Turn your PDF into an API-fillable template in seconds. No signup required.
Try it now
Turn your PDF into an
API-fillable template in
seconds
Upload any PDF to see Anvil's Document AI in action. No signup required.
Products
Workflows
Automate complex document processes
Etch E-sign
Embed white-labeled e-signatures
PDF Services
Fill PDFs with collected or stored data
Webforms
Collect data with mobile-friendly webforms
Document AI
Faster way to build workflows
Document SDK
All you need to automate documents
Industries
Insurance
Rate, quote, and bind faster
Human resources
Automate onboarding documents
Real estate
Secure workflows for buying, selling, renting
Healthcare
Launch HIPAA compliant document workflows
Finance
Automate documents for financial products
Case studies
Learn how businesses have grown with Anvil
Resources
Form library
Ship faster with pre-made form templates
Blog
New features, industry news, customer stories
Help center
Step-by-step guides for using Anvil
Product updates
New features & app improvements
Ask Anvil
Answers to your paperwork questions
Features
Overview of all Anvil features
Developers
Get started
A quick introduction to building with Anvil
Documentation
Learn how to build Anvil into your product
API reference
GraphQL types, queries, & more
Open source
Pre-written clients to simplify development
Engineering blog
Technical topics, how-tos, & more
Pricing
Try it free
Get a demo
Products
Industries
Resources
Developers
Pricing
Login
Try it free
Household Report Form
One API call is all it takes. Free to use.
Fill it over API
Download fillable PDF
AI-generated
4.8 Stars
A form for reporting household information to maintain public assistance benefits in Minnesota.
Fill over API
Get it e-signed
Build document flow
Fill out your PDF over API
Send JSON, fill PDF
. It's that simple.
Fast and scalable PDF filling.
Quick
AI-assisted
template setup.
Get started for free
Get your PDF filled and signed
Request e-signatures over
API
.
Save time (& sanity) with
Document AI
.
Style
&
embed
e-sign into your application.
Get started for free
Automate your document flows
Generate
production-ready Webforms
from PDFs in seconds.
Collect reusable, structured data.
Customize document workflows without code.
Get started for free
See other related forms
Form 10 Q
PDF template
Quarterly financial report filed with the U.S. Securities and Exchange Commission for the period ended June 30, 2023.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission filing providing current report for CytoDyn Inc.
See template
See template
Kentucky House Bill 387 Employee And Contractor Reporting Act
PDF template
Kentucky legislative act requiring quarterly reporting of full-time employees and contractors across state government executive branches.
See template
See template
Eureka County Board Of Commissioners Meeting Minutes
PDF template
Official record of the Eureka County Board of Commissioners meeting held on January 20, 2022, discussing administrative matters and expenditures.
See template
See template
DoD 7000.14 R Financial Management Regulation Volume 2B, Chapter 18
PDF template
Department of Defense financial management regulation chapter covering information technology, cyberspace activities, and related reporting requirements.
See template
See template
FY 2024 Kyoto City Livelihood Support Benefit (Adjustment Benefit) Application Form
PDF template
Application form for residents of Kyoto City seeking livelihood support benefits based on changes in income or tax situation for fiscal year 2024.
See template
See template
Navajo Nation Trip Report
PDF template
Official travel document for reporting trip details, expenses, and purpose of travel within the Navajo Nation.
See template
See template
New Incident Report Form
PDF template
Updated incident reporting form by Arizona Department of Economic Security's Division of Developmental Disabilities, implementing changes based on House Bill 2865.
See template
See template
Madera City Council Agenda
PDF template
Official agenda for the regular meeting of the Madera City Council, detailing meeting logistics and participants.
See template
See template
Madera City Council Agenda
PDF template
Official agenda for the regular meeting of the Madera City Council, detailing meeting logistics and participants.
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
Injury Or Accident Report Form (Model Form)
PDF template
A comprehensive form for documenting child injuries, including details about the incident, location, type of injury, and medical treatment.
See template
See template
HOMEstead PROGRAM SECOND MORTGAGE ASSISTANCE Needs Assessment Form
PDF template
A form for assessing financial assets and mortgage assistance needs for homebuyers seeking second mortgage support.
See template
See template
Incident Report Policy
PDF template
Policy governing incident and accident reporting procedures for Richmond Public Library staff and facilities.
See template
See template
Wexford County Board Of Commissioners Meeting Notice
PDF template
Official notice and agenda for a regular meeting of the Wexford County Board of Commissioners
See template
See template
Risk Assessment Definitions
PDF template
Policy defining risk assessment procedures and caretaker definitions for child welfare risk evaluations in household settings.
See template
See template
Welcome To Your Job As An In Home Supportive Services (IHSS) Individual Provider
PDF template
A notice describing benefits and tax responsibilities for In-Home Supportive Services individual providers in California.
See template
See template
PROPOSED MINNESOTA GENERAL RULES OF PRACTICE, RULE 114A. COLLABORATIVE PRACTICE
PDF template
Proposed rules for implementing collaborative dispute resolution process in Minnesota, particularly focused on family law disputes.
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
Eastlakes U3A Accident, Incident And Hazard Report Form
PDF template
A comprehensive form for reporting accidents, incidents, or hazards within an organization, detailing the event, actions taken, and potential follow-up steps.
See template
See template
Purchase Authorization And Invoice Form 312 For Disability Medical Examinations And Laboratory Work
PDF template
Guidelines for local social services departments to complete form DHR/FIA 312 for medical examinations and laboratory work for disability assistance programs.
See template
See template
APM 025 Annual Report
PDF template
Annual reporting requirement for faculty documenting compensated outside professional activities and additional teaching activities at UC Santa Cruz.
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
Employee Benefits Administration Guide
PDF template
Comprehensive guide for managing employee benefits, enrollment, and coverage processes for CHP (likely a health provider)
See template
See template
DoD Financial Management Regulation Volume 10, Chapter 6
PDF template
Department of Defense comprehensive guidelines for managing tax reporting and payment responsibilities across federal, state, local, and foreign jurisdictions.
See template
See template
LGPC Bulletin 101
PDF template
Monthly bulletin providing updates on local government pension schemes, regulations, and guidance for April 2013.
See template
See template
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
LLC Partnership Preparation Checklist And Questionnaire
PDF template
A comprehensive tax year questionnaire for documenting changes and key information for an LLC partnership's tax preparation
See template
See template
BIA Form 62123
PDF template
Annual reporting form for Bureau of Indian Affairs Adult Education Program tracking student enrollment, GED, employment, and educational outcomes.
See template
See template
Accident Incident Report
PDF template
A detailed form for documenting workplace accidents or incidents involving employees at Randolph College.
See template
See template
1098 T Tax Form Information
PDF template
Instructions for accessing 1098-T tax form for students through MyDelta portal and explanation of reporting changes for tax year 2018.
