangement (HRA) account.
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
Service Request Form
PDF template
A comprehensive form for making various changes to an insurance policy, including beneficiary, name, address, and ownership modifications.
See template
See template
REQUEST FOR REIMBURSEMENT FORM
PDF template
A form for submitting healthcare expense reimbursement requests through the Southern California Pipe Trades Health & Welfare Fund HRA program.
See template
See template
Active Local Government And Local Education Employee Group Employee Coverage WaiverReinstatement For
PDF template
Form for New Jersey state employees to waive or reinstate health benefits coverage under the State Health Benefits Program (SHBP) or School Employees' Health Benefits Program (SEHBP).
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
International Travel Authorization Request
PDF template
A form for requesting and documenting international travel for university employees, students, and volunteers, including safety and risk assessment details.
See template
See template
Claim Form
PDF template
A form for seeking reimbursement of eligible out-of-pocket expenses with participant certification and submission instructions.
See template
See template
SUPPLEMENTARY STI PATIENT INTERVIEW FORM
PDF template
Medical form documenting screening and treatment for sexually transmitted infections including chlamydia, gonorrhea, syphilis, and HIV.
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 individuals to make contributions to their Health Savings Account through various deposit methods.
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 FAQs
PDF template
Comprehensive guide explaining Health Savings Accounts (HSAs), their benefits, eligibility, and tax advantages for participants.
See template
See template
Health Savings Account Payroll Deduction 2021
PDF template
Form for employees to authorize health savings account contributions through payroll deduction for qualified high deductible medical plans.
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
Health Savings Account Payroll Deduction Form
PDF template
Form for employees to set up payroll deductions for a Health Savings Account with High Deductible Health Plan coverage details.
See template
See template
BlueFund HSA Payroll Deduction Form
PDF template
A form for employees to set up payroll deductions for a Health Savings Account (HSA) with contribution guidelines and instructions.
See template
See template
HSA Transfer Request Form
PDF template
A form for transferring Health Savings Account assets between custodians or trustees, potentially involving a former spouse in a divorce scenario.
See template
See template
Concurrent Enrollment Agreement
PDF template
Application for high school students to enroll concurrently in college courses at Northeastern State University
See template
See template
Texas Tech University System Requisition Form Identification Security Access Device
PDF template
Form for requesting, changing, or terminating security access and identification devices for Texas Tech University personnel
See template
See template
HSR Special Risk Claim Form Fill Able
PDF template
Comprehensive guide for filing a special risk insurance claim, detailing required documentation and submission process.
See template
See template
MASTERSPHDRESEARCH PROPOSAL FORM (HUMAN AND SOCIAL SCIENCES)
PDF template
A comprehensive form for submitting research proposals in the College of Humanities for Masters and PhD programs.
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
Prescription Reimbursement Form
PDF template
A form for submitting prescription drug expenses for insurance reimbursement, requiring patient and prescription details.
See template
See template
Voluntary Benefits Whole Life Cash Surrender, Dividend Withdrawal, Cancellation And Loan Request For
PDF template
A form for managing whole life insurance policy transactions including cash surrender, dividend withdrawal, cancellation, and policy loans.
See template
See template
Amendment To Research Proposal Form
PDF template
A form used to submit amendments or changes to previously approved research proposals involving human subjects.
See template
See template
Tennessee State University Human Subjects Committee Research Proposal Form
PDF template
A comprehensive form for submitting research proposals involving human subjects at Tennessee State University, covering key details about research projects and researchers.
See template
See template
Human Subjects Research Proposal
PDF template
A comprehensive template for documenting proposed human subjects research, including research objectives, subject population details, and ethical considerations.
See template
See template
Special Olympics Massachusetts Release And Waiver Of Liability
PDF template
Liability waiver for participants in the 2019 Berkshire County Sheriff's Office Law Enforcement Torch Run Humvee Push event
See template
See template
HYA Fee Proposal Form
PDF template
Detailed fee proposal for comprehensive superintendent search consulting services, including search, research, advertising, and due diligence options.
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
IAF GNF Event Proposal Form
PDF template
A form for proposing and organizing a networking event at the International Astronautical Congress 2024, focusing on space community collaboration and knowledge sharing.
See template
See template
Newborn Notification Of Delivery Form
PDF template
Healthcare form for providers to report newborn details for Amerigroup Iowa, Inc. Medicaid members within 24 hours of delivery.
See template
See template
Iowa Accident Report Form
PDF template
Official form for reporting motor vehicle accidents in Iowa involving death, injury, or property damage over $1,000.
See template
See template
Irrevocable Burial Trust Form
PDF template
A comprehensive form for documenting personal, financial, and funeral service preferences with detailed client and next of kin information.
See template
See template
ICC Dementia Project Proposal Form
PDF template
A comprehensive proposal form for submitting research projects utilizing ICC-Dementia study data and resources.
See template
See template
Cancel My Insurance Cover
PDF template
Form for members to cancel some or all of their insurance coverage with Brighter Super for Local Government & Associated Industries.
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
MVA Report Form 111121
PDF template
A comprehensive form for reporting details of a motor vehicle accident for insurance and workplace documentation purposes.
See template
See template
Interdepartmental Engineering Major Proposal Form
PDF template
Form for students proposing an interdepartmental engineering major with course and requirement selections.
See template
See template
Fingerprint Identification Policy
PDF template
Policy detailing acceptable identification documents for fingerprint identification purposes, categorized into government-issued photo IDs, non-government photo IDs, and government non-photo IDs.
See template
See template
Ignite Award Incident Report Form
PDF template
A comprehensive form for documenting details of an incident involving personal injury or property damage with multiple sections for reporting information.
See template
See template
Personal Automobile Policy Change Form
PDF template
A form for making changes to a personal automobile insurance policy, including options to reject certain coverages.
See template
See template
Minutes Of The Meeting Of The New Jersey Individual Health Coverage Program Board
PDF template
Official minutes documenting the meeting of the New Jersey Individual Health Coverage Program Board, including staff reports and board actions.
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
Direct Deposit Form
PDF template
Form for setting up or updating direct deposit payment instructions for Independent Life Insurance Company
See template
See template
Incident Report Form Accidents
PDF template
Confidential form for documenting accidents and injuries at school sites, used for reporting and potential legal purposes.
See template
See template
Incident Report Form
PDF template
A comprehensive form for reporting incidents across various settings, capturing details about the event, location, and involved parties.
See template
See template
New York State PTA Incident Report Form
PDF template
A detailed form for documenting incidents, accidents, or injuries during PTA-related activities or events.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting incidents resulting in bodily injury during approved club activities or potential insurance issues.
See template
See template
Angeles Chapter Sierra Club Incident Report Instructions
PDF template
Instructions for Sierra Club trip leaders on reporting various types of incidents during outings, including mandatory reporting requirements and documentation procedures.
See template
See template
Incident Report
PDF template
A form used to document details of incidents involving city property, personnel, or citizens, including damages, injuries, and witness information.
See template
See template
Angeles Chapter Sierra Club Incident Report Instructions
PDF template
Detailed instructions for reporting incidents during Sierra Club outings, specifying types of incidents that require formal reporting and submission process.
See template
See template
RESIDENT DAMAGESINCIDENT CLAIM FORM
PDF template
A form for reporting property damage or personal injury incidents for residents to document details and submit to management.
See template
See template
Incident Report Form
PDF template
A form for documenting and reporting incidents, injuries, or accidents within an organization or club setting.
See template
See template
Incident Report Form
PDF template
Form for reporting non-auto related incidents involving potential bodily injury or property damage at the University of Virginia.
See template
See template
Incoming Loan Agreement
PDF template
A form for borrowing artwork or objects for temporary exhibition, detailing loan conditions, insurance, shipping, and signatures.
See template
See template
Indemnity And Waiver Form For Acro Angels Gymnastics
PDF template
Legal document waiving liability for potential injuries during gymnastics activities at Acro Angels Gymnastics.
See template
See template
Surety Program Application
PDF template
Application for surety bond program with details on fees, levels, and payment terms for potential applicants.
See template
See template
Acrobranch Adventure Park Indemnity Form
PDF template
Comprehensive safety and liability waiver for participation in extreme sports activities at Acrobranch Adventure Park, outlining risks, safety guidelines, and participant responsibilities.
See template
See template
Acrobranch Adventure Park Indemnity Form
PDF template
Legal waiver and safety guidelines for participating in extreme sports activities at Acrobranch Adventure Park, outlining risks, responsibilities, and participant obligations.
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 Directed Study Proposal
PDF template
A form for students to propose an independent research study with a professor's supervision at a doctoral level.
See template
See template
Independent Research Project Proposal
PDF template
A form for students to outline and seek approval for an independent research project from academic supervisors.
See template
See template
IRO Annual Report
PDF template
Annual reporting form for Independent Review Organizations detailing external health insurance review processes in Oklahoma.
See template
See template
Indirect Membership Agreement
PDF template
A membership and loan agreement document outlining membership eligibility, insurance requirements, and authorization for joining Lewis Clark Credit Union.
See template
See template
Individual Player Waiver Form
PDF template
A comprehensive waiver form for sports participants covering liability, medical information, and consent for activities at Crown Sports Center.
See template
See template
Initial Disability Claim Form
PDF template
Insurance claim form for reporting initial disability claims, covering policyholder and patient information related to sickness or injury.
See template
See template
Form 2C Uniform Certificate Of Authority Application (UCAA) Corporate Amendments Application
PDF template
A form used by insurance companies to request changes to their existing certificate of authority across multiple states.
See template
See template
Uniform Certificate Of Authority Application (UCAA) Corporate Amendments Application Checklist
PDF template
A checklist and guide for insurers submitting corporate amendments to their certificate of authority application.
See template
See template
Uniform Certificate Of Authority Application (UCAA) Expansion Application Checklist
PDF template
A comprehensive checklist for insurance companies seeking to expand their operational jurisdictions and obtain new insurance authority.
See template
See template
Form 2C Uniform Certificate Of Authority Application (UCAA) Corporate Amendments Application
PDF template
A comprehensive form for insurance companies to request amendments to their existing certificate of authority across multiple U.S. states and territories.
See template
See template
Uniform Certificate Of Authority Application (UCAA) Expansion Application
PDF template
A form for insurance companies to apply for expansion of business lines across multiple states in the United States.
See template
See template
Inflatable Rental Terms Conditions
PDF template
Comprehensive rental agreement outlining safety rules, weather policies, risk assumptions, and liability releases for inflatable rental equipment.
See template
See template
West Virginia Informational Letter No. 1 A
PDF template
Guidelines for insurance companies regarding policy cancellation notices and policyholder rights in West Virginia.
See template
See template
Informed Consent And Liability Waiver Form
PDF template
A consent form detailing patient rights, treatment expectations, and liability release for physical therapy services.
See template
See template
Informed Risk Insurance Form For Allied Health Students
PDF template
A document detailing potential infectious disease risks for allied health students and insurance requirements during clinical studies.
See template
See template
Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims to an insurance provider, detailing patient, pharmacy, and insurance information.
See template
See template
In House Research Proposal Form
PDF template
An internal research proposal form for seeking departmental funding for research projects.
See template
See template
Initial Disability Claim Form
PDF template
Insurance claim form for reporting initial disability claim with details about injury, hospitalization, and patient information.
See template
See template
Initial Disability Claim Form
PDF template
Insurance claim form for reporting initial disability due to sickness or injury, used by Aflac to process insurance claims.
See template
See template
Technical Initiative Proposal Form
PDF template
A proposal form for technical initiatives within the Acoustical Society of America, used to request funding and outline project details.
See template
See template
Injury Incident Report Workers Compensation
PDF template
A form documenting workplace injury incidents with no medical treatment required, used for tracking workplace safety and potential compensation claims.
See template
See template
Injury And Third Party Liability Form
PDF template
A form for documenting injuries potentially involving third-party liability for the Southern California Pipe Trades Health & Welfare Fund.
See template
See template
CERTIFICATE REQUEST FORM
PDF template
Form for requesting insurance certificates with coverage details for Colorado State University.
See template
See template
Letter Of Intent (LOI) For INSPIRE 2020 Funding
PDF template
A letter of intent for applicants seeking funding through the INSPIRE 2020 program, to be submitted by October 16, 2020.
See template
See template
Missouri Valley College Institutional Review Board (IRB) Instructions For Applicants
PDF template
Guidelines for submitting human subjects research proposals to Missouri Valley College's Institutional Review Board for review and approval.
See template
See template
Instructions For Submitting Curricular Changes For 2024 25 Catalog
PDF template
Comprehensive instructions for faculty and academic departments submitting curriculum modifications for the upcoming academic catalog year.
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 PRE AUTHORIZATION FORM
PDF template
Detailed instructions for completing a pre-authorization form for medical procedures and services at Kaiser Permanente.
See template
See template
Carroll County Recreation Parks PROGRAM PROPOSAL FORM
PDF template
A form for submitting program proposals to Carroll County Recreation & Parks, including program details, instructor information, and scheduling.
See template
See template
Insurance And Safety Policy
PDF template
Policy document outlining safety standards and insurance coverage for Seventh-day Adventist Medical Cadet Corps activities in Florida.
See template
See template
MOTOR VEHICLE INSURANCE AGENT INSURANCE BINDER CANCELLATION FORM
PDF template
Official form for cancelling a temporary motor vehicle insurance binder in Kentucky, required by state regulation.