See template
See template
1098 T FAQ
PDF template
A comprehensive guide addressing common questions about the Form 1098-T Tuition Statement for tax reporting purposes.
See template
See template
10 Day Change Form Household Members
PDF template
A form for reporting removal of household members within ten calendar days of change, used by housing authority participants to update household composition.
See template
See template
HOUSING AGENCY RETIREMENT TRUST ENROLLMENT FORM 110
PDF template
A mandatory enrollment form for newly-eligible employees joining a housing agency retirement trust plan
See template
See template
Catastrophic Disability Preliminary Report
PDF template
A detailed report examining policy, eligibility, and benefits for catastrophic disability for law enforcement and fire fighters in Washington State.
See template
See template
Incident Reporting Policy
PDF template
Policy providing guidance for reporting and managing incidents involving potential harm or emergencies at Summit Pointe.
See template
See template
Evaluating Outcomes Understanding Reports And Improvement
PDF template
A guide for Continuum of Care (CoC) organizations to improve data quality and performance reporting for discharge destinations.
See template
See template
HSA Payroll Deduction Authorization Form
PDF template
Form for employees to authorize payroll deductions for health savings account (HSA) contributions through the city's high-deductible health plan.
See template
See template
Notice Of Rulemaking Hearing
PDF template
Official notice for a rulemaking hearing by the Tennessee Department of Safety's Highway Patrol division, detailing hearing logistics and contact information.
See template
See template
Arkansas 911 Board Annual PSAP Report
PDF template
Mandatory annual reporting form for Arkansas cities and counties operating Public Safety Answering Points, requiring submission of budgetary and operational documentation.
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
Offer Of Sales Employment Letter
PDF template
A formal employment offer letter for a sales position detailing salary, benefits, and employment terms.
See template
See template
ACCIDENT INCIDENT REPORT FORM
PDF template
A detailed form for documenting accidents, injuries, or incidents involving employees, members, or visitors at a facility.
See template
See template
ACCIDENT INCIDENT REPORT FORM
PDF template
A comprehensive form for documenting workplace accidents, injuries, or incidents involving employees, members, or visitors.
See template
See template
Dental And Eye Care Insurance Enrollment Form
PDF template
A comprehensive form for enrolling in dental and eye care insurance coverage, capturing employee and dependent information.
See template
See template
Disability Benefits Chapter
PDF template
Comprehensive guide to disability benefits types, service credit, employment restrictions, and medical certification requirements for members.
See template
See template
Chapter Twelve Disability Benefits
PDF template
Comprehensive overview of disability benefits, types of coverage, service credit, employment restrictions, and medical certification requirements for members.
See template
See template
Exotic CWD Susceptible Species Inventory
PDF template
A form for reporting inventory of exotic CWD susceptible animal species in Texas, required by state animal health regulations.
See template
See template
Superintendent Employment Agreement
PDF template
Employment contract for Glenn "Max" McGee as Superintendent of Palo Alto Unified School District, specifying salary, term, and benefits.
See template
See template
Vision Group Insurance Form
PDF template
Insurance claim form for submitting vision care expenses and patient information to Standard Insurance Company.
See template
See template
DIRECT DEPOSIT FORM
PDF template
A form for establishing or updating direct deposit banking information for State Teachers Retirement System of Ohio benefits
See template
See template
Hazard Report Form
PDF template
A form used to report near misses, hazards, or unsafe conditions at Rugby Baptist Church.
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
Annual Report Reminder
PDF template
Guidance for employers filing the annual earnings report for the Teachers' Retirement System in Illinois, including filing deadline and requirements.
See template
See template
Transferring Budget Authority Of A Project Based Section 8 Housing Assistance Payments Contract
PDF template
Official HUD notice providing guidance on transferring budget authority for project-based Section 8 housing assistance payments contracts.
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
Time Leave Benefits And Other Benefits For College Assistants
PDF template
Comprehensive document outlining leave, holiday, and fringe benefits for hourly college assistants at Brooklyn College.
See template
See template
Frankfort Parks Incident Report Form
PDF template
A form for reporting incidents that occur in Frankfort parks to help improve park experiences and safety.
See template
See template
Exceptional MDI Submission Form
PDF template
An internal form for employees to document and report minor defect improvements (MDIs) with potential safety and cost-saving implications.
See template
See template
Blue Cross Of Idaho Care Plus, Inc. Health Assessment
PDF template
Form for collecting health information from newly enrolled Medicare Advantage members to develop individual care plans.
See template
See template
Federal Income Tax Withholding For STRS Ohio Benefits
PDF template
A form for STRS Ohio benefit recipients to manage federal income tax withholding for their retirement benefits.
See template
See template
Placement Agreement
PDF template
Agreement between Diamond Game Enterprises and an Organization for leasing a Linked Bingo System with specific financial and operational terms.
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
Form 8 K
PDF template
Securities and Exchange Commission filing by Lyft, Inc. reporting current business events and financial status.
See template
See template
Amended Findings Of Fact, Conclusions Of Law, And Recommendation
PDF template
Administrative hearing document regarding overpayment recovery involving Regine Ndifor and two home care agencies in Minnesota
See template
See template
Member Information And Beneficiary Designation (MIBD) Form Instructions
PDF template
Instructions for completing the Teachers' Retirement System member information and beneficiary designation form for new and existing teachers in Illinois.
See template
See template
Verde Energy USA, Inc Notification Of Ultimate Parent Merger
PDF template
Official notification to Pennsylvania Public Utility Commission about ownership changes in Verde Energy USA, Inc. and Via Renewables.
See template
See template
Adult Protection Policy
PDF template
A form for documenting details of an accident, including information about the injured person and the incident circumstances.
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
Hazard Report Form
PDF template
A standardized form for employees to report potential safety hazards in the workplace to their supervisors.
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
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
ANR Incident Report
PDF template
A comprehensive form to document vehicle accidents, theft, property damage, loss, and injuries involving ANR volunteers, 4-H members, and program participants.
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
1 9 Procedure For Items Damaged By The Courier
PDF template
A detailed procedure for documenting and reporting materials damaged during transit by courier services for MOBIUS library consortium members.
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
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
Diocese Of Owensboro Employee Exit Checklist
PDF template
A comprehensive guide for managing an employee's departure process, including property return, benefits transition, and administrative steps.
See template
See template
Form 8 K Current Report
PDF template
Securities and Exchange Commission current report detailing a significant corporate event for 1st Franklin Financial Corporation
See template
See template
Short Term Disability Claim Form
PDF template
A comprehensive form for filing a short-term disability claim, capturing personal, medical, and employment details for disability benefits.
See template
See template
Tender For Procurement Of Adobe Acrobat Pro DC And Adobe Creative Cloud
PDF template
Tender document by Bank of Baroda for purchasing Adobe Acrobat Pro DC and Adobe Creative Cloud licenses for their Information Technology Department.
See template
See template
Time Off Request Form
PDF template
A formal document for employees to request and document various types of leave or time off from work.
See template
See template
Retirement Benefit Plans Summary
PDF template
A comprehensive summary of retirement plan options for regular, part-time city employees, including mandatory and voluntary retirement savings plans.
See template
See template
Retirement Benefit Plans Summary For Regular, Part Time General Schedule Employees (Non Public Safet
PDF template
A comprehensive guide detailing retirement plan options for regular, part-time general schedule employees of the City of Alexandria.
See template
See template
2001 Service Annual Survey
PDF template
Official U.S. Census Bureau survey document for collecting business service activity data for statistical purposes.
See template
See template
2001 Service Annual Survey
PDF template
Official U.S. Census Bureau survey for collecting business service activity data for statistical purposes.
See template
See template
Retirement Checklist For 2001 Tier 1 Members
PDF template
A comprehensive checklist for employees planning retirement, outlining key steps and timelines for preparing to retire.
See template
See template
WSU Faculty Computer Purchase Exemption Petition
PDF template
Process for Wright State University faculty to request computer equipment that differs from standard university recommendations.
See template
See template
Payroll Bulletin
PDF template
Periodic guidance bulletin for Commonwealth payroll operations covering FBMC Focus Group meeting and I9 form updates.
See template
See template
Federal Register Notice
PDF template
Federal notice providing communication methods for pipeline safety reporting and docket submissions.
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
TCEQ 20168 Annual Report Form For Concentrated Animal Feeding Operations
PDF template
Annual reporting form for concentrated animal feeding operations in Texas, documenting animal inventory, manure production, and nutrient management.
See template
See template
Near Miss Incident Hazard Report Form
PDF template
A form for reporting workplace safety near misses, incidents, or potential hazards in a transportation or infrastructure setting.
See template
See template
Annual IOLTA Compliance Report
PDF template
Annual reporting form for attorneys in Maryland to verify compliance with IOLTA account regulations and trust fund management.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting workplace or organizational incidents, detailing type, location, persons involved, and extent of injury.
See template
See template
Summary Of The Pension Plan For Lay Employees
PDF template
Comprehensive overview of the pension benefits for lay employees of the Archdiocese of Galveston-Houston, explaining retirement eligibility and benefits.
See template
See template
Grossmont College 2019 2020 Catalog Addendum
PDF template
Comprehensive guide for veterans seeking educational benefits and support services at Grossmont College.
See template
See template
STATE OF MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT FORM
PDF template
Annual report form for charitable organizations registered in Minnesota, detailing organizational information and financial contributions.
See template
See template
Rec PAC Partial Scholarship Application
PDF template
Application for partial scholarships for Rec-PAC summer recreational camp for Fairfax County residents receiving public assistance.
See template
See template
Second Domiciled Adult Affidavit Of Eligibility
PDF template
A form for employees to declare a second domiciled adult for benefits eligibility at DePaul University
See template
See template
2019 2020 Short Term Disability Information
PDF template
Policy detailing disability income benefits and eligibility for Yavapai College employees, including benefit calculation and claim process.
See template
See template
Phase II (Small) MS4 Annual Report Form
PDF template
Annual reporting document for a small municipal separate storm sewer system documenting compliance with Texas stormwater permit requirements.
See template
See template
Manual Tuition Waiver Request Form
PDF template
Form for requesting tuition waivers for retired employees, dependents, and special arrangements at DePaul University.
See template
See template
Senior Resource Alliance Referral Form
PDF template
A comprehensive referral form for senior citizens seeking various support services and assistance programs.
See template
See template
Final Report Form COVID 19 2020 21 Grant
PDF template
A reporting form for food shelf organizations to document how grant funds were spent during the pandemic period.
See template
See template
Medical Reimbursement Claim Form
PDF template
Form for employees to submit medical, dependent care, and other eligible healthcare expenses for reimbursement through employer benefit plans.
See template
See template
Form 990 Return Of Organization Exempt From Income Tax
PDF template
Official tax return for tax-exempt organizations reporting annual financial information to the Internal Revenue Service.
See template
See template
Incident Report
PDF template
A form used to document workplace incidents, accidents, illnesses, or exposures for the University of New Mexico-Taos.
See template
See template
Annual Survey Of Children In Local Institutions For Neglected Or Delinquent Children
PDF template
A comprehensive survey form for collecting data about institutional care for neglected or delinquent children, documenting institutional details and caseload information.
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
HEERF I, II, III Annual Data Collection Form
PDF template
Comments from NASFAA and NACUBO regarding the U.S. Department of Education's proposed data collection form for HEERF grants
See template
See template
Form CT 12 For Oregon Charities
PDF template
Annual reporting form for charitable organizations operating in Oregon, requiring financial and organizational details for regulatory compliance.
See template
See template
Susquehanna Conference Incident Investigation Report
PDF template
A comprehensive form for documenting workplace incidents, injuries, and investigation details within the Susquehanna Conference organization.
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
Manchester Employees Contributory Retirement System Additional Contribution Calculation Request
PDF template
A form for Manchester employees to request calculation of additional retirement contributions and explore retirement benefit options
See template
See template
POGS MAP Sickness Benefit Application Form
PDF template
A form for members of the Philippine Obstetrical and Gynecological Society to apply for sickness benefits for medical and COVID-related conditions.
See template
See template
University Of Michigan Prescription Drug Plan Guide
PDF template
Comprehensive guide for managing prescription drug benefits through Magellan Rx Management for University of Michigan employees and members.
See template
See template
2022 MMF Exhibitor Vendor Application
PDF template
Application for exhibitors and vendors to participate in the 14th Annual Minneapolis Monarch Festival focusing on monarch butterfly conservation and cultural education.
See template
See template
Rent Reimbursement Application
PDF template
A state-level application for rent reimbursement for eligible Iowa residents aged 65+ or disabled individuals with low household income.
See template
See template
City Of Kenosha Health Savings Account (HSA) Payroll Deduction Form
PDF template
Form for City of Kenosha employees to set up or modify Health Savings Account payroll deductions through Johnson Bank.
See template
See template
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
2022 Annual Business Survey
PDF template
Official survey form from the U.S. Census Bureau collecting business information for annual statistical reporting.
See template
See template
House Bill No. 5288
PDF template
Legislative act establishing a task force to examine and potentially modify the motor vehicle accident report form used by law enforcement officers.
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
Manchester Employees Contributory Retirement System Additional Contribution Calculation Request
PDF template
A form allowing employees to request calculation of additional retirement contributions with specific authorization and salary assumptions.
See template
See template
Flexible Spending Account (FSA) Enrollment Form
PDF template
A form for employees to elect and contribute to Flexible Spending Accounts for health care and dependent care expenses
See template
See template
Flexible Spending Account Agreement Form
PDF template
A form for employees to elect and set up Flexible Spending Accounts for healthcare and dependent care expenses.