See template
See template
SPD SP048 Insurance And Bonding Guidelines
PDF template
Comprehensive guide detailing insurance types, limits, certificates, and bonding recommendations for vendors and contractors working with Georgia state entities.
See template
See template
Certificate Of Insurance Form
PDF template
Insurance requirements and guidelines for parade participants, mandating a minimum $2 million public liability insurance policy.
See template
See template
Certificate Of Insurance Form
PDF template
Insurance requirements and documentation for parade participants at Westerner Days Fair and Exposition
See template
See template
INSURANCE FINANCIAL POLICY
PDF template
A comprehensive financial policy document outlining insurance billing, payment expectations, and patient responsibilities for chiropractic services.
See template
See template
Insurance Form 1
PDF template
Details insurance coverage requirements for contractors, specifying minimum insurance limits across multiple categories.
See template
See template
Insurance Form 1
PDF template
Detailed insurance requirements for a contract, specifying minimum insurance limits and coverage types for a seller.
See template
See template
Insurance Requirements Form
PDF template
A document outlining insurance requirements and indemnification terms for vendors participating in a Rotary Club event.
See template
See template
Insurance Form 2
PDF template
Detailed insurance coverage requirements for a seller, specifying minimum insurance limits and types of coverage needed for contractual performance.
See template
See template
Dental Insurance Information
PDF template
Insurance form for collecting patient dental insurance details and treatment consent
See template
See template
KAPOS Insurance Information Form
PDF template
A form to collect insurance and personal details for team participation in a regional competition.
See template
See template
Insurance Form Filing Procedures
PDF template
Official document outlining procedures for submitting insurance form filings through the System for Electronic Rate and Form Filing (SERFF) for the District of Columbia.
See template
See template
Insurance Form For Residence Hall Students
PDF template
Form for collecting student health insurance information for residential students at Monroe Community College.
See template
See template
Insurance Information And Authorization Form
PDF template
Medical insurance and patient authorization document for Drs. Mark and Suzanne Boas' eyecare practice, collecting patient insurance details and financial responsibilities.
See template
See template
NEW PATIENT INFORMATION SHEET
PDF template
Comprehensive patient intake form for collecting personal, contact, and insurance information for new patients at the university student health center.
See template
See template
Student Athlete Insurance Information Form
PDF template
A comprehensive insurance information form for student-athletes at Kutztown University to provide medical and contact details.
See template
See template
Insurance Reference Manual
PDF template
Comprehensive insurance manual for Moose International lodges, chapters, and associated organizations covering various insurance programs and risk management guidelines.
See template
See template
Insurance Form
PDF template
Form for requesting, canceling, or changing insurance coverage for members of iQ Super For Life and iQ Super Business.
See template
See template
CA.04 21.REF.05 Insurance Terms And Conditions
PDF template
Detailed insurance guidelines and requirements for applicants seeking an encroachment agreement with the City of Mississauga.
See template
See template
PARKS RECREATION DEPARTMENT PERMIT INSURANCE REQUIREMENTS
PDF template
Detailed guidelines for insurance requirements for organizations seeking permits for events in Palm Beach County Parks & Recreation Department
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
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
Insuring Technology Risks In A Professional Environment
PDF template
A white paper addressing technology-related risks and insurance considerations for professional engineering practices.
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
Primary Eyecare Associates Patient Form
PDF template
Comprehensive medical and vision history intake form for eye examination and patient records.
See template
See template
Patient Intake Form
PDF template
A comprehensive patient intake document for collecting detailed personal, medical, and contact information at a memory clinic.
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 form for collecting patient demographic, contact, insurance, and scheduling information for new healthcare patients.
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 patient intake form collecting personal information, medical history, insurance details, and pre-examination assessment for medical treatment.
See template
See template
Claim Form ICS Non Medical Expenses Aon Student Insurance
PDF template
A comprehensive claim form for reporting various types of non-medical insurance damages and losses for student insurance policies.
See template
See template
Neighborhood Health Plan Of Rhode Island (NHPRI) DME Authorization Form
PDF template
Healthcare authorization form for durable medical equipment (DME) services from Neighborhood Health Plan of Rhode Island
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 APPROVAL FORM
PDF template
An internal form for submitting research proposals, project details, and compliance information to the Office of Research and Sponsored Programs.
See template
See template
College Of Pharmacy Internal Proposal Approval Form
PDF template
An internal form for proposing and obtaining approval for research projects within a College of Pharmacy, including project and budget details.
See template
See template
ORSPA Internal Routing Form
PDF template
A form used by East Tennessee State University for submitting and routing research project proposals and agreements through the Office of Research and Sponsored Programs.
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
International Student Insurance Refund Request
PDF template
A form for international students studying remotely due to COVID-19 to request a health insurance refund for the Spring 2023 semester.
See template
See template
Intern Medical Treatment Authorization Form
PDF template
Medical authorization form for interns to provide emergency treatment details and contact information in case of medical incidents.
See template
See template
INTERNSHIPFIELD EXPERIENCE RESPONSIBILITIES AGREEMENT
PDF template
Legal document outlining responsibilities, insurance requirements, and liability terms for student internships and field experiences.
See template
See template
Internship Learning Agreement Form
PDF template
A comprehensive agreement outlining student responsibilities, expectations, and legal considerations during an internship placement.
See template
See template
Internship Proposal Form
PDF template
A form for businesses and organizations to propose and document internship opportunities for students.
See template
See template
AMMCOS Internship Application Form
PDF template
A detailed form for students seeking a research internship to complete their 2nd year Master's degree at AMMCO.
See template
See template
Salesian College IPad LossDamage Report Form
PDF template
A form for reporting lost, stolen, or damaged iPads at Salesian College with details about the incident and insurance claim process.
See template
See template
WESTERN NEW ENGLAND UNIVERSITY INSTITUTIONAL REVIEW BOARD (IRB) SUBMISSION FORM
PDF template
Institutional form for submitting research proposals involving human participants at Western New England University
See template
See template
Research Proposal Instructions Institutional Review Of Research With Human Subjects
PDF template
Instructions for obtaining institutional review board (IRB) approval for research involving human subjects, including review timelines and required training.
See template
See template
Research Proposal Cover Sheet And IRB Research Proposal Form
PDF template
A standardized form for submitting research proposals for ethical review by an Institutional Research Board, covering project details, participant information, and review process.
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
International Research Opportunities Program (IROP) Application Checklist
PDF template
Comprehensive checklist for students applying to the International Research Opportunities Program, detailing application preparation steps and requirements.
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
ISS Trip Liability Waiver Form
PDF template
A legal waiver form for students participating in an ISS trip, releasing the University at Buffalo from liability for potential injuries or damages.
See template
See template
ISU DAIRY RESEARCH PROPOSAL FORM
PDF template
A comprehensive form for submitting dairy research project proposals, detailing research objectives, animal requirements, and project specifics.
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
WELLNESS CENTER LIABILITY WAIVER
PDF template
A comprehensive liability waiver for participation in university wellness center activities and events, acknowledging risks and releasing the university from potential claims.
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
Items Of Extraordinary Value Inventory
PDF template
A shipping document to identify and declare high-value items for special handling and liability protection during transportation.
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
Attachment A AFFIDAVIT FORM ITN CERTIFICATION FORM
PDF template
Certification form for responding to an Invitation to Negotiate (ITN) for student housing feasibility study and consulting services.
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
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
Scholars Insurance Compliance Form
PDF template
A form for verifying health insurance requirements for international scholars, conforming to US Department of State guidelines.
See template
See template
Release And Waiver Of Liability And Indemnity Agreement To Jeep Adventure Academy
PDF template
Legal waiver and liability release form for participants in Jeep Adventure Academy off-road events, outlining participant responsibilities and risk acknowledgment.
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
Je SRP1(EPSRC)
PDF template
Research proposal submission form for the Engineering & Physical Sciences Research Council with details of research project and investigators
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
Legal document releasing liability for participants in an event or activity organized by the Society of American Military Engineers (SAME).
See template
See template
Jeep Jamboree Waiver And Release Of Liability
PDF template
Legal waiver for participants in Jeep Jamboree off-road events, releasing organizers from liability and setting vehicle participation requirements.
See template
See template
Job Application Form
PDF template
Comprehensive job application form for potential employees seeking work at Jones & Associates Insurance, collecting personal, employment, and educational information.
See template
See template
Junior Treekeeper Camp Accident Waiver And Release Of Liability
PDF template
A legal document waiving liability for participants in a youth camp program, acknowledging potential risks and releasing event organizers from legal responsibility.
See template
See template
JudicialCourt Bond Application
PDF template
Application form for obtaining a judicial or court bond for legal proceedings, used by attorneys or law firms.
See template
See template
FSCS Newsletter
PDF template
Newsletter from FSCS detailing changes to pension application forms for seven specific firms, including new mandatory questions and document requirements.
See template
See template
Indiana Junior Division Project Form
PDF template
A comprehensive form for students to submit their science fair project details, including personal information, project proposal, and research methodology.
See template
See template
Artwork Loan Agreement
PDF template
A legal agreement for loaning artwork to The Joy & Whimsy Depot for exhibition purposes, outlining responsibilities of the lender and the exhibitor.
See template
See template
Kentucky Assigned Claims Plan Billing Summary Form
PDF template
A detailed form for submitting reimbursement requests and subrogation recoveries for insurance claims in Kentucky's Assigned Claims Plan.
See template
See template
Kentucky Assigned Claims Plan Billing Summary Form
PDF template
Detailed guide for insurers on submitting reimbursement requests and subrogation details for the Kentucky Assigned Claims Plan.
See template
See template
Kaiser Permanente Payment Selection Form
PDF template
A form for selecting automatic payment methods via bank account or credit card for Kaiser Permanente services.
See template
See template
Member Reimbursement Form For Medical Claims
PDF template
A comprehensive form for submitting medical claim reimbursement requests, including patient and provider details.
See template
See template
Kaiser Permanente Senior Advantage (HMO) Group Medicare Election Form
PDF template
Form for enrolling in Kaiser Permanente's Senior Advantage Medicare health plan for group participants.
See template
See template
Keenan Insurance Scholarship Guidelines 2024
PDF template
Guidelines for a scholarship program administered by the Foundation for California Community Colleges, providing funding for students in insurance and related fields.
See template
See template
Keenan Insurance Scholarship Guidelines 2024
PDF template
Guidelines for a scholarship program providing financial support to California Community College students studying insurance and related fields.
See template
See template
Key Facts You Need To Know About Helping Families That Include Immigrants Apply For Health Coverage
PDF template
A guide explaining health coverage application processes and eligibility for families that include immigrants, addressing key concerns and immigration status implications.
See template
See template
IRB Research Proposal Form
PDF template
A form for submitting research proposals involving human subjects to an Institutional Review Board for approval and review.
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
Member Reimbursement Form For Over The Counter COVID 19 Tests
PDF template
A form for Kaiser Permanente members to request reimbursement for over-the-counter COVID-19 test purchases.
See template
See template
Creating A High Level Budget In Kuali Research
PDF template
Instructions for creating a high-level budget in Kuali Research, focusing on non-personnel budget entry methods for research proposals.
See template
See template
Kuali Research Create Budget Quick Reference Guide
PDF template
A step-by-step guide for creating detailed budgets in Kuali Research proposal system, explaining budget version setup and navigation.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
A legal document that releases event organizers from liability and confirms participant's physical fitness and voluntary participation.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
A legal document that releases event organizers from liability and confirms participant's fitness and understanding of potential risks.
See template
See template
Competition Entry Form
PDF template
Entry form for a national insurance customer service representative award recognizing excellence in professional performance.
See template
See template
Incident Report Form For Bodily Injury
PDF template
Insurance form for documenting details of a bodily injury incident, likely related to cycling or athletic events.
See template
See template
Boise State UniversityS Lab Waiver Of Liability And Assumption Of Risk
PDF template
A legal document granting parental permission and outlining liability terms for students participating in Boise State University lab programs.
See template
See template
Chronic Illness Benefit Application Form
PDF template
Application form for patients seeking chronic illness benefits through LA Health Medical Scheme, requiring patient and medical professional details.
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
Authorization For Release Of Information And Liability Waiver
PDF template
Legal document authorizing disclosure of employment files for law enforcement job candidates in Wisconsin, with liability release provisions.
See template
See template
Circular Letter 241 Of The Commissariat Aux Assurances On The Insurance Agencies Annual Reporting
PDF template
Official document providing instructions for insurance agencies' annual reporting requirements and submission process for the year 2024.
See template
See template
INSURANCE PRE AUTHORIZATION FORM
PDF template
A form for collecting client and insurance details for pre-authorization of therapeutic services.
See template
See template
SUBJECT AUTHORITY PROPOSAL FORM FOR NONPCC INSTITUTIONS
PDF template
A form for submitting subject authority proposals for non-PCC institutions to the Library of Congress.
See template
See template
Dealership Cancellation Form
PDF template
A form for cancelling a dealer's mechanical breakdown insurance policy with options for various cancellation reasons and refund processing.
See template
See template
Addendum To Lease
PDF template
Supplemental lease agreement outlining additional tenant responsibilities, rent payment terms, and property conduct rules.
See template
See template
Cancellation Form
PDF template
A form for employees to cancel or continue legal resources and identity theft plan coverage during employment termination or open enrollment.
See template
See template
ARAG Legal Insurance LLNS Benefit Program Summary
PDF template
Summary of legal insurance benefits for employees and retirees under the LLNS Health and Welfare Benefit Plan
See template
See template
ARAG Legal Insurance LANS Benefit Program Summary
PDF template
Summary of legal insurance benefits for LANS employees and retirees, effective January 1, 2017.
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
Maryland Insurance Administration Complaint Form Life And Health Insurance
PDF template
Official form for submitting complaints about insurance companies to the Maryland Insurance Administration, covering various insurance types and policy details.
See template
See template
Review Requirements Checklist Group Accident Only And Indemnity Insurance
PDF template
A comprehensive checklist for insurance carriers to submit group accident and indemnity insurance forms for approval in Virginia.
See template
See template
Long Term Care Applications Review Requirements Checklist
PDF template
A comprehensive checklist for insurance carriers preparing long-term care application form filings for approval by the Virginia Bureau of Insurance.
See template
See template
Release And Waiver Of Liability And Indemnity Agreement
PDF template
Legal document releasing the Winona Family YMCA from liability for injuries or damages during facility use or program participation.
See template
See template
Accident Waiver And Release Of Liability Form
PDF template
Legal document releasing The First Tee of San Antonio from liability for potential injuries or damages during volunteer activities.
See template
See template
Liability And Indemnity Agreement
PDF template
Legal agreement outlining contractor responsibilities, indemnification, and insurance requirements for performing work in the Town of West Hartford.
See template
See template
Teen Entrepreneur Academy (TEA) Liability Medical Release Form
PDF template
Liability and medical release form for participants in the Teen Entrepreneur Academy program at Concordia University, Irvine.
See template
See template
Liability And Photo Media Release Form
PDF template
A comprehensive release form for participants covering liability, health insurance, and media usage rights for museum activities.
See template
See template
Personal Liability Claim Form
PDF template
A comprehensive form for filing a personal liability insurance claim, specifically related to travel incidents.
See template
See template
City Of South Gate Liability Claim Form
PDF template
Official form and instructions for filing a liability claim against the City of South Gate for personal injury or property damage.
See template
See template
City Of South Gate Liability Claim Form
PDF template
Official form for filing a liability claim with the City of South Gate for personal injury or property damage.
See template
See template
Assumption Of Risk, Waiver Of Liability And Indemnification Agreement
PDF template
Legal document for participants to assume risks and waive liability for University of Utah program or event activities.
See template
See template
Conference Registration, Personal And Liability Release Form
PDF template
Registration and liability release form for SkillsUSA conference participants, covering student details and emergency contact information.
See template
See template
Release Of Liability, Waiver Of Claims, Assumption Of Risks And Indemnity Agreement
PDF template
A comprehensive legal document that releases MetamorphiiFit Fitness Society from liability for potential risks and injuries during fitness programs and activities.
See template
See template
Liability Insurance Form
PDF template
A form for obtaining a certificate of insurance and listing additional insured parties for facility usage events.
See template
See template
Professional Liability Insurance For Nurse Aide Students
PDF template
Insurance option for nurse aide students providing professional liability coverage with policy limits between $1,000,000 and $3,000,000.
See template
See template
Liability Media Release Form Required Of All Students
PDF template
A legal document for student registration that includes liability waiver and media release permissions for Community Music School activities.
See template
See template
UNIVERSITY DAY LIABILITY RELEASE FORM
PDF template
A legal document for releasing liability and providing medical consent for campus visitors to Franciscan University of Steubenville.
See template
See template
Waiver Of Liability And Hold Harmless Agreement
PDF template
Legal document releasing College of the Mainland from liability for potential injuries or damages during an activity.
See template
See template
Liability Waiver Form Adult Student (18 YrsOlder)
PDF template
A legal document waiving liability for adult students participating in service-learning activities at a college.
See template
See template
Leave No Trace Center For Outdoor Ethics Course Participant Acknowledgment, Assumption Of Risks, Rel
PDF template
Legal document outlining participant risks and responsibilities for Leave No Trace outdoor education courses.
See template
See template
Liability Release And Assumption Of Risk For Activity Participation And Local Travel
PDF template
A legal document releasing the University of Maryland, Baltimore County (UMBC) from liability during an activity or travel event
See template
See template
Liability Release
PDF template
A legal document releasing Laredo College from liability for potential injuries during a student activity or trip.
See template
See template
Liability, Risk Acknowledgment, And Claims Release Form
PDF template
A legal document for participants to acknowledge risks and release claims for activities sponsored by Los Angeles City College.
See template
See template
Release Liability Medical Release Form
PDF template
A comprehensive form for collecting student medical information, emergency contacts, and liability release for a summer orientation program
See template
See template
ToursClasses Liability Release
PDF template
A comprehensive liability release for kayaking and stand-up paddleboarding tours and classes, acknowledging inherent risks and waiving legal claims.
See template
See template
Release And Indemnity Agreement
PDF template
A legal document that releases Southern Adventist University from liability for risks associated with student, employee, or volunteer activities.
See template
See template
Liability Waiver Form Shoreline Cleanup
PDF template
Waiver for volunteers participating in shoreline cleanup activities at Blowing Rocks Preserve, outlining risks and participant responsibilities.
See template
See template
Liability Waiver
PDF template
A legal document releasing the University of Indianapolis from liability for injuries or damages that may occur during participation in university activities.
See template
See template
Waiver, Indemnification, And Media Release Form
PDF template
Legal document releasing Houston Christian University from liability for participants in university events and activities.
See template
See template
Liability Waiver Form
PDF template
A legal document waiving liability for potential health risks associated with consuming food at student-organized events.
See template
See template
Arkansas Tech University Student Liability Waiver
PDF template
A comprehensive liability waiver for students participating in on or off-campus university activities, outlining participant responsibilities and risks.
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
EmployerS Statement For Disability Insurance
PDF template
Comprehensive employer documentation form for reporting employee disability insurance details and work status
See template
See template
Permission Form For Minors With Indemnity Agreement And Emergency Contacts
PDF template
A consent and liability waiver form for parents/guardians allowing minor children to participate in a diocesan event with legal indemnification provisions.
See template
See template
Library Program Proposal Form
PDF template
A form for individuals to propose library programs for consideration by the Kent Free Library.
See template
See template
Contractor License Application
PDF template
A comprehensive application form for obtaining a contractor license in Pennington County, South Dakota, with detailed requirements and checklist.
See template
See template
License Cancellation Request Form 206
PDF template
Official form for cancelling various types of insurance-related licenses in the State of New Mexico.
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
VENDOR AGREEMENT
PDF template
A vendor participation agreement for the Lights On! festival with liability waiver and event guidelines.
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
Life Solutions COVID 19 Impacts Frequently Asked Questions
PDF template
Document providing guidance on Lincoln Financial Group's operational changes and policies during the COVID-19 pandemic for financial professionals.
See template
See template
ENROLLMENT FORM FOR GROUP INSURANCE
PDF template
Insurance enrollment form for employees of Ashland School District to select various life and disability coverage options
See template
See template
Adult LIPOS Private BedPHPAdmissionUtilization Form
PDF template
A form for documenting admission and utilization details for mental health hospital or partial hospitalization program (PHP) services.
See template
See template
Youth LIPOS Funding Discharge Form
PDF template
Form for documenting discharge and funding verification for youth psychiatric inpatient or partial hospitalization services without insurance coverage.
See template
See template
Shaw Environmental, Inc.S Exhibit List
PDF template
Exhibit list submitted by Shaw Environmental, Inc. for a legal case related to FEMA trailers and potential formaldehyde liability.
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
Vessel Liveries Inspection Form
PDF template
Inspection form for boat rental businesses to ensure safety standards and liability compliance at Lake Norman.
See template
See template
LOAN AGREEMENT REPAYMENT FORM
PDF template
A form for policyholders to document and agree to loan repayment terms for their life insurance policy.
See template
See template
Loan Application Form
PDF template
A form detailing loan terms and conditions for policyholders seeking to borrow against their life insurance policy's surrender value.
See template
See template
Application For First Loan In Respect Of Policies Prior To 1 6 69
PDF template
Application form for obtaining a loan against a life insurance policy from the Life Insurance Corporation of India, with specific terms and conditions.
See template
See template
Loan Application Form
PDF template
A loan application form for borrowing money against a life insurance policy from the Eswatini Royal Insurance Corporation (ESRIC).
See template
See template
NJDOBI Location Of Records Agreement Form
PDF template
A legal agreement between a licensee and the New Jersey Department of Banking and Insurance regarding the storage and accessibility of business records.
See template
See template
Lodge Transfer Request Form
PDF template
A form for members to request transfer of their lodge membership to a different location or lodge chapter.
See template
See template
Lodge Transfer Request Form
PDF template
Form for requesting transfer of lodge membership to another location or lodge within Hermann Sons Life organization.
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
Student Blanket Insurance Policy Disability Claim Form
PDF template
A comprehensive form for students to file a disability insurance claim, documenting medical conditions, educational status, and treatment details.
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
Lost Instrument Bond Application
PDF template
A legal form used to apply for a bond when an original financial instrument has been lost, requiring comprehensive applicant information.
See template
See template
Group Health Claim Form
PDF template
A comprehensive form for submitting healthcare claims for employees, spouses, and dependents under the LSU First Health Plan.
See template
See template
Invoice For Independent Health Care Providers
PDF template
A form for independent healthcare providers to record time and cost of care services provided to insured individuals under a long-term care insurance policy.
See template
See template
Long Term Care Insurance Medical History Form
PDF template
A medical history form for long-term care insurance professionals to collect patient health information for underwriting purposes.
See template
See template
Insurance Cancellation Request
PDF template
A form for employees to request cancellation of group insurance coverage, specifically long-term disability insurance.
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
2024 LTD Change Form
PDF template
Form for employees to select or modify their Long-Term Disability (LTD) coverage options at the University of Rochester
See template
See template
Long Term Disability Claim Form
PDF template
A claim form for employees to submit long-term disability insurance claims with personal and medical information.
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
NRECA Long Term Disability Plan Summary Plan Description
PDF template
A comprehensive summary plan description detailing the long-term disability benefits provided by the National Rural Electric Cooperative Association for eligible participants.
See template
See template
LUDWIG FELLOWSHIP APPLICATION FORM 2 APPLICANT BACKGROUND AND RESEARCH INTEREST
PDF template
Application form for researchers seeking a fellowship, requiring details about graduate research and proposed research program.
See template
See template
LAMAR UNIVERSITY UNIVERSITY INSURANCE POLICY
PDF template
Policy governing insurance procurement and risk management for Lamar University, defining institutional approaches to purchasing property, liability, and other non-benefit insurance.
See template
See template
Fax Referral Form
PDF template
A comprehensive medical referral form for patient information, insurance details, and provider selection in pulmonary and sleep medicine.
See template
See template
LEHIGH UNIVERSITY WAIVER And RELEASE OF LIABILITY FORM For ACTIVITIES OFF CAMPUS
PDF template
A legal document that releases Lehigh University from liability for potential injuries or losses during off-campus activities or trips.
See template
See template
Liability Waiver Form
PDF template
A municipal form for waiving insurance requirements for building and construction-related permit applications in Boston.
See template
See template
Lynchburg IRB Quick Reference Guide
PDF template
A comprehensive guide for researchers outlining the Institutional Review Board (IRB) consent process, ethics training requirements, and proposal submission steps.
See template
See template
Digital Application For Contraception Management Member Reimbursement Form
PDF template
A form for members to request reimbursement for digital contraception management application subscriptions under their Blue Cross and Blue Shield of Minnesota plan.
See template
See template
Emergency Contact Form
PDF template
A form for parents to provide comprehensive emergency contact, health, and medical information about their child
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
MA ThesisPortfolioProject Proposal Form
PDF template
A form for graduate students to submit their thesis, portfolio, or project proposal for review and approval.
See template
See template
Workers Compensation Audit Report Form
PDF template
A detailed form for documenting payroll, employee information, and policy details for workers compensation insurance auditing purposes.
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
Professional Liability Insurance Form
PDF template
Form for medical doctors to provide professional liability insurance details for employment with Research Foundation for Mental Hygiene, Inc.
See template
See template
Malpractice Payment Report Form For Insurance Companies
PDF template
Official form for reporting medical malpractice judgments and settlements in Alabama by insurance companies and healthcare entities.
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
Managed Care Referral Form
PDF template
A medical referral form for Blue Cross and Blue Shield of Minnesota managed care patients requiring specialist or additional medical services.
See template
See template
Mandatory Travel Form
PDF template
A required form for documenting details of Sport Club travel, including participant information and trip itinerary for insurance purposes.
See template
See template
Medical History Form
PDF template
A comprehensive medical form for camp participants to document health information, emergency contacts, and treatment authorization.
See template
See template
PolicyholderS Change And Service Request
PDF template
A form for making changes to a ManhattanLife insurance policy, including coverage modifications, beneficiary updates, and personal information changes.
See template
See template
Manual Claim Form
PDF template
Form for submitting out-of-pocket healthcare expense claims for reimbursement through Flexible Spending Accounts (FSAs) or Health Reimbursement Arrangements (HRAs).
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
Massachusetts Property Insurance Underwriting Association Producers Operations Manual
PDF template
A comprehensive manual for licensed insurance producers in Massachusetts detailing procedures and guidelines for placing business with the Association.