See template
See template
2023 HSA Voluntary Salary Reduction Form
PDF template
Form for employees to start, change, or cancel pre-tax contributions to a Health Savings Account (HSA) through payroll deduction
See template
See template
Fuels Use Report
PDF template
Tax form for reporting fuel usage and claiming potential tax refunds for specific business activities and nontaxable fuel uses in Idaho.
See template
See template
Accident Report Form
PDF template
Comprehensive form documenting details of an accident or injury occurring on campus, including personal information, accident circumstances, and witness statements.
See template
See template
Form LG03 Local Government Health Insurance Program Cancellation Form
PDF template
A form for cancelling local government health insurance coverage with multiple termination reason options
See template
See template
New Hire Active Employee Enrollment Form
PDF template
A comprehensive form for new employees to enroll in health, dental, vision, and life insurance benefits with Fulton County, Georgia.
See template
See template
Jack DanielS Operation Ride Home Command Approval Form
PDF template
A form for service members to request travel assistance through a military support program
See template
See template
SAFETY INSPECTION FORM
PDF template
Form documenting safety inspection requirements for restarting natural gas service after a 60-day interruption in Minnesota.
See template
See template
Form CT 12 For Oregon Charities
PDF template
Annual report form for charitable organizations operating in Oregon, collected by the Oregon Department of Justice to track charitable activities and compliance.
See template
See template
CVSO CG 2024 (Cycle I) Q A Addendum
PDF template
Application guide and instructions for Minnesota County Veterans Service Offices seeking grant funding for veteran programs and services in fiscal year 2024.
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
Statement Regarding A Valid Lost Or Stolen U.S. Passport Book AndOr Card
PDF template
Department of State notice requesting public comments on a form for reporting lost or stolen U.S. passport books and cards.
See template
See template
2024 25 Outside Agency Scholarship Form
PDF template
A form for University of Montevallo students to report and document outside scholarship awards and sources
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
2024 Calendar Of Due Dates For All Canonically Required Reports
PDF template
Annual calendar outlining due dates for various parish-related reports and forms for the Episcopal Diocese of East Carolina in 2024.
See template
See template
2024 Pastoral Agreement Form (PAF)
PDF template
A comprehensive form detailing compensation, benefits, and service terms for pastoral staff in the Eastern Regional Conference of Churches of God.
See template
See template
Online Charge Conference Forms Local Church Leadership Instructions
PDF template
Instructions for submitting online charge conference forms for United Methodist Churches using a web-based reporting system.
See template
See template
DIRECT DEPOSIT CANCELLATION FORM
PDF template
Form for canceling direct deposit of retirement benefit payments for Hanford Employee Welfare Trust retirees.
See template
See template
2024 State Facilities Training Schedule
PDF template
Comprehensive training schedule for facilities investigation and reporting in state healthcare facilities for 2024.
See template
See template
FULL TIME DOMESTIC PARTNERSHIP AUTHORIZATION FOR PAYROLL DEDUCTIONS FOR HEALTH INSURANCE EFFECTIVE Y
PDF template
Authorization form for employees to select health insurance coverage options and allow payroll deductions for Essex County health insurance plans
See template
See template
Health Savings Account (HSA) Contribution Form
PDF template
Form for state and local government employees to authorize HSA payroll contributions and select health plan details.
See template
See template
HSA Payroll Deduction Form 2024
PDF template
A form for employees to authorize payroll deductions for Health Savings Account contributions with IRS contribution limits and University contribution details.
See template
See template
Faculty Led Incident Report Form
PDF template
A form for faculty and staff to document and report incidents involving students at Cal Poly Pomona.
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
NETBACK EXPENSE REPORT FORM (NERF)
PDF template
A detailed form for reporting oil and gas product sales, expenses, and pricing for the 2024 assessment year.
See template
See template
American Accounting Association Travel And Business Expense Report Form 2024
PDF template
A comprehensive form for reporting and requesting reimbursement of business travel expenses for non-employees.
See template
See template
North Fort Bend Water Authority PumpageSurface Water And Billing Form
PDF template
A form for reporting water usage, pumpage, and surface water consumption for billing purposes by water owners or recipients.
See template
See template
PART TIME AUTHORIZATION FOR PAYROLL DEDUCTIONS FOR HEALTH INSURANCE EFFECTIVE YEAR 2024
PDF template
A form for part-time employees to authorize health insurance premium deductions with Essex County for the 2024 benefit year.
See template
See template
MRTF Member Benefit 2024
PDF template
Comprehensive overview of membership types, benefits, and pricing for the Michigan Roof & Turf Foundation (MRTF) organization.
See template
See template
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
2024 Title IX Formal Complaint Form
PDF template
Formal document for reporting Title IX incidents at Mars Hill University, capturing details about complainant, respondent, and incident specifics.
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
Benefits Cancellation Form
PDF template
Form for employees to remove dependents from their healthcare or insurance benefits plan.
See template
See template
University Of Michigan Benefits Enrollment Form
PDF template
Comprehensive guide for employees to elect University of Michigan benefits, explaining enrollment procedures and deadlines.
See template
See template
Flexible Spending Accounts (FSA) Program Direct Deposit EnrollmentChangeCancellation Form
PDF template
A form for enrolling in or changing direct deposit details for Health Care Flexible Spending Account (HCFSA) and Dependent Care Assistance Program (DeCAP)
See template
See template
2024 Poulsbo Tourism Grant Awardee Process
PDF template
Guidelines for tourism grant awardees in the City of Poulsbo, detailing reporting requirements and reimbursement process for lodging tax grants.
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
Ottawa Internationals Soccer Club Incident And Accident Report Form
PDF template
A form for documenting incidents and accidents during soccer activities, to be submitted within 24 hours of occurrence.
See template
See template
Alabama First Class Pre K Program Appendix F DECE Incident Report Form
PDF template
A standardized form for reporting serious accidents, injuries, medical situations, or behavior incidents in the Alabama First Class Pre-K Program.
See template
See template
OffenseIncident Report Form Instructions
PDF template
Official instructions for completing police department offense and incident report forms, covering writing style, case numbering, and date/time reporting requirements.
See template
See template
Employee HSA Payroll Deduction Form
PDF template
A form for employees to authorize payroll deductions for their Health Savings Account contributions with annual contribution limit details.
See template
See template
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
216.00 Responding And Reporting Offenses, Incidents Motor Vehicle Accidents
PDF template
Policy outlining conditions for investigating and reporting motor vehicle accidents by Mesquite Police Department officers.
See template
See template
OffenseIncident Report Form
PDF template
Detailed instructions for Albuquerque Police Department employees on how to complete Offense/Incident Report Forms accurately and uniformly.
See template
See template
Incident Report
PDF template
A standard form for reporting and documenting incidents within an organizational setting.