See template
See template
Marketplace Appeal Request EAII Form (062019)
PDF template
A form for appealing decisions related to health insurance marketplace eligibility and financial assistance.
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
MASc Thesis Proposal Form
PDF template
A comprehensive form for graduate students in Civil Engineering to outline their research thesis proposal at York University.
See template
See template
MasterS Degree Proposal Approval
PDF template
Official form documenting approval of a master's degree research proposal by an academic advisory committee.
See template
See template
Proposal For Thesis Or Project Research
PDF template
Academic document for graduate students to propose and outline their thesis or project research at Washington University's Computer Science and Engineering department.
See template
See template
Material Damage Proposal
PDF template
Insurance proposal form for documenting property details, insurance requirements, and risk assessment for material damage coverage.
See template
See template
Pregnancy Tips And Information For MUSC University Employees
PDF template
Comprehensive guide for MUSC university employees providing information about pregnancy-related benefits, insurance, and leave policies.
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
MasterS Thesis Proposal Form
PDF template
A graduate student form for proposing and gaining approval for a master's thesis from advisors.
See template
See template
Alcohol Service Request Form
PDF template
Form for requesting permission to serve alcohol at city facilities, requiring approval and documentation for event organizers.
See template
See template
Bank Account Withdrawal Pre Authorization Form
PDF template
A form allowing Medicare Advantage members to authorize electronic funds transfer for monthly plan premiums from their bank account.
See template
See template
Multnomah Bar Association Enrollment Application Change Of Information Form
PDF template
A comprehensive form for enrolling or making changes to membership or insurance coverage for Multnomah Bar Association members
See template
See template
Multnomah Bar Association EnrollmentChange Of StatusWaiver Form
PDF template
A comprehensive form for attorneys to enroll in or modify health insurance coverage through the Multnomah Bar Association.
See template
See template
MetroPlusHealth Wellness And Fitness App Reimbursement Program
PDF template
A program offering up to $300 per year in reimbursements for specific wellness and fitness mobile applications for MetroPlusHealth members.
See template
See template
Sharp Health Plan Reimbursement Request Form
PDF template
A form for submitting medical expense reimbursement claims to Sharp Health Plan with detailed instructions and personal information fields.
See template
See template
Insurance Declaration Form 1 To Participate In 2023 South Dakota 4 H Rodeo
PDF template
Insurance form for 4-H members to declare insurance coverage for participation in South Dakota 4-H Rodeo events
See template
See template
Vehicle Use Permit Power Of Attorney
PDF template
A legal document granting permission to another person to operate a specific vehicle at MCB Camp Lejeune
See template
See template
Exhibitor Appointed Contractors (EACs)Third Party Contractor Guidelines
PDF template
Guidelines for using third-party contractors at the MC2020 event, including requirements for insurance and contractor approval.
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
CVS Caremark Mail Service Order Form
PDF template
A form for submitting prescription medication orders through CVS Caremark's mail service pharmacy program.
See template
See template
Medical Expense Claim Form
PDF template
A form for employees to claim medical expense reimbursements through their flexible spending account with detailed claim submission instructions.
See template
See template
Meadville Community Theatre Parental Consent Form
PDF template
A consent form for parents to authorize their child's participation in Meadville Community Theatre productions, including medical and liability provisions.
See template
See template
Release And Indemnification Agreement
PDF template
A legal document releasing The Medical College of Wisconsin from liability for potential injuries or damages during an unspecified activity involving a minor participant.
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
Standardized Health Claim Form Model Regulation
PDF template
A model regulation for standardizing health care claim forms to reduce complexity and encourage electronic data interchange in healthcare billing and reimbursement.
See template
See template
Mechanical Engineering Thesis Dissertation Proposal Form
PDF template
A comprehensive form for graduate students in mechanical engineering to submit their thesis or dissertation proposal to the Graduate Program Advisor (GPA)
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
Medco By Mail Order Form
PDF template
A form for submitting prescription medication orders through Medco Health Solutions via mail, including payment and patient information.
See template
See template
Prescription Drug Reimbursement Form
PDF template
A form for submitting prescription medication reimbursement claims through an insurance or benefits program.
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
MEDEX ACADEMY Consent Form
PDF template
Consent form for students 21 years and older participating in MedEx Academy, covering medical treatment, liability release, and media permissions.
See template
See template
Medex Subscriber Claim Form
PDF template
A claim submission form for medical services processed by Blue Cross Blue Shield of Massachusetts for Medex subscribers.
See template
See template
Student Medical Form
PDF template
Comprehensive medical form collecting student health details, emergency contact information, and medical history for school purposes.
See template
See template
Media Release Form
PDF template
A comprehensive release form for participation in university programs, covering media usage and liability waiver for participants and guardians.
See template
See template
Medical History Form
PDF template
Instructions and form for students to provide medical history, immunization records, and insurance information for campus health services.
See template
See template
Anderson University Summer Camp Program Participation Form
PDF template
Registration form for Anderson University Summer Camp Program with medical and liability information for participants
See template
See template
Studentsafe Inbound Medical Risk Assessment Form
PDF template
Insurance form for international students to disclose pre-existing medical conditions for coverage under Studentsafe insurance policy.
See template
See template
USA Ultimate Medical Authorization Form
PDF template
A medical authorization form for parents/guardians to provide emergency treatment consent for children participating in Ultimate activities.
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
H.P.T.R.6 MEDICAL CHARGES REIMBURSEMENT FORM
PDF template
A comprehensive form for employees to claim reimbursement of medical expenses with detailed documentation and verification 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
Insurance claim form for submitting medical expenses and travel-related healthcare claims with multiple payment options.
See template
See template
Medical Claim Form
PDF template
Form for submitting out-of-network health care claims to UnitedHealthcare for reimbursement of eligible medical services.
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 insurance claim form for submitting medical treatment claims, capturing patient and treatment details.
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
Claim Form To Pay InsuredSubscriber
PDF template
A comprehensive form for submitting medical insurance claims with details about patient, treatment, and coverage information.
See template
See template
Direct Member Reimbursement Form
PDF template
A form for AvMed members to request reimbursement for covered medical services by submitting documentation and details of treatment.
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
Medical Consent Form
PDF template
Comprehensive medical form for collecting a child's health history, emergency contact information, and medication permissions.
See template
See template
Medical Form
PDF template
A comprehensive medical form for collecting student health information, emergency contacts, and parental consent for medical treatment.
See template
See template
Adult Confidential Medical Record
PDF template
A comprehensive medical form for collecting personal health information and emergency contact details for program participation.
See template
See template
Cottonwood Crossing Summer Institute Health Insurance And Medical History Form
PDF template
A form collecting student health information, insurance details, and medical emergency consent for a summer program participation.
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
MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal and insurance information for medical purposes.
See template
See template
MEDICAL HISTORY FORM
PDF template
Comprehensive medical history and personal health information form for students at Vanguard University's Health Center.
See template
See template
MSSU Willcoxon Health Center Medical History
PDF template
Comprehensive medical history and contact form for Missouri Southern State University students to provide health and emergency information.
See template
See template
University Health Center Medical Insurance Form
PDF template
A form for collecting student and insurance policy details for medical services at a university health center.
See template
See template
PATIENT INTAKE FORM PPOMEDICARESELF PAY
PDF template
Comprehensive patient registration form collecting personal, insurance, and financial information for medical services.
See template
See template
Medical Release FormPermission To Treat
PDF template
A comprehensive medical form for collecting personal, emergency contact, insurance, and medical information with treatment authorization.
See template
See template
Medical Liability Release Form
PDF template
A medical liability release form for HOSA delegates, parents, and guardians to attend conferences and experiences during the 2019-2020 academic year.
See template
See template
IM, Inc. ETEAM MEDICAL RELEASE FORM
PDF template
A comprehensive medical information and emergency contact form for gathering participant health details and insurance information.
See template
See template
Medical Liability Release Form
PDF template
A liability release form for HOSA delegates, parents/guardians, guests, and advisors to participate in conferences and experiences.
See template
See template
Medical Release Form
PDF template
A form to authorize the release of patient medical information for insurance claim processing.
See template
See template
Soapstone United Methodist Church Information, Permission And Medical Release Form For Adults
PDF template
A comprehensive medical release and information form for adults participating in church activities, including emergency contact and medical details.
See template
See template
Christ In Youth Discipline, Liability Medical Release Form
PDF template
A comprehensive release form for participants of Christ In Youth events covering discipline, liability, and medical information.
See template
See template
MEDICAL LIABILITY RELEASE
PDF template
Comprehensive medical and liability release form for camp registration, including health information, emergency contacts, and photo/transportation permissions.
See template
See template
RELEASE FROM LIABILTY And MEDICAL CARE
PDF template
A form allowing individuals to decline medical assistance and release the college from liability for such refusal.
See template
See template
USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
A medical release form for youth and junior volleyball players to capture medical information, emergency contacts, and insurance details.
See template
See template
Youth Junior Volleyball Player Medical Release Form
PDF template
A comprehensive medical release and consent form for youth and junior volleyball players to participate in volleyball activities and competitions.
See template
See template
IUOE Local 4 Reimbursement Form
PDF template
Medical reimbursement form for IUOE Local 4 members seeking compensation for DOT physical exams, massage therapy, and related services.
See template
See template
New York Health Benefits Waiver Of Coverage
PDF template
Form for employees to decline group health insurance coverage and document alternative coverage status
See template
See template
Direct Member Reimbursement Request Form
PDF template
A form for Medicare plan members to request reimbursement for dental, eyewear, and hearing aid services.
See template
See template
Medical Reimbursement Request Form
PDF template
A form used to request reimbursement for medical, dental, vision, hearing, and foreign travel care and supplies from a health insurance plan.
See template
See template
Plan Selection Form Retiree Supplemental Medical
PDF template
A form for retired Oklahoma State University employees to select supplemental medical insurance plans with Medicare eligibility requirements.
See template
See template
PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, medical, and insurance information for medical services or therapy referral.
See template
See template
Medication Prior Approval Form
PDF template
Healthcare form for requesting prior approval of medical procedures, medications, and services with patient and provider information.
See template
See template
Fidelis Care Medication Request Form
PDF template
A comprehensive form for requesting medications through Fidelis Care health plans, requiring detailed patient and prescription information.
See template
See template
Cancellation Request Form
PDF template
A form used to request cancellation of Medigap insurance plan coverage, including provisions for refund of premiums.
See template
See template
Claim Form Instructions
PDF template
Detailed instructions for submitting prescription medication reimbursement claims with specific guidance on documentation requirements.
See template
See template
Chronic Medicine Benefit Application
PDF template
A medical form for applying to a chronic medicine benefit program, to be completed by patients seeking ongoing medication coverage.
See template
See template
BULLETIN MEL 24 04 Crime Statutory Bond Coverage
PDF template
Provides guidelines for statutory bond coverage for specific municipal positions requiring underwriting in joint insurance funds.
See template
See template
Meltdown Release Of Liability, Waiver Of Claims, Express Assumption Of Risk And Indemnity Agreement
PDF template
Legal document releasing liability for participation in the Meltdown Mechanical Ride, outlining potential risks and participant responsibilities.
See template
See template
Member Claim Form
PDF template
Insurance claim form for submitting medical service reimbursement requests to BlueCross North Carolina.
See template
See template
Member Claim Submission Form
PDF template
A comprehensive form for submitting medical, vision, and other healthcare-related insurance claims with detailed service type options.
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
Member Reimbursement Form
PDF template
A form for members to request reimbursement for healthcare services and medical expenses from Network Health insurance.
See template
See template
Member Reimbursement Form
PDF template
A form for members to request reimbursement for various medical services and expenses from Network Health insurance plan.
See template
See template
Member Reimbursement Form
PDF template
A form for Kaiser Permanente members to request reimbursement for medical expenses paid directly to a healthcare provider.
See template
See template
Vegas Tuffest Jr. World Championship Membership Application
PDF template
Membership application for participating in the Vegas Tuffest Jr. World Championship sporting event with liability release and payment details.
See template
See template
Request For Proposal DE SOL 0005388 QA
PDF template
Question and answer document providing clarifications for a government solicitation regarding proposal submission requirements and evaluation criteria.
See template
See template
Method Schools Insurance Proposal
PDF template
Insurance coverage proposal for Method Schools by California Charter Schools Joint Powers Authority for the 2015-2016 school year.
See template
See template
Cancer, Specified Disease And Intensive Care Coverage
PDF template
Instructions for filing claims related to cancer, specified disease, and intensive care coverage under a MetLife insurance policy.
See template
See template
Disability Claim For Accident SicknessShort Term DisabilitySalary Continuance
PDF template
A comprehensive form for employers to document employee disability claims and related employment details.
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
POLICYHOLDERS CHANGE AND SERVICE REQUEST
PDF template
A form for making changes to a MetLife insurance policy, including coverage modifications, beneficiary updates, and personal information changes.
See template
See template
Disability Claim For Accident SicknessShort Term DisabilitySalary Continuance
PDF template
A comprehensive form for employees to file a disability claim, capturing details about the employee, work status, and disability information.
See template
See template
MetLife WELL V1
PDF template
Insurance claim form for wellness benefit submission by policyholders of MetLife Insurance Company
See template
See template
A MasterS Guide To Shipboard Accident Response
PDF template
A comprehensive guide for ship masters on handling incidents and protecting shipowner interests in Protection and Indemnity (P&I) risks.