See template
See template
Kansas Stormwater 2018 Annual Report Form For Municipal Separate Storm Sewer Systems (MS4)
PDF template
Annual report documenting stormwater management activities for the Unified Government of Wyandotte County/Kansas City, Kansas covering the 2018 reporting period.
See template
See template
Procedure Fleet Management Vehicle Accidents
PDF template
Comprehensive policy outlining steps for handling government vehicle accidents, including reporting and notification requirements.
See template
See template
2 FLP (Revision 1) MN Amendment 1
PDF template
Revision of Farm Service Agency handbook with updates to various paragraphs and sections in Minnesota.
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
Invitation For Bid 22 2325 Smart UPS And Battery Pack
PDF template
Competitive bid solicitation by the Port of Oakland for procurement of Smart-UPS and Battery Pack equipment through the Purchasing Department.
See template
See template
Initial Registration Form For Unaccredited Nonpublic Schools (Including Homeschools)
PDF template
A registration form for parents or schools providing instruction to children outside of accredited public schools in Minnesota
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
Accident Report Form
PDF template
A form documenting details of an accident involving a child, used as part of a child protection policy.
See template
See template
Form 2304 Notary Public Complaint
PDF template
Official form for filing a complaint against a Texas notary public, detailing misconduct allegations and supporting documentation.
See template
See template
Outside Scholarship Reporting Form 2023 2024
PDF template
A form for students to report outside scholarships or changes to existing scholarship information to the Office of Financial Aid.
See template
See template
General Instruction Manual For Texas Title Insurance Agent Experience Report Submission
PDF template
Instructions for Texas title insurance companies and agents to submit their annual experience report to the Texas Department of Insurance.
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
Household Information Form
PDF template
Form for collecting detailed household information for financial aid purposes at Macalester College.
See template
See template
Outside Scholarship Reporting Form 2024 2025
PDF template
A form for students to report outside scholarships or changes to existing scholarship information to the Office of Financial Aid.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission filing by Expedia Group providing current financial and operational information.
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
Americans With Disabilities Act (ADA) Annual Report Form
PDF template
Annual reporting form for documenting disability services and accommodations for adult education students in Illinois community colleges.
See template
See template
Grades 2 5 Grade Submission Form
PDF template
A form for submitting academic grades and student performance details for students in grades 2-5 at Kolbe Academy.
See template
See template
FP 421B HotelMotel Income Expense Report
PDF template
Annual tax reporting form for hotel and motel property owners in Washington, DC, covering income and expense details for the tax year.
See template
See template
Change Of Address Form For Housing Benefit And Council Tax Benefit
PDF template
A form for updating residential address details for housing and council tax benefit purposes by Bridgend County Borough Council.
See template
See template
Constituent Service Request Form
PDF template
A form for constituents to request assistance from Representative Jamie Raskin's office with various federal agency issues.
See template
See template
Incident Report Form
PDF template
Detailed guide for submitting an incident report through the Conservation Legacy Community Portal with specific field instructions.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission current report filing by SilverSun Technologies, providing current company information and disclosures.
See template
See template
Flexible Spending Account Enrollment Form
PDF template
A form for employees to enroll in flexible spending account benefits and set up direct deposit for reimbursements.
See template
See template
Initial Interview Form
PDF template
A comprehensive form for veterans or their family members to collect information needed to apply for veterans' benefits.
See template
See template
Enrollment Form
PDF template
An enrollment form for collecting personal and dependent information for insurance or benefits enrollment with Lincoln Financial Group.
See template
See template
Direct DepositInformation And Instructions
PDF template
A form for setting up electronic payments from Wespath Benefits and Investments for retirement distributions and protection plan payments.
See template
See template
Household Composition Deletion Request Form
PDF template
A form for tenants to request removal of household members from their assisted housing unit.
See template
See template
Request For Payments To Trust TrusteeS Acknowledgment
PDF template
A form for directing State Employees' Retirement System benefit payments to a trust for a minor or legally disabled individual.
See template
See template
Hazard Report Form
PDF template
A form for reporting potential safety hazards and risks in an aviation environment.
See template
See template
Speak Up
PDF template
Company policy outlining the process for employees to report ethical concerns or misconduct confidentially and without fear of retaliation.
See template
See template
LDSS 3151 SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) CHANGE REPORT FORM
PDF template
A form for reporting changes in circumstances that may affect Supplemental Nutrition Assistance Program (SNAP) benefits.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission filing providing current report for The Chemours Company
See template
See template
Administrative Procedure 323 SEPARATION
PDF template
Procedures for nonacademic, administrative, and academic employees terminating employment with the University, including handling of benefits and exit process.
See template
See template
Title 38 United States Code Section 3679(E) School Compliance Form
PDF template
A compliance form for educational institutions to confirm adherence to veterans' educational benefits requirements under the Veterans Benefits and Transition Act of 2018.
See template
See template
DSS Form 37113 Contribution Form
PDF template
A form used by the South Carolina Department of Social Services to document financial contributions to a household or benefit group.
See template
See template
4 H Property Inventory Report Form
PDF template
A form for documenting tangible assets owned by 4-H clubs and organizations with specific inventory categories and guidelines.
See template
See template
Petitioning For Superior Court Review When You Disagree With A DSHSHCA Benefits Administrative Heari
PDF template
A step-by-step guide for individuals seeking to appeal administrative orders related to DSHS/HCA benefits through Superior Court review process.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting workplace or program-related incidents, including details about the incident, individuals involved, and follow-up actions.
See template
See template
Online Employee Incident Report (EIR) Form
PDF template
An online form for reporting workplace incidents and injuries for employees of ESD 113 Workers' Compensation Trust
See template
See template
Change Of Address Request Form (For Retirees Beneficiaries)
PDF template
A form for retirees and beneficiaries to update their mailing address with the Employees' and Elected Officials' Retirement Systems.
See template
See template
The 3 RS To Retirement
PDF template
A comprehensive guide for employees planning to retire, covering the steps of retiring, resigning, and managing retiree health benefits.
See template
See template
Claim For Temporary Relocation Expenses (Residential Moves)
PDF template
A form for families and individuals to claim reimbursement for temporary relocation expenses from the U.S. Department of Housing and Urban Development.
See template
See template
San Bernardino County 4 H Complaint Form
PDF template
A form for documenting incidents and complaints within the San Bernardino County 4-H Youth Development Program.
See template
See template
Waiver Of Service Period For Retirement Plan Participation
PDF template
A form allowing employees to waive the one-year service requirement for retirement plan participation based on previous employment at eligible organizations.
See template
See template
Procedure 410 19 Employee Volunteer And Education Leave
PDF template
A policy providing full-time employees with 8 hours of annual leave for volunteer and educational activities in the community.
See template
See template
Hazard Incident Report Form
PDF template
A form for documenting and reporting workplace safety hazards, incidents, and recommended corrective actions.
See template
See template
Employee Benefit Plan Enrollment
PDF template
Montgomery County Public Schools form for new employees and those with qualifying life events to enroll in benefit plans
See template
See template
DCFS Form 718 B
PDF template
A form used to report concerns about child welfare and potential need for child protective services intervention.
See template
See template
HealthFlex Mandatory Premium And Coverage Waiver Form
PDF template
A form for enrolled participants or new hires to decline HealthFlex health plan coverage and declare their reason for doing so.
See template
See template
Well OperatorS Report Of Well Work
PDF template
Regulatory document submitted by Chesapeake Appalachia for well work reporting in Ohio County, West Virginia
See template
See template
DWS ESD 475 Change Report Form
PDF template
A form for reporting changes in various state assistance programs including financial aid, Medicaid, SNAP, and child care benefits.
See template
See template
U.S. Department Of Labor Incident Report DL 1 156
PDF template
Official form for reporting incidents involving Department of Labor employees, contractors, or program participants
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting and reporting details of an incident, including event information, involved parties, and actions taken.
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
Program Policies And Procedures For Incident Reports
PDF template
Detailed regulations for incident reporting and dependent adult abuse protocols in programs serving vulnerable populations.
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
IncidentAccident Report Form
PDF template
A form for documenting details of an accident or incident involving a youth, including witnesses and care provided.
See template
See template
NC 4 H AccidentIncident Report Form
PDF template
A comprehensive form for documenting accidents, incidents, or injuries involving youth participants, staff, volunteers, or guests at NC 4-H events.
See template
See template
Raquette Lake Library Incident Report Form
PDF template
A form used to document accidents, injuries, medical situations, or inappropriate behavior at the Raquette Lake Library.
See template
See template
Hazard Report Form
PDF template
A document for reporting and tracking workplace safety hazards, including methods for correcting and documenting safety issues.
See template
See template
LDSS 5067 NYS OTDA State Supplement Program Direct Deposit Cancellation Form
PDF template
Form for cancelling direct deposit for New York State Supplement Program benefits
See template
See template
Blank Incident Report Forms
PDF template
A comprehensive collection of various incident report templates for different contexts including workplace, education, security, and emergency services.
See template
See template
Violent Incident Investigation Form
PDF template
A confidential form for documenting and investigating violent incidents within School District 85 on Vancouver Island North.
See template
See template
Report Of Child(Ren) Alleged To Be Suffering From Serious Physical Or Emotional Injury By Abuse Or N
PDF template
Massachusetts form for reporting suspected child abuse or neglect to the Department of Children and Families (DCF).
See template
See template
Arbitration Award In Dane County (Public Health) Labor Dispute
PDF template
Arbitration hearing regarding salary continuation benefits dispute between Dane County and District 1199W union
See template
See template
Student Accident Report
PDF template
A comprehensive form for documenting student accidents, injuries, and immediate actions taken by school personnel.
See template
See template
Housing Assistance Payments (HAP) Contract
PDF template
A standardized contract for providing Section 8 tenant-based housing assistance payments between public housing agencies and private market owners.
See template
See template
Form 4 Statement Of Changes In Beneficial Ownership Of Securities
PDF template
Official SEC form documenting changes in beneficial ownership of securities for a reporting individual.
See template
See template
Leave Program Procedures
PDF template
Detailed procedures for vacation leave accrual and usage for employees at Owens Community College.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission filing by Ingevity Corporation providing current business report information.
See template
See template
Construction Incident Report
PDF template
A comprehensive form for documenting workplace accidents, injuries, and incidents in construction settings with detailed reporting requirements.
See template
See template
Household Report Form
PDF template
A form for reporting household information to maintain public assistance benefits in Minnesota.
See template
See template
Report Of Contributions And Expenditures
PDF template
A comprehensive financial reporting document for committees and parties detailing campaign contributions and expenditures.
See template
See template
WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
PDF template
A form for children and spouses of veterans to establish residency eligibility for Wisconsin educational benefits
See template
See template
Carl Moyer Diesel Emissions Reduction Program Annual Report
PDF template
Guidelines for annual reporting requirements for diesel emissions reduction grant recipients covering operational data and compliance verification.
See template
See template
General Order 63.3 Traffic Accident Investigation
PDF template
Detailed guidelines for handling and documenting traffic accidents by the Sedgwick County Sheriff's Office.
See template
See template
Human Relations Commission Regular Meeting Agenda
PDF template
Agenda for a regular meeting of the Human Relations Commission, including various discussion topics and event planning.
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
Near Miss Reporting Tool
PDF template
A comprehensive form for reporting near miss incidents within Boy Scouts of America, capturing details of potential safety events and lessons learned.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission filing providing a current report for QuidelOrtho Corporation as of April 25, 2024.
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
OFFICE INCIDENT REPORT FORM
PDF template
A form for documenting workplace accidents, injuries, and incidents within 24 hours of occurrence.
See template
See template
Parish Hazard Report Form
PDF template
A form used to document and report potential safety hazards within a parish or church site, including hazard details and corrective actions.
See template
See template
Form 4 Statement Of Changes In Beneficial Ownership
PDF template
United States Securities and Exchange Commission form documenting changes in beneficial ownership of securities for a corporate director
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
Voluntary Car Seat Safety Check Activity Report
PDF template
Form for documenting car seat safety check events conducted for the New Jersey Division of Highway Traffic Safety.
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
72 Hour Notification Form
PDF template
A form used to alert the National Association for the Education of Young Children about serious events or operational disruptions affecting a childcare program.
See template
See template
What To Do If You Find A British Passport
PDF template
A form for individuals who have found a lost British passport to report its location and return it to authorities.
See template
See template
Form 8 K Current Report
PDF template
Securities and Exchange Commission current report filing by Arrow Electronics, providing mandatory financial disclosure information.
See template
See template
Sample Form Application For Assistance
PDF template
A comprehensive form for individuals seeking housing assistance, collecting personal, income, and household information.
See template
See template
City Of Pittsburgh Vehicle Accident Report
PDF template
Official document for reporting vehicle incidents involving city vehicles, detailing accident specifics and required reporting procedures.
See template
See template
Hazard Report Form
PDF template
A form for documenting workplace safety hazards, their severity, and corrective actions.
See template
See template
GIRL SCOUTS OF EASTERN OKLAHOMA COUNCIL ACCIDENTINCIDENT DAMAGE REPORT FORM
PDF template
A comprehensive form for documenting accidents, incidents, or damages occurring during Girl Scouts activities in Eastern Oklahoma.
See template
See template
Venture SE Minnesota Diversification Loan Fund Amendment
PDF template
Legislative amendment establishing a revolving loan program for businesses in southeastern Minnesota, focusing on specific industries and economic development.
See template
See template
Appendix B Accident Reporting Information
PDF template
Comprehensive guide detailing Federal Railroad Administration's accident and injury reporting requirements for railroads, covering reporting periods and thresholds.