See template
See template
CLHIA Standardized MGA Compliance Review Survey
PDF template
A standardized survey used by CLHIA member companies to assess compliance functions of Managing General Agencies (MGAs)
See template
See template
Form To Request Documentation From An Employer Sponsored Health Plan Or A Group Or Individual Market
PDF template
A tool to help patients request information about mental health and substance use disorder treatment limitations from health insurers, based on mental health parity laws.
See template
See template
PCA 1 24 01338 Clinical FM 05142024
PDF template
A medical referral form used by primary care physicians to authorize specialist consultations and treatments within a health plan network.
See template
See template
Assumption Of Risk, Release From Liability, And Indemnification Form
PDF template
A consent form for parents/guardians allowing minors to participate in research or clinical activities at Yale University with potential exposure to hazardous materials.
See template
See template
Minor Volunteer Parental Consent Form
PDF template
Legal form allowing parents/guardians to consent to a minor's volunteer participation at McKinley Presidential Library & Museum with liability release and media permissions.
See template
See template
Minor Waiver Form
PDF template
A waiver form allowing a minor to use university recreation facilities under parental supervision and consent.
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
ACCIDENTINCIDENT REPORT FORM
PDF template
A comprehensive form for reporting accidents or incidents involving Maryknoll Lay Missioners during overseas missions, documenting details of the occurrence, injuries, and follow-up actions.
See template
See template
Digital Patient Intake Form
PDF template
Form for medical providers to submit patient information, treatment details, and request insurance verification for wound care products.
See template
See template
Digital Patient Intake Form
PDF template
A medical form for provider and patient information collection, insurance verification, and wound treatment documentation.
See template
See template
Patient Intake Form
PDF template
A medical reimbursement form for verifying insurance coverage and documentation for skin substitute treatments.
See template
See template
Patient Information Form
PDF template
Comprehensive intake form for collecting patient personal, contact, and insurance information for dental practice.
See template
See template
Medicare Billing Form CMS 1450 And The 837 Institutional
PDF template
A comprehensive guide for healthcare providers on submitting Medicare claims using Form CMS-1450 and 837I electronic format.
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
Workers Compensation Insurance Form
PDF template
A comprehensive form for documenting patient and employment details related to a workplace injury insurance claim.
See template
See template
PreventiveCareAppealForm 20200507 V1.0
PDF template
Form for submitting preventive care exam documentation to Medical Mutual Wellness for wellness program compliance.
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
Certificate Of Compliance
PDF template
A form required for businesses in Minnesota to verify workers' compensation insurance coverage when applying for licenses or permits.
See template
See template
VSU Participation Agreement And Waiver Form For Minors
PDF template
Comprehensive legal release form for minors participating in university-sponsored programs, acknowledging risks and liability waivers.
See template
See template
Model Authorization Form For Certified Application Counselors (CACs) In A Federally Facilitated Mark
PDF template
Authorization form allowing Certified Application Counselors to collect, access, and use personal information for healthcare marketplace enrollment assistance.
See template
See template
Model Authorization Form For Certified Application Counselors (CACs) In A Federally Facilitated Mark
PDF template
A consent form allowing Certified Application Counselors to handle and process personally identifiable information for healthcare marketplace enrollment assistance.
See template
See template
Standardized Health Claim Form Model Regulation
PDF template
A model regulation aimed at standardizing health care claim forms, reducing form complexity, and promoting electronic data interchange for healthcare billing and reimbursement.
See template
See template
Mail Service Order Form
PDF template
A form for Service Benefit Plan members to order prescription medications through mail service pharmacy
See template
See template
Money Insurance Proposal Form
PDF template
Insurance proposal form for money protection and insurance coverage by Fidelity Shield Insurance Company in Kenya.
See template
See template
Insurance Of Money Proposal
PDF template
Insurance coverage proposal for loss of money in various scenarios including transit, premises, and personal custody.
See template
See template
SupervisorS Incident Investigation Report
PDF template
Detailed guide for supervisors to document and investigate workplace incidents across multiple categories of liability.
See template
See template
Monroe Community College International Student Accident And Sickness Insurance Waiver Form
PDF template
A waiver form for international students to demonstrate alternative health insurance coverage in lieu of the college's mandatory insurance plan.
See template
See template
ACCIDENT INCIDENTS REPORTING AND ACTIONS PROCEDURE
PDF template
A procedure for reporting and processing accidents and incidents within the Model Aeronautical Association of Australia (MAAA) to minimize recurrence and manage potential insurance claims.
See template
See template
MortgagorS And ContractorS Affidavit
PDF template
Document for releasing insurance claim funds for property damage repair by American Airlines Federal Credit Union
See template
See template
MOTOR ACCIDENT REPORT FORM
PDF template
A comprehensive form for documenting details of a motor vehicle accident for insurance claim purposes.
See template
See template
MOTOR ACCIDENT REPORT FORM
PDF template
Comprehensive form for documenting details of a motor vehicle accident for insurance claim purposes.
See template
See template
University Of Kentucky Vehicle Accident Report Form
PDF template
A comprehensive form for reporting vehicle accidents involving University of Kentucky vehicles, capturing details about the accident, vehicles, drivers, and potential injuries.
See template
See template
PATIENT INFORMATION AND MEDICAL RELEASE FORM (FORM I)
PDF template
A comprehensive form for patient medical information, insurance details, and authorization for medical information release and claims processing.
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
Project Proposal Form
PDF template
A form for proposing and documenting project requests at Miami Palmetto Senior High School with details on mission alignment and resource allocation.
See template
See template
CEAR Construction And Erection All Risk Policy
PDF template
A comprehensive insurance policy covering project works, third-party liability, and potential delays in project start-up for construction and erection projects.
See template
See template
ACORD 131
PDF template
Standard insurance form for documenting policy details, liability limits, and carrier information.
See template
See template
PLAN YEAR 2024 ENROLLMENTCHANGE FORM MEDICAL SPENDING CONVERSION (MSC) HEALTH BENEFITS BUY OUT WAIVE
PDF template
Form for NYC employees to enroll in or change health benefits buy-out waiver program for plan year 2024.
See template
See template
Motorcycle Safety Course Waiver Indemnification
PDF template
Legal waiver and release form for participants in a motorcycle safety training course, acknowledging risks and physical requirements.
See template
See template
Medicare Secondary Payer (MSP) Manual
PDF template
A comprehensive manual detailing billing requirements and guidelines for healthcare providers under Medicare Secondary Payer regulations.
See template
See template
MS Project Form
PDF template
A form for electrical and computer engineering graduate students to submit their project proposal for departmental review and approval.
See template
See template
Missouri State University Sugar Bears Dance Team Medical And Liability Release
PDF template
A liability release and medical consent form for participants in the Missouri State University Sugar Bears Dance Team program
See template
See template
Missouri State University Sugar Bears Dance Team 2023 24 Medical And Liability Release
PDF template
A medical and liability release form for participants of the Missouri State University Sugar Bears Dance Team for the 2023-24 season.
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
Request For Proposal Multi Channel Digital Platform For Farmer Field Business School
PDF template
A confidential Request for Proposal by CARE USA for developing a multi-channel digital platform targeting farmer field business schools.
See template
See template
MultiPlan Service Request Form
PDF template
A form for providers to investigate and submit claims processed through the MultiPlan network for service inquiries.
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
Mutual Of Omaha And Affiliates Transfer Request Form
PDF template
A form for transferring insurance producer contracts and downlines between marketing agencies within Mutual of Omaha's network.
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
Prescription Enrollment Form
PDF template
Comprehensive medical enrollment form for patients receiving Pyrukynd (mitapivat) tablets, collecting patient, insurance, and prescription details.
See template
See template
MWSU Mystics Dance Team Medical Release
PDF template
Medical release and liability waiver for participants in MWSU Mystics Dance Team clinics and tryouts.
See template
See template
Enrollment Form
PDF template
A comprehensive enrollment form for patients seeking to enroll in VYVGART treatment pathway and services.
See template
See template
NACo Prescription Discount Card FAQ
PDF template
Informational document explaining the details and usage of a county-provided prescription discount card program for residents.
See template
See template
NAF 2018 Alabama Department Of Insurance Name Approval Form
PDF template
Official form for requesting name approval for insurance producer business entities in Alabama.
See template
See template
NAIC Uniform Risk Retention Group Registration Form
PDF template
Official registration form for Risk Retention Groups operating under the Federal Liability Risk Retention Act of 1986.
See template
See template
NAIC Uniform Risk Retention Group Registration Form
PDF template
Official registration form for Risk Retention Groups operating under the Liability Risk Retention Act, used to register insurance operations across states.
See template
See template
Waiver And Release Of Liability
PDF template
Legal document waiving liability for potential COVID-19 exposure at Naish Scout Reservation during Boy Scouts activities.
See template
See template
Request For Proposals NASEO Energy Emergency Response Playbook For States And Territories
PDF template
A solicitation for developing an operational energy emergency response playbook for U.S. Territory Energy offices, remote communities, and State Energy Offices.
See template
See template
MOTOR VEHICLE INSPECTION FORM
PDF template
A detailed form for documenting vehicle condition, specifications, accessories, and modifications for insurance or registration purposes.
See template
See template
DIRECT CANCELLATION FORM
PDF template
A form for requesting cancellation of service contracts, including vehicle-related contracts and services
See template
See template
National Producer Agreement
PDF template
A comprehensive agreement between Ryan Services Group and an insurance producer outlining terms of collaboration for specialty insurance products.
See template
See template
Post Employment Health Plan (PEHP) Claim Form
PDF template
Form for requesting medical expense reimbursement for post-employment health benefits, including insurance premiums and medical expenses.
See template
See template
NavigatorAO Service Request Form
PDF template
Official form for licensed Navigators and Application Organizations to request changes to their licensing information with the Indiana Department of Insurance.
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
InsuranceAHCCCS Verification Form
PDF template
Form for verifying insurance and collecting information for newborn bloodspot screening in Arizona.
See template
See template
North Carolina FFA Center Consent Form
PDF template
A consent and liability release form for students attending the North Carolina FFA Center camp, outlining participant policies and photo permissions.
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
North Country HealthCare ParentalPatient Consent Form
PDF template
Consent form for healthcare services provided by North Country HealthCare's School-Based Health Services Mobile Unit for students and parents/guardians.
See template
See template
Research Proposal Form
PDF template
A structured form for submitting doctoral dissertation research proposals with guidelines for content and structure.
See template
See template
NCOAE Acknowledgment And Assumption Of Risks Release And Indemnity Agreement
PDF template
Legal agreement for participants in outdoor and adventure education programs, covering risks and liability for activities conducted by NCOAE.
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
Non Disclosure And Confidentiality Agreement
PDF template
A confidentiality agreement between the Interactive Advertising Bureau (IAB) and a board member regarding sensitive organizational information.
See template
See template
Non Disclosure And Confidentiality Agreement
PDF template
A legal document establishing confidentiality terms between the Interactive Advertising Bureau (IAB) and a member organization regarding sensitive business information.
See template
See template
North Dakota Corn Utilization Council Instruction And Guidelines For Grant Proposal Submission
PDF template
Guidelines and instructions for submitting research and education grant proposals to support corn production and industry in North Dakota.
See template
See template
TSB Leased Vehicle AccidentInsurance Claim Procedure
PDF template
Procedure for handling accident reports and repair claims for leased vehicles at TSB, involving reporting, estimates, insurance review, and repair coordination.
See template
See template
Managed Service Provider Request For Proposal (RFP MSP2021)
PDF template
Request for Proposal seeking qualified Managed IT Services Providers to provide IT services to Northeast Energy Efficiency Partnerships, Inc.
See template
See template
Netball Waiver
PDF template
Legal document releasing liability for risks associated with netball participation, including COVID-19 related risks.
See template
See template
Sample Liability Insurance Form
PDF template
A standard form for documenting liability insurance coverage and related details.
See template
See template
IRS Form 1095 C
PDF template
A tax form documenting health coverage offered by the University of Alabama System as required by the Affordable Care Act (ACA)
See template
See template
ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
PDF template
A legal document that waives liability for participation in activities and acknowledges potential risks of engagement.
See template
See template
Patient Information And Dental Insurance Questionnaire
PDF template
Comprehensive form for collecting patient personal, contact, and dental insurance information for a dental practice.
See template
See template
BROWN UNIVERSITY AUTO ACCIDENT REPORT FORM
PDF template
A comprehensive form for documenting vehicle accidents involving Brown University employees or vehicles.
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
Dorchester Center For The Arts New ClassWorkshop Proposal Checklist
PDF template
A comprehensive checklist for instructors proposing new art classes or workshops at the Dorchester Center for the Arts.
See template
See template
Academic Proposal Form For All New Concentrations Within Existing Programs
PDF template
A comprehensive form for proposing new academic concentration within existing university programs, detailing structure, requirements, and implementation details.
See template
See template
Patient Treatment And Cancellation Policy
PDF template
Policy document outlining patient responsibilities, insurance claims processing, and appointment cancellation terms for physical therapy services.
See template
See template
New Contractor Form
PDF template
A registration form for new contractors seeking to obtain permits in the City of Okeechobee, requiring submission of various business and insurance documents.
See template
See template
Waiver Of Liability, Promise Not To Sue, Assumption Of Risk And Agreement To Pay Claims
PDF template
A comprehensive legal document waiving liability and assuming risks for participation in a university-sponsored activity.