See template
See template
Summary Plan Description Bargained Cash Balanced Program 2 Of The ATT Pension Benefit Plan
PDF template
A comprehensive guide to benefits for employees under the Bargained Cash Balance Program #2, detailing pension plan provisions and eligibility.
See template
See template
Inspection Checklist For Indoor Fireworks Displays
PDF template
Guidelines and requirements for obtaining a permit for indoor fireworks displays in Minnesota, including application process and safety regulations.
See template
See template
Accident, Incident And Identified Hazard Report Form
PDF template
A comprehensive form for documenting accidents, incidents, and potential hazards within the Eastlakes U3A organization.
See template
See template
Athletic Injury Report (AIR) Form Information And Procedures
PDF template
Comprehensive guidelines for documenting and reporting athletic injuries in high school and middle school athletic programs.
See template
See template
Form 802General Information (Periodic Report Nonprofit Corporation)
PDF template
A statutory filing form for nonprofit corporations to report director and officer information to the Texas Secretary of State.
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
Police Incident Report Form Template
PDF template
A template for submitting non-emergency police reports online for incidents like theft, harassment, and minor vehicle damage.
See template
See template
Common Report Form Cover Sheet
PDF template
A standard reporting form for nonprofit organizations to document grant details, results, and financial information for Philanthropy Network Greater Philadelphia.
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
Agreement Tracking System
PDF template
Contract for Condition Acquisition Reporting System (CARS) 511 Maintenance and Support with Castle Rock Associates
See template
See template
Employer Affidavit Of Income And Benefits
PDF template
Legal document providing instructions for employers to report an employee's income, benefits, and financial records to assist court proceedings.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission filing providing a current report for Burlington Northern Santa Fe, LLC as of June 7, 2022
See template
See template
SH 901 Instructions For Recording And Reporting Public Employees Occupational Injuries And Illnesses
PDF template
Guidelines for recording and reporting occupational injuries and illnesses for public employees in New York State, as referenced by 12NYCRR Part 801.
See template
See template
POLICE CONTACT FORM
PDF template
A form used to document and detail circumstances surrounding police interaction with a mental health service recipient.
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
Form 8 K
PDF template
Securities and Exchange Commission filing providing current information about the company's status and activities.
See template
See template
FORM 10 Q
PDF template
Quarterly financial report filed with the U.S. Securities and Exchange Commission for the period ended March 31, 2024.
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
HUD 9887A Fact Sheet
PDF template
Document package for housing assistance applicants providing consent for verification of personal information by HUD and related agencies.
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
S355 Community Facility Hazard Report Form
PDF template
A form for reporting potential hazards in community facilities that may cause injury, with sections for hazard details and council investigation.
See template
See template
Incident Report (Other Than Motor Vehicle)
PDF template
Confidential form for documenting non-vehicle incidents at the University Corporation at Monterey Bay, to be completed within 48 hours of an incident.
See template
See template
Halina Pelczar V. Board Of Review, Department Of Labor, And AE Clothing Corporation
PDF template
Judicial opinion regarding unemployment benefits appeal involving an employee's voluntary job separation
See template
See template
Criminal Conviction Reporting Form
PDF template
A form for reporting criminal convictions to the Virginia Department of Professional and Occupational Regulation for license, certification, or registration applications.
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
Veterans Administration Aid And Attendance Claim Checklist
PDF template
Comprehensive checklist of required documentation for filing a Veterans Administration Aid and Attendance benefit claim, including personal, financial, and military records.
See template
See template
AB13 (VACA) Affidavit For Eligible Veterans Dependents
PDF template
A document outlining tuition exemption requirements for veterans and their dependents at College of the Siskiyous under the Veterans Access, Choice, and Accountability Act.
See template
See template
Alberta Accident Benefits Initial Claims Process
PDF template
A comprehensive guide for filing insurance claims and accessing medical benefits after an automobile accident in Alberta, Canada.
See template
See template
MY BENEFIT PLAN BOOKLET
PDF template
Comprehensive benefit plan booklet providing counseling and life skills support services for plan members and their dependent children.
See template
See template
PA ABLE Savings Program Workplace Guide
PDF template
A guide for employers to help employees with disabilities save money through tax-free ABLE accounts with payroll deduction options.
See template
See template
Alternate Benefits Program Mandatory Contributions 401(A) Voluntary 403(B) Loan Authorizations
PDF template
Procedure for employees to request and process loans through investment providers using specific authorization steps.
See template
See template
Form F Absence Report Form
PDF template
A form for students to report anticipated or unanticipated absences during a Physician Assistant Studies program.
See template
See template
ACC13 Harassment Incident Report Form
PDF template
Confidential form for reporting harassment incidents within an organization, detailing the nature of the incident and involved parties.
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
Assessment Request Incident Report Form
PDF template
A form for reporting incidents, complaints, or requests related to equal opportunity in an educational or workplace setting.
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
Accident Incident Report Form
PDF template
An official form for documenting accidents, incidents, and injuries at Virginia Tech, used by the Office of Risk Management.
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
AccidentDamage Report Form
PDF template
Comprehensive form for documenting vehicle accidents, injuries, or property damage involving fire department personnel and vehicles.
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
APPENDIX F INCIDENTACCIDENT REPORT FORM
PDF template
A comprehensive form for documenting accidents or incidents involving children, typically used in educational settings.
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 INCIDENT REPORT FORM
PDF template
A comprehensive form for documenting accidents, incidents, and injuries during sports activities under Kidsports jurisdiction.
See template
See template
AccidentIncident Investigation Safety Guidance Document
PDF template
A comprehensive safety guidance document outlining procedures for investigating and reporting workplace accidents and incidents, including violent or aggressive events.
See template
See template
AccidentIncident Report Form
PDF template
A comprehensive form for documenting details of accidents or incidents occurring during OSU Extension Service activities or events.
See template
See template
Accident Incident Report Form
PDF template
A form used to document and report accidents or incidents involving students or employees in a healthcare education setting.
See template
See template
AccidentIncident Report Form
PDF template
A comprehensive form for documenting accidents or incidents involving campers, staff, or visitors at a camp facility.
See template
See template
Northeastern University AccidentIncidentNear Miss Report Form
PDF template
A comprehensive form for reporting accidents, incidents, or near misses involving students, employees, or visitors at Northeastern University.
See template
See template
AccidentIncident Report Form
PDF template
A form for documenting accidents or incidents involving employees, visitors, or students that occur on or off Northeastern University campus.
See template
See template
Incident Accident Report Form
PDF template
A detailed form for documenting accidents or incidents involving Girl Scouts participants, used for risk management and reporting purposes.
See template
See template
AccidentIncident Report Form
PDF template
A form for documenting accidents or incidents that occur during recreation and park district activities, including details about the event, individuals involved, and actions taken.
See template
See template
Report Of Accident Incident
PDF template
A form for documenting workplace accidents or incidents involving university personnel, students, or workers.