See template
See template
GAP Cancellation Form
PDF template
Form for cancelling a Guaranteed Asset Protection (GAP) insurance policy with options for refund destination and cancellation reasons.
See template
See template
Emergency Contact Form
PDF template
A form for collecting student emergency contact details, medical information, and insurance status for school records.
See template
See template
PATIENT GASTROENTEROLOGY HISTORY FORM
PDF template
Comprehensive medical intake form for gastroenterology patients, collecting personal, demographic, and insurance information.
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
The Heart And Stroke Foundation South Africa Research Proposal Form
PDF template
Guidelines and application form for research funding from the Heart and Stroke Foundation of South Africa, outlining submission requirements and timelines.
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
Annual Minor Participant Health And Medical Form
PDF template
Comprehensive medical information form for minors under 18 years old, collecting health details, emergency contacts, and medical consent.
See template
See template
Academic Proposal Form For A New Minor
PDF template
Official form for proposing and documenting the creation of a new academic minor program at an educational institution.
See template
See template
New Patient Intake Form
PDF template
Comprehensive form for collecting new patient medical information, health history, and insurance details.
See template
See template
NEW PATIENT REGISTRATION FORM
PDF template
Comprehensive medical form for collecting new patient personal, contact, insurance, and emergency contact information.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical intake form collecting patient personal information, insurance details, medical history, and treatment authorization.
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
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 new pharmacy patients to provide personal, medical, and insurance information for prescription services.
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
NEW PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting new patient personal, medical, insurance, and contact information for healthcare providers.
See template
See template
NEW PATIENT INTAKE FORM
PDF template
Comprehensive intake form for new patients at Chicago Gastro, collecting personal and medical contact information along with financial policy acknowledgment.
See template
See template
NEW PATIENT REFERRAL FORM
PDF template
Comprehensive medical referral form for new patients seeking cardiothoracic surgical consultation, collecting patient, insurance, and medical information.
See template
See template
Patient Intake Form
PDF template
A comprehensive patient intake form for collecting personal, medical, and insurance information with communication preferences and service consent.
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
Curricular Action Workflow New Program Proposal Form Guide
PDF template
A comprehensive guide for submitting and processing new academic program proposals within an educational institution.
See template
See template
New Project Request Instructions
PDF template
Instructions for submitting and evaluating new project proposals within an organizational framework, covering the process from initial request to potential approval.
See template
See template
YCMGA New Project Form
PDF template
A form for proposing and documenting new volunteer projects within the Master Gardener program, detailing project specifics and alignment with organizational mission.
See template
See template
Honors Program Course Proposal Form
PDF template
A form for proposing new Honors courses or Honors sections to be added to existing courses, detailing course components and requirements.
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
Demographic Form
PDF template
Comprehensive patient intake form collecting personal, contact, insurance, and medical information for Centeno-Schultz Clinic.
See template
See template
New Additional Insured Endorsement Forms Will Impact Contractors, Project Owners, Lessees
PDF template
Overview of new ISO insurance endorsement forms affecting Additional Insured status and risk management in the construction industry.
See template
See template
Volunteer Participation Agreement And Acknowledgement Of Risks
PDF template
A legal document for volunteers to acknowledge risks and waive liability when participating in research activities at the university.
See template
See template
Patient Information Form
PDF template
A comprehensive medical intake form collecting patient personal, insurance, and workplace injury details for healthcare providers.
See template
See template
NFDA INSURANCE FORM PACKET
PDF template
A collection of forms and guidance for funeral homes to manage insurance policy assignments for preneed and at-need funeral arrangements.
See template
See template
Nashville Fairgrounds Speedway Registration Form
PDF template
Registration and contract form for race car drivers participating in Nashville Fairgrounds Speedway racing events for the 2022 season.
See template
See template
NGA Student Internship Referral Form
PDF template
A referral form for students seeking internship opportunities at the National Geospatial-Intelligence Agency (NGA)
See template
See template
Step 1 Topic Proposal Form
PDF template
A form for students to propose research topics for historical projects, documentaries, exhibits, and performances.
See template
See template
NJPEC 1634 19 Therapy Services Request Form
PDF template
A healthcare form for requesting and documenting therapy services, including patient and provider information, diagnosis, and treatment details.
See template
See template
HEALTH, ACCIDENT, DISABILITY CLAIM FORM
PDF template
Comprehensive claim form for health, accident, and disability insurance claims from National Teachers Associates Life Insurance Company.
See template
See template
Neuromodulation Pre Authorization Support Resources
PDF template
Comprehensive guide for healthcare professionals seeking pre-authorization support for neuromodulation therapy, including contact information and process details.
See template
See template
NMRWB 2021 Application Form Research Fund
PDF template
Application form for research funding from the Nunavik Marine Region Wildlife Board, requiring detailed project description and methodology.
See template
See template
SRC Approval Form
PDF template
A comprehensive form for students to submit science research project proposals for review and approval by the Scientific Review Committee (SRC)
See template
See template
New Mexico Uniform Prior Authorization Form
PDF template
A comprehensive form for healthcare providers to request prior authorization for medical services, procedures, or treatments.
See template
See template
No Fault Insurance Form
PDF template
A form for filing a no-fault insurance claim with personal and injury details for insurance processing.
See template
See template
Notice Of Funding Opportunity Proposal Submission Instructions (PSI)
PDF template
Comprehensive guidelines for submitting proposals to the U.S. Department of State Bureau of Educational and Cultural Affairs funding opportunities.
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
Non Medication Preauthorization Request
PDF template
A form for healthcare providers to request preauthorization for non-medication medical services and procedures from the Motion Picture Industry Health Plan (MPI).
See template
See template
Private Medical Consultations Price List
PDF template
Comprehensive pricing guide for private medical services, consultations, certificates, and travel-related medical procedures
See template
See template
Trust Policy Form
PDF template
A comprehensive guide for setting up a trust policy, outlining key considerations, beneficiary selection, and trustee appointment.
See template
See template
Northwell Health, Health Welfare Flex Benefit Program Summary Plan Description
PDF template
Comprehensive overview of short-term and long-term disability options for Northwell Health employees administered by Sedgwick and The Hartford.
See template
See template
Incident Claim Form
PDF template
A form for reporting non-vehicular related claims involving injury or property damage within the City of West Linn
See template
See template
Northeast Community Center Liability Waiver
PDF template
A legal document waiving liability for participants and their children using Northeast Community Center facilities and activities.
See template
See template
North Grove Equestrian Park Equine Release And Waiver Of Liability, Assumption Of Risk, And Indemnit
PDF template
A legal document releasing North Grove Equestrian Park from liability for potential injuries or damages related to horseback riding and equine activities.
See template
See template
Northside Boxing Club Membership Form Waiver
PDF template
Comprehensive membership form for boxing club participants, including personal information, medical history, and liability waiver.
See template
See template
Surprise Billing Protection Form
PDF template
A document explaining patient protections against unexpected out-of-network medical billing and requesting consent for potential additional charges.
See template
See template
Excess Secondary Insurance Plan For Sports Club Athletes
PDF template
Insurance policy document outlining coverage details for San Diego State University sports club athletes, explaining secondary insurance provisions and claim procedures.
See template
See template
Request For Proposal (RFP)
PDF template
Solicitation for professional engineering consulting firms to provide architectural design services for Department of Correction facilities in New York City.
See template
See template
Authorization Request Form
PDF template
Medical service authorization request form for providers to submit routine and urgent pre-service requests for patient care.
See template
See template
Novi Parks, Recreation Cultural Services Waiver Form
PDF template
A comprehensive liability waiver for participation in City of Novi recreational activities and events, covering in-person and online programs.
See template
See template
HOTEL RESERVATION FORM
PDF template
A hotel reservation form for booking rooms at Novotel Singapore Clarke Quay, requiring personal and payment details.
See template
See template
NPFVGA Research Proposal Form
PDF template
A standard research proposal form for agricultural research projects seeking funding from the Niagara Peninsula Fruit and Vegetable Growers Association.
See template
See template
Patient Intake Form
PDF template
Comprehensive patient intake form for prosthetics services, collecting medical history, contact details, and amputation information.
See template
See template
Patient Intake Form
PDF template
Comprehensive intake form for patients seeking prosthetic services, capturing medical history, contact information, and amputation details.
See template
See template
Natick Soccer Club 2023 Fall Classic Tournament Medical Release Form
PDF template
Medical and liability release form for youth soccer tournament participants, allowing medical treatment and acknowledging participation risks.
See template
See template
Spinraza Pre Authorization Form
PDF template
A medical pre-authorization form for requesting Spinraza medication treatment, used for documenting patient details and motor ability assessments.
See template
See template
Sierra Nevada Swimming (SNS) North Valley Aquatic League (NVAL) Proposal For Hosting A Meet
PDF template
A proposal form for swimming clubs to host competitive swimming meets with various competition class options and fee structures.
See template
See template
CMS 1500 Claim Form Instructions
PDF template
Comprehensive instructions for completing the CMS-1500 medical claim form with detailed field requirements and change history.
See template
See template
Managed Service Provider Request For Proposal
PDF template
Request for proposals from qualified Managed IT Services Providers to provide IT services to the Naugatuck Valley Council of Governments.
See template
See template
Northwest Dance And Acro Registration Form
PDF template
Registration form for dance and acro classes with student and parent/guardian information, class selection, and liability release.
See template
See template
Certificate Of Insurance
PDF template
Detailed instructions for submitting a proof of liability insurance certificate with specific coverage requirements for New World Symphony.
See template
See template
Member Medical Reimbursement Claim Form
PDF template
A claim form for Wellcare By Fidelis Care members to request reimbursement for out-of-pocket medical expenses.
See template
See template
Continuation Of Disability Claim Form
PDF template
A form for reporting ongoing disability status, medical treatments, and work return details for an insurance claim.
See template
See template
Disability Claim Form
PDF template
Comprehensive form for employees to report disability, medical information, and related benefit claims.
See template
See template
UnitedHealthcare Community Plan Of New York Specialist Referral Form
PDF template
A referral form for UnitedHealthcare Community Plan of New York members to obtain specialist services with specific guidelines and requirements.
See template
See template
Record Of Employment
PDF template
Official form for documenting employment status for unemployment insurance purposes in New York State.
See template
See template
American Arbitration Association SumUM Arbitration Request
PDF template
A legal form for requesting arbitration in uninsured or underinsured motorist insurance disputes through the American Arbitration Association.
See template
See template
NYS Workshop Proposal Form
PDF template
A form for educators to submit workshop proposals for educational seminars and meetings for the Delta Kappa Gamma Society.
See template
See template
Research Proposal Form
PDF template
A form for medical researchers to submit details about their proposed research project, including objectives, methods, and publication plans.
See template
See template
ACORD Cancellation Form
PDF template
A standardized document used to officially terminate an insurance policy and provide formal documentation of cancellation.
See template
See template
Oberlin College Employer Contribution Amounts Health Savings AccountHealth Reimbursement Account
PDF template
Details employer contributions to health savings accounts for Oberlin College employees in 2024, including contribution amounts and IRS limits.
See template
See template
Recurring Premium Reimbursement Form
PDF template
Form for requesting reimbursement of recurring insurance premiums through OneExchange
See template
See template
Miami Dade College Off Campus Activity Student Agreement Form
PDF template
A legal agreement for students participating in off-campus activities, acknowledging risks and releasing the college from liability.
See template
See template
Off Campus Event Risk Assessment Form
PDF template
A comprehensive form for evaluating risks and safety protocols for off-campus university events and activities.
See template
See template
IWU University Sponsored Off Campus Travel Form
PDF template
A liability release and consent form for students participating in off-campus university-sponsored travel activities.
See template
See template
Off Campus Activity Trip Leader Form
PDF template
A form for university staff to request approval and document details for an off-campus educational activity or trip.
See template
See template
IBEW Local No. 683 Health Welfare Fund Weekly Disability Benefits Claim Form
PDF template
Claim form for obtaining weekly disability benefits from the IBEW Local No. 683 Health & Welfare Fund, providing compensation for disabled workers.
See template
See template
CITY OF OCONTO FALLS VOLUNTEER FORM
PDF template
A form for registering volunteers and obtaining legal release for participation in City of Oconto Falls activities.
See template
See template
WAIVER, INDEMNIFICATION, AND MEDICAL TREATMENT AUTHORIZATION CONSENT FORM
PDF template
Legal document releasing liability for participants in a cultural diversity colloquium sponsored by Texas A&M Rangel College of Pharmacy.
See template
See template
Applied Behavior Analysis (ABA) Clinical Service Request
PDF template
A healthcare form for requesting Applied Behavior Analysis clinical services, used for initial or concurrent treatment requests.
See template
See template
Employment Application Gap Inc.
PDF template
Job application form for Gap Inc. retail brands including Gap, Banana Republic, and Old Navy
See template
See template
MINOR PARTICIPANT AGREEMENT FORM
PDF template
Legal consent form for parents/guardians to allow minor children to participate in camp and retreat center activities, including risk acknowledgment and publicity waiver.
See template
See template
Olustee Fun Run Waiver Form
PDF template
Waiver form for participants in a community running event, outlining event rules and liability release.
See template
See template
Services Agreement Fee Disclosure
PDF template
A services agreement detailing the terms of retirement plan administration and recordkeeping for a 403(b) Tax-Deferred Annuity Plan.