See template
See template
AccidentIncident Report Form
PDF template
A comprehensive form for reporting accidents or incidents involving employees, students, or visitors at Yavapai College.
See template
See template
Accident Report Form
PDF template
A standardized form for documenting details of an accident or injury in a league or organized sports setting.
See template
See template
Accident Report Form
PDF template
A standardized form for documenting details of an accident or injury in a league or organized sports setting.
See template
See template
AccidentInjury Reporting For Athletics
PDF template
Guidelines for reporting serious athletic injuries, detailing when and how to complete an accident report for student athletes.
See template
See template
AccidentIncident Investigation Form
PDF template
A comprehensive form for documenting and investigating workplace accidents, injuries, and near-miss incidents.
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
Club Sports Accident Report Form
PDF template
A comprehensive form for documenting sports-related accidents and injuries for recreational sports participants
See template
See template
Monroe County Recreation Department ACCIDENT REPORT FORM
PDF template
A comprehensive form for documenting details of accidents, injuries, and circumstances within a recreation department setting.
See template
See template
ACCIDENTINCIDENT REPORT FORM
PDF template
A form used to document details of accidents or incidents occurring on university premises involving employees, students, or visitors.
See template
See template
Accident Report Form For Non Employees
PDF template
A form documenting details of accidents involving non-employees at Chadron State College, used for internal reporting and record-keeping.
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
Mississippi Elevator Safety Division Accident Report Form
PDF template
Official form for reporting elevator accidents and incidents to the Mississippi Elevator Safety Division within 72 hours.
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 FORM
PDF template
A comprehensive form for documenting accidents occurring at Burton Pidsea Memorial Hall and Playing Fields
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
PDF template
A detailed form for documenting accidents and injuries occurring at a recreational facility, including injury details, immediate actions, and reporting procedures.
See template
See template
Accident Report Form
PDF template
Comprehensive form for documenting workplace accidents, injuries, and related incident details with personal and organizational information.
See template
See template
Accident And Injury Report Form
PDF template
A form for documenting workplace or academic accidents, injuries, and related details in a pathology setting.
See template
See template
Waubun Ogema White Earth AccidentIncident Report Form
PDF template
A form used to document workplace accidents or incidents, capturing details about the event, potential prevention, and property damage.
See template
See template
IADT Accident Report Form
PDF template
Comprehensive form for documenting workplace accidents, injuries, and subsequent medical treatment with GDPR compliance notice.
See template
See template
ACCIDENT RECORD FORM
PDF template
A form for documenting workplace accidents, injuries, and related incident details in compliance with regulatory requirements.
See template
See template
UVU Injury Accident Report Form
PDF template
A comprehensive form for documenting injuries and accidents occurring at Utah Valley University for students, employees, and visitors.
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
NYSPHSAA OfficialS ACCIDENT REPORT FORM
PDF template
A standardized form for documenting accidents involving school sports officials and participants during athletic events.
See template
See template
Accident Report Form
PDF template
A form to document details of an accident that occurred on church premises or during church-related activities.
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
AccidentIncident Report Form
PDF template
A comprehensive form for documenting workplace accidents or incidents at East Stroudsburg University by employees, students, and visitors.
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
Accident Report Form
PDF template
Comprehensive form documenting details of an accident or incident involving participants in a program or activity.
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
AccidentIncident Investigation, Reporting And Analysis
PDF template
Guidelines for investigating and reporting workplace accidents, incidents, and near misses to prevent future occurrences and ensure employee safety.
See template
See template
Accident Reporting Procedures
PDF template
Comprehensive guidelines for reporting and managing accidents and injuries on Slippery Rock University campus, including emergency procedures and notification requirements.
See template
See template
Flamstead Pony Club Accident Reporting Protocol
PDF template
Comprehensive protocol for reporting accidents, injuries, and near misses during pony club activities, including documentation requirements and reporting procedures.
See template
See template
AccidentIncident Reporting Form
PDF template
Comprehensive guidelines for reporting accidents, incidents, and hazards on university premises, detailing reporting processes and medical response protocols.
See template
See template
Accident Report
PDF template
A form used to document details of an accident involving individuals or property during Adirondack Mountain Club activities.
See template
See template
Accident Reporting Form
PDF template
A form used to document details of an accident, including persons involved, location, and circumstances.
See template
See template
Motor Vehicle Accident Report Form
PDF template
Official form for reporting taxi accidents involving injury, death, or property damage over $500 in the City of Austin.
See template
See template
Policy And Procedure 610 Accidents Involving Police Department Vehicles
PDF template
Comprehensive policy outlining the reporting and documentation process for accidents involving police department vehicles, including required forms and review steps.
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
ACF Performance Progress Report
PDF template
A federal grant reporting form used by recipients to document performance and activities for grant-funded projects.
See template
See template
Citizen Complaint Form
PDF template
Official form for citizens to submit complaints about government agencies, departments, or employees to the Alameda County Grand Jury.
See template
See template
Incident Report Form
PDF template
A comprehensive form for reporting various types of incidents involving staff, members, guests, and program participants at the Abilities Centre.
See template
See template
Disability Services Center And ADA Compliance Incident Report
PDF template
A form for documenting incidents related to disability services and ADA compliance at an organization.
See template
See template
Business Loan Application Checklist
PDF template
Comprehensive checklist and fee structure for business loan applications at the African Development Center in Minnesota.
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
American Dream Downpayment Initiative Lender Participation Agreement
PDF template
Agreement between City of Columbus and lending institutions for administering downpayment assistance program for homebuyers.
See template
See template
UWS B1242 Accidental Death Dismemberment Insurance
PDF template
Comprehensive employer manual for Accidental Death and Dismemberment insurance policy for University of Wisconsin System employees.
See template
See template
Change Of Address Form
PDF template
Official form for changing address for New Jersey state pension system members and retirees
See template
See template
Private Hospitals Discharge Form (ADF96)
PDF template
A comprehensive form for collecting detailed patient discharge data from private hospitals for statistical reporting purposes.
See template
See template
Glass Advance Disposal Fee Annual Report Form
PDF template
Annual reporting form for glass container importers in Hawaii detailing non-deposit beverage glass container counts and associated disposal fees.
See template
See template
DISTRICT COURT AD HOC JUDICIAL ASSIGNMENT REPORT FORM
PDF template
A reporting form for retired judges assigned to Louisiana District Courts to provide biannual updates on assigned cases.
See template
See template
PSC CUNY Welfare Fund Adjunct Enrollment Form
PDF template
Health benefits enrollment form for adjunct faculty members at CUNY with dental and health plan options
See template
See template
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
Vehicle Accident Reporting
PDF template
Administrative procedure for reporting accidents involving school system vehicles, outlining requirements for authorized users and accident documentation.
See template
See template
Discrimination Or Harassment Incident Report
PDF template
A formal document for reporting discrimination or harassment incidents within Prince George's County Public