See template
See template
Online Will And Legal Form Preparation
PDF template
An online service offering employees the ability to create legal documents like wills, living wills, and powers of attorney through a secure platform.
See template
See template
Direct Reimbursement Claim Form
PDF template
A form for requesting reimbursement for vision services from providers outside the Davis Vision network, covering examinations and eyewear expenses.
See template
See template
Out Of Network Reimbursement Instructions
PDF template
Detailed instructions for submitting out-of-network healthcare reimbursement claims with VBA, including required documentation and submission methods.
See template
See template
Vision Plan Out Of Network Claim Form
PDF template
Form for employees to submit out-of-network vision care expenses for reimbursement from their employer's vision plan.
See template
See template
WFU Outdoor Pursuits Medical Form
PDF template
A comprehensive medical form for WFU Outdoor Pursuits participants collecting personal, emergency contact, and insurance information.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient personal, contact, and insurance information for medical treatment.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient personal, contact, and insurance information with consent and assignment sections.
See template
See template
Diaper Request Form
PDF template
A form for TennCare and CoverKids members to request diaper coverage for children under 2 years old, with specific guidelines for diaper allocation.
See template
See template
OPT OUT AFFIDAVIT
PDF template
A form for healthcare practitioners to formally opt out of Medicare billing and payment systems for a two-year period.
See template
See template
Voluntary Waiver Of Health Insurance For Enrollment In Opt Out Program
PDF template
A voluntary form allowing City of Somerville retirees to waive health insurance coverage in exchange for a monetary opt-out payment.
See template
See template
New Prescription Mail In Order Form
PDF template
A form for submitting prescription medication orders via mail with patient and payment details
See template
See template
ILWU PMA Welfare Plan Prescription Drug Program
PDF template
Supplemental summary plan description for prescription drug benefits for ILWU-PMA Welfare Plan participants, detailing eligibility and prescription acquisition methods.
See template
See template
Oracle Software Configuration Service Request Approval Stepper
PDF template
Instructions for submitting and processing Oracle software configuration service requests within an organization's information technology workflow.
See template
See template
Oregon Vehicle Title And Registration Application
PDF template
Official Oregon state form for vehicle title registration and ownership transfer with legal certifications and insurance declarations.
See template
See template
Frequently Asked Questions Professional Indemnity
PDF template
Comprehensive overview of professional indemnity insurance covering legal costs, damages, and incidences of professional liability.
See template
See template
Student Club Proposal Form
PDF template
A form for students to submit a proposal for creating a new student club at Weston High School with required details and signatures.
See template
See template
VisitorClient Accident Reporting Form
PDF template
A form for documenting details of a visitor or client accident for risk management purposes.
See template
See template
Consent To Treat Form
PDF template
A patient consent form authorizing medical treatment, information release, and assignment of benefits at a medical practice.
See template
See template
OUR SINGAPORE FUND PROJECT FORM
PDF template
A comprehensive form for submitting project details including deliverables, target audience, and project team information for the Our Singapore Fund initiative.
See template
See template
Medical Form
PDF template
Confidential medical form for collecting student health information prior to educational travel programs, enabling emergency preparedness and medical screening.
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
Record Of Other Insurance Form
PDF template
A comprehensive form for collecting student and family insurance and employment details for the Foothill-DeAnza Community College District.
See template
See template
Excess Accident Medical Expense Insurance Claim Requirements Guidance
PDF template
Guidelines for submitting medical insurance claims for sports-related injuries with detailed documentation requirements for students.
See template
See template
Domain Name Service Request Form (OTS 39)
PDF template
Form for requesting domain name services from the Louisiana Office of Technology Services, including domain creation, modification, and removal.
See template
See template
Event Planning In An Outdoor Space Resource Guide
PDF template
Comprehensive guide for planning events in outdoor campus spaces, covering policies, catering, food service, insurance, and equipment requirements.
See template
See template
Out Of Network Prior Authorization Form
PDF template
A form for requesting prior authorization for out-of-network medical services from Neighborhood Health Plan
See template
See template
Out Of Network Referral Form
PDF template
A form for requesting authorization to see an out-of-network healthcare provider with detailed patient and service information.
See template
See template
Out Of Network Vision Services Claim Form
PDF template
Claim form for reimbursement of vision services obtained from providers outside the Blue View Vision network.
See template
See template
Outpatient Referral Form
PDF template
A comprehensive referral form for patients seeking outpatient services at Children's Hospital Los Angeles, collecting physician, patient, clinical, and insurance information.
See template
See template
Outside Employment Waiver Form
PDF template
A form for city employees to request permission for outside employment and waive city liability for potential injuries or incidents.
See template
See template
Declaration Of Trust
PDF template
A legal document for assigning a life insurance policy to trustees, establishing the terms of trust for the policy.
See template
See template
Overseas Treatment Benefit Application Form 2024
PDF template
Application form for members seeking medical treatment coverage outside their home country under the Executive and Comprehensive Plans.
See template
See template
Voluntary Audit Form
PDF template
Guide explaining the process of completing a voluntary premium audit form for insurance policy premium adjustments.
See template
See template
Owner Builder Building Permit Acknowledgment
PDF template
Legal document outlining responsibilities and risks for property owners acting as their own contractors when obtaining a building permit.
See template
See template
Owner Builder Declaration
PDF template
Legal document outlining responsibilities and risks for property owners acting as their own contractor during construction projects.
See template
See template
Employee Enrollment Form
PDF template
A comprehensive form for employees to enroll in or waive health insurance coverage with detailed personal and employment information.
See template
See template
Accident Report Form
PDF template
A comprehensive form for documenting transportation-related accidents, including provider, member, and incident details.
See template
See template
Pre Authorization Form Revision
PDF template
Notice of revision to the pre-authorization/prior approval request form with new form number and submission guidelines.
See template
See template
Request For Proposal Concessions Opportunity
PDF template
Request for proposal document for airport concession spaces with specific guidelines for joint venture and ACDBE participation
See template
See template
Removal Of Benefit Riders AndOr Dependents
PDF template
A form for policy owners to remove specific insurance riders or dependent coverage from their Trustmark insurance policy.
See template
See template
Activity Participation Waiver
PDF template
A comprehensive liability waiver for university-sponsored activities covering risks, health certification, policy compliance, and legal release
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting injuries or incidents occurring during sports club activities, events, or premises.
See template
See template
IHCP Prior Authorization Request Form Instructions
PDF template
Detailed instructions for completing a prior authorization request form for Indiana Health Coverage Programs, covering submission requirements and field details.
See template
See template
Proposal Authorization Form
PDF template
Comprehensive form for authorizing and documenting research project proposals, including project details, subject research, and budget information.
See template
See template
Prior Authorization Form
PDF template
Comprehensive instructions for completing a Medicaid prior authorization request form with detailed field guidance.
See template
See template
INSURANCE CLAIM FORM
PDF template
Insurance claim form for reporting tank-related releases or environmental incidents at business locations.
See template
See template
Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims, detailing patient and pharmacy information for insurance processing.
See template
See template
AHCA B P 222 Prescription Drug Program Direct Member Reimbursement Form
PDF template
Form for members to request reimbursement for out-of-pocket prescription drug expenses through their healthcare plan.
See template
See template
School Parental Consent Form (Grades PK 12)
PDF template
A comprehensive form for collecting student medical, contact, and insurance information for school admission purposes.
See template
See template
Parental Consent Form
PDF template
A consent form for parents or legal guardians to authorize a minor's volunteer participation with Basset Hound Rescue of Southern California.
See template
See template
Parental Guardian Consent Form Waiver Of Liability
PDF template
A consent form allowing a parent or guardian to add minor children to a primary member's fitness center membership while waiving liability
See template
See template
Parental Consent Medical Release Form
PDF template
A comprehensive form for parents/guardians to provide consent and medical information for a child's participation in church activities.
See template
See template
PARENTGUARDIANSTUDENT INFORMATION FORM
PDF template
A comprehensive form for collecting student, parent, and guardian contact and medical insurance details for athletic purposes.
See template
See template
Insurance Information
PDF template
Guidelines for sport-related injury insurance claims and reporting procedures for students at Chattanooga State.
See template
See template
PARENTS INSURANCE FORM
PDF template
A form for collecting parent/guardian insurance information for student athletes participating in intercollegiate sports.
See template
See template
Standardized Prior Authorization Request Form
PDF template
A standardized form for submitting prior authorization requests to multiple health plans in Massachusetts, designed to streamline the administrative process for healthcare providers.
See template
See template
Application For Use Of Village Property For Municipal Parking Lots
PDF template
Application form for obtaining permission to use municipal parking lots in the Incorporated Village of Westhampton Beach
See template
See template
City Of Taneytown Department Of Parks Recreation Proposed Project Or Service Request Form For Unsol
PDF template
A form for submitting proposed projects or services for consideration by the Taneytown Parks & Recreation Department and Advisory Board.
See template
See template
Proposed Project Or Service Request Form For Unsolicited Proposals
PDF template
A form for submitting proposed projects or service requests to the City of Taneytown Department of Parks & Recreation
See template
See template
NEW PROJECT PROPOSAL FORM
PDF template
A comprehensive form for submitting new project proposals within a park system, requiring review and approval from the Department of Planning and Development.
See template
See template
Participant Release And Waiver Of Liability Form
PDF template
Legal document releasing Optimist Club from liability for a minor participant's activities and potential injuries.
See template
See template
ParticipantVisitor Liability Release And Waiver Form
PDF template
A liability release form for participants and visitors of Saving Grace Animals for Adoption, a non-profit dog rescue organization.
See template
See template
PARTICIPANT TRAVEL FORM
PDF template
A comprehensive form for students, chaperones, and directors to complete for group travel, including personal and emergency contact information and travel insurance options.
See template
See template
Participant Liability Release, Hold Harmless And Indemnification Form
PDF template
A legal document releasing liability for participants in activities at the Brian Bent Memorial Aquatics Complex under Coronado Unified School District supervision.
See template
See template
Participation Agreement And Waiver Form
PDF template
Legal document releasing liability for participation in a program or activity, signed by parent or guardian on behalf of a participant.
See template
See template
Participation Agreement And Waiver Form
PDF template
Legal document releasing liability for participation in a program or activity, typically used by organizations to protect against potential legal claims.
See template
See template
Participant Agreement Form
PDF template
A legal document outlining participant consent, risk acknowledgment, and liability release for an organized activity or program.
See template
See template
Exchange Student Application Packet Part II Visa, Finances, And Insurance Certification
PDF template
Application packet for international exchange students detailing required documentation for visa, finances, and insurance for the Fall 2023 semester at Baruch College.
See template
See template
Risk, Incentives, And Contracts Partnerships In Rio De Janeiro, 18701891
PDF template
A research paper examining partnership contracts in late 19th-century Brazil, analyzing the impacts of liability structures on business partnerships.
See template
See template
OCU Part Time Proposal Form
PDF template
A form for OCU employees at Cummins to propose and document part-time work arrangements lasting 3 months or longer.
See template
See template
PATIENT MEDICAL HISTORY FORM
PDF template
A comprehensive form for collecting patient personal and medical information, including previous physicians, pharmacies, and insurance details.
See template
See template
Privacy Rule Of Patient Consent Agreement
PDF template
A consent form for medical treatment and information disclosure at Pacific Northwest Recovery and Counseling, outlining patient rights and treatment terms.
See template
See template
Demographic Insurance Form
PDF template
Comprehensive form for collecting patient personal, emergency contact, medical provider, and insurance information.
See template
See template
Patient Demographic Insurance Billing Form
PDF template
A comprehensive form for patient demographic information, insurance details, and billing for diagnostic services.
See template
See template
Patient Intake Form
PDF template
Comprehensive patient registration and medical history form for Swank Chiropractic Sports Medicine & Wellness Center
See template
See template
PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, insurance, and medical history information for healthcare providers.
See template
See template
PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare purposes.
See template
See template
Initial Intake Form
PDF template
Comprehensive form for collecting patient personal, contact, insurance, and medical visit information.
See template
See template
PATIENT INTAKE FORM
PDF template
Comprehensive patient intake form for chiropractic services, collecting personal, medical, and insurance information.
See template
See template
Patient Information Form
PDF template
Comprehensive medical intake form collecting patient personal details, medical history, and insurance information.
See template
See template
NEW PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting new patient personal, medical, insurance, and emergency contact information.
See template
See template
Patient Referral Form
PDF template
A comprehensive form for patients seeking specialist medical referrals through We Care Manatee health services.
See template
See template
PATIENT REGISTRATION FORM
PDF template
Comprehensive form for collecting patient personal, contact, insurance, and payment responsibility information for medical or dental services.
See template
See template
Patient Registration Form
PDF template
Comprehensive patient information and insurance registration document for healthcare services.
See template
See template
Patient Registration Form
PDF template
A form for collecting patient insurance details and establishing financial responsibilities for medical services.
See template
See template
Patient Registration Form
PDF template
Comprehensive form for collecting patient personal information, contact details, insurance, and demographic data for healthcare providers.
See template
See template
Patient Registration Form
PDF template
Comprehensive form for collecting patient personal, contact, employment, emergency contact, and insurance information for healthcare providers.
See template
See template
PHAS Empowered Patient Online Toolkit Insurance Form
PDF template
A comprehensive document for collecting and organizing personal insurance details across multiple insurance types and providers.
See template
See template
City Of El Lago Pavilion Rental Agreement
PDF template
A rental agreement for using the City of El Lago pavilion, detailing event terms, fees, and liability conditions.
See template
See template
Paxman Hub Enrollment Form
PDF template
Comprehensive enrollment form for patient information, insurance, and treatment details for Paxman medical services.
See template
See template
Foreign Travel Insurance Form
PDF template
Form for registering and obtaining mandatory travel insurance for university-sponsored international group travel
See template
See template
NYSUT Member Benefits Payroll Deduction Authorization
PDF template
A form allowing NYSUT members to authorize payroll deductions for various member benefits programs.
See template
See template
Agency Request For Proposal
PDF template
Request for proposal for a COVID-19 vaccination call center service for the State of New Jersey.
See template
See template
NEW ENROLLMENTCHANGE FORM
PDF template
A form for employees to enroll in or modify flexible spending account (FSA) and dependent care spending account benefits.
See template
See template
PINE BEACH YACHT CLUB RENTAL APPLICATION AGREEMENT
PDF template
Application and agreement for renting the Pine Beach Yacht Club facility for private events.
See template
See template
Release And Waiver Of Liability, Assumption Of Risk And Indemnity Agreement
PDF template
Legal document releasing liability for participants in Porsche Club of America events and activities
See template
See template
Miscellaneous Cancellation Form
PDF template
A form for employees to cancel insurance or annuity policies through their employer's benefits office.
See template
See template
Miscellaneous Cancellation Form
PDF template
A form for UNC Health Care System employees to cancel insurance or annuity policies with specific details about policy types and premium amounts.
See template
See template
Owner Builder Declaration Form
PDF template
A legal form informing property owners of their responsibilities and risks when obtaining an owner-builder building permit in California.
See template
See template
PDS Cancel Form
PDF template
A form for cancelling non-GAP warranty products with options for refund and various cancellation reasons
See template
See template
Incoming Referral Form
PDF template
A comprehensive form for collecting patient demographics, insurance details, and referral information for medical practices.
See template
See template
Physician Referral Service Form
PDF template
A comprehensive medical referral document for patient transfer between healthcare providers, capturing patient and insurance details.
See template
See template
Post Employment Health Plan (PEHP) Claim Form
PDF template
Form for requesting health plan reimbursements for medical expenses or insurance premiums after employment separation.
See template
See template
NRECA Long Term Disability Plan Summary Plan Description
PDF template
A summary plan description detailing the long-term disability benefits provided by the National Rural Electric Cooperative Association (NRECA) for eligible participants.
See template
See template
FORM OF PENSION BENEFIT ELECTION
PDF template
A form for selecting pension benefit options, including single life and joint survivor annuity choices for retirees.
See template
See template
WAIVER OF LIABILITYPERMISSIONMEDICAL RELEASE FORM
PDF template
A comprehensive form for students staying overnight at Smith College, requiring parental consent and liability release.
See template
See template
CLAIM FORM
PDF template
Insurance claim form for students with international visa status, covering injury and medical claims.
See template
See template
Personal Automobile Policy Forms And Endorsements
PDF template
Comprehensive reference guide for personal automobile insurance policy forms and endorsements across different states.
See template
See template
Personal Effects Claim Form
PDF template
Insurance claim form for reporting loss, damage, or theft of personal items during travel, used to request compensation from Chubb insurance.
See template
See template
PATIENT INJURYMEDICAL HISTORY FORM
PDF template
A comprehensive form documenting patient details and medical information following a vehicle accident.
See template
See template
Personal Liability Release Form
PDF template
Liability release and consent form for student participants at the North Carolina Technology Student Association Regional Competitive Events Conference.
See template
See template
Loss Or Damage Report Form Personal
PDF template
A comprehensive form for reporting property loss or damage claims to NFU Mutual, providing detailed instructions for claim submission.
See template
See template
Assumption Of Risk, Waiver And Release Of Liability, And Indemnity Agreement
PDF template
Legal document outlining risk assumption and liability release for personal training services and facility use.
See template
See template
Personal Vehicle Travel Form
PDF template
A comprehensive travel safety and liability form for university clubs and organizations outlining driver and vehicle requirements.
See template
See template
Registered Food Business Booking Form
PDF template
A form for registered food businesses to apply for a stall at the Malmesbury Carnival, including business details, insurance, food safety, and operational compliance.
See template
See template
Pfizer EnCompass Enrollment Form For INFLECTRA And RUXIENCE
PDF template
Enrollment form for Pfizer medications with patient and insurance information collection for Inflectra and Ruxience prescriptions.
See template
See template
Pfizer EnCompass Enrollment Form For INFLECTRA (Infliximab Dyyb) For Injection And RUXIENCE (Rituxim
PDF template
Enrollment form for patients seeking information and assistance for specific Pfizer medications, including insurance verification and potential co-pay assistance.
See template
See template
Form PFL 1 Applying For Paid Family Leave Military
PDF template
A form for requesting paid family leave to assist family members of military personnel on active duty or impending active duty abroad.
See template
See template
Proposal Form Motorcycle
PDF template
Insurance proposal form for motorcycle coverage by Liberty Insurance in Singapore, requiring detailed personal and driving information.
See template
See template
Proposal Form Private Car
PDF template
Insurance proposal form for obtaining private car insurance coverage with detailed personal and driving information.
See template
See template
General Liability Insurance Form Update (PGL1)
PDF template
Update to General Liability Insurance form allowing insurance agents and brokers to validate insurance documentation.
See template
See template
AIMST University Research Proposal Form
PDF template
A comprehensive form for submitting research project proposals at AIMST University, capturing researcher and supervisor details, research information, and project overview.
See template
See template
Request For Proposals Housing Unit Expansion Consulting Services
PDF template
Invitation for consulting proposals to assist Provincetown Housing Authority in investigating and planning for expanding housing units at 42-46 Harry Kemp Way.
See template
See template
Pharmacy Pre Authorization Form General Requests
PDF template
A form for healthcare providers to request pre-authorization for medication coverage from an insurance provider.
See template
See template
Phase 2 Contract Preparation Checklist
PDF template
A comprehensive checklist for preparing contract documents for construction projects, detailing required documentation and submission process.
See template
See template
DISSERTATION PROPOSAL FORM
PDF template
A form for graduate students to document their dissertation proposal approval by their major advisor and dissertation committee members.
See template
See template
First Year Research Proposal Form
PDF template
A form documenting approval of a first-year graduate student's research proposal by their major advisor and second reader.
See template
See template
NRSA PROPOSAL FORM
PDF template
A form for graduate students to submit their National Research Service Award (NRSA) proposal for advisor approval and certification.
See template
See template
Research Proposal PhD Project
PDF template
A comprehensive form for documenting and proposing a doctoral research project at the University of Groningen.
See template
See template
PhD Thesis Research Proposal Approval Recommendation
PDF template
A formal academic document for evaluating and recommending approval of a PhD thesis research proposal within the Faculty of Social Work.
See template
See template
Informed Consent, Release Agreement, And Authorization
PDF template
Legal document for participant consent and medical authorization for Boy Scouts of America activities, covering emergency medical treatment and risk acknowledgment.
See template
See template
Prior Authorization Request Form
PDF template
A form for requesting prior authorization for specialty medical services through Positive Healthcare in California.
See template
See template
Physical Therapy Overview
PDF template
Comprehensive overview of physical therapy services, treatment approaches, and insurance information for patients at a student health center.
See template
See template
Sound Health Wellness Trust Physical Therapy Pre Authorization Request Form
PDF template
A medical form used to request pre-authorization for physical therapy services from Sound Health & Wellness Trust.
See template
See template
Notice Of Claim For Short Term Disability Benefits
PDF template
A form for employees to file a claim for short-term disability benefits with insurance details and medical information.
See template
See template
Dental AndOr Vision Option Election Form
PDF template
Form for electing dental and vision insurance coverage for retired laborers in Northern California.
See template
See template
PLAN Mentor School Request For Bids (RFB) Technical Proposal Form
PDF template
A technical proposal form for schools seeking to become a PLAN Mentor School through a bid process administered by New York State Education Department.
See template
See template
CHRONIC ILLNESS BENEFIT APPLICATION FORM
PDF template
Application form for patients seeking chronic illness benefits through Platinum Health medical scheme, requiring detailed personal and medical information.
See template
See template
PLAT COMPREHENSIVE CHRONIC ILLNESS BENEFIT APPLICATION FORM
PDF template
Application form for patients seeking chronic illness benefits from Platinum Health medical scheme, requiring detailed personal and medical information.
See template
See template
Attending PhysicianS Statement Of Disability
PDF template
Medical form used by physicians to document and certify a patient's disability status and work limitations for insurance purposes.
See template
See template
USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
Medical release and emergency contact form for youth and junior volleyball players participating in sanctioned competitions and practices.
See template
See template
YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
A comprehensive medical release and consent form for youth and junior volleyball players, detailing medical information, emergency contacts, and participation permissions.
See template
See template
Professional Liability Insurance Form
PDF template
Insurance enrollment form for Texas retired teachers returning to work in public schools, providing professional liability coverage.
See template
See template
PROFESSIONAL LIABILITY INSURANCE FORM
PDF template
Insurance application for retired teachers returning to work in public schools, providing professional liability coverage through the Texas Retired Teachers Association.
See template
See template
Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient demographic, contact, insurance, and referral information for physical therapy services.
See template
See template
POLICY CHANGE FORM TEXAS AUTOMOBILE INSURANCE PLAN ASSOCIATION
PDF template
A form used to modify automobile insurance policy details, including vehicle and operator information for the Texas Automobile Insurance Plan Association.
See template
See template
University Housing Policy And Procedures Manual Personal Liability Claims
PDF template
Guidelines for reporting and managing personal liability claims involving injury or property damage in university housing settings
See template
See template
University Housing Policy And Procedures Manual Purchasing Information Technology Equipment
PDF template
Establishes procedures for requesting and purchasing information technology equipment within University Housing units.
See template
See template
Accident Reports Policy
PDF template
Policy requiring employees to report workplace injuries within 24 hours and complete an accident report form to maintain insurance eligibility.
See template
See template
Policy Change Form
PDF template
A comprehensive form for policyholders to request changes to their insurance coverage, including termination, dependent modifications, and benefit adjustments.
See template
See template
Policy Change Form
PDF template
A comprehensive form for modifying insurance coverage, including terminating coverage, adding/removing dependents, and adjusting benefits.
See template
See template
Policy Change Form
PDF template
A form used to modify insurance policy details including address, driver, vehicle, and coverage information.
See template
See template
Policy Change Request
PDF template
A form for requesting changes to an existing insurance policy, to be submitted via fax or email to Richards Insurance.
See template
See template
POLICYHOLDER REQUEST CHANGE FORM
PDF template
A form for policyholders to request changes to their insurance coverage, including name changes, beneficiary updates, and coverage modifications.
See template
See template
Policy Change Form
PDF template
A comprehensive form for making changes to an existing insurance policy, including address, driver, vehicle, and coverage details.
See template
See template
DriverS Declaration Form
PDF template
A form for adults who transport youth during diocesan events, requiring driver and vehicle details, license and insurance verification.
See template
See template
Service Request
PDF template
Form for making changes to an insurance policy, including name, address, premium mode, and non-forfeiture options.
See template
See template
Tier 1 Large Scale Renewables Program Request For Proposals RESRFP23 1
PDF template
Policy document outlining eligibility, termination conditions, and proposal submission requirements for renewable energy contract proposals.
See template
See template
Porter Senate Discretionary Budget Proposal
PDF template
A form for student organizations to request discretionary funding from Porter Senate for programs or events at UC Santa Cruz.
See template
See template
POS Device Inspection Checklist
PDF template
A comprehensive checklist for regularly inspecting point of sale devices to detect potential tampering or unauthorized modifications.
See template
See template
Occupational Or Physiotherapist Assessment For Power Mobility Aid
PDF template
Assessment form for evaluating client's eligibility and need for power mobility equipment through Easter Seals Alberta.
See template
See template
Pfizer Dermatology Patient Access Form
PDF template
A multi-page form for patient information, prescription selection, and insurance details for Pfizer dermatology medications.
See template
See template
Prescription And Patient Support Enrollment Form
PDF template
Comprehensive patient enrollment form for Pfizer dermatology medications, capturing patient and insurance information for prescription support.
See template
See template
TRUST PREFERRED PROVIDER ORGANIZATION (PPO) PROGRAM REFERRAL FORM
PDF template
A form for referring patients to non-PPO healthcare providers when services are medically necessary and not available within the TRUST network.
See template
See template
FCL Pre Authorization Form
PDF template
A medical insurance pre-authorization form for requesting approval of medical procedures and services
See template
See template
Pre Authorization Form
PDF template
A form for requesting pre-authorization for medical procedures or treatments from GBG Assist insurance provider.
See template
See template
Admission Request Note
PDF template
A comprehensive form for requesting medical admission and insurance coverage, capturing patient and medical details for hospital admission.
See template
See template
Pre Authorization Form (PAF)
PDF template
A form used by insured members to request pre-approval for non-emergency hospitalization and medical procedures through Allianz EFU health insurance.
See template
See template
Pre Authorization Form
PDF template
A form for requesting pre-authorization for medical procedures and treatments through TieCare insurance.
See template
See template
Pre Authorization Form
PDF template
A form allowing credit card charges for medical services when insurance reimbursement is received.
See template
See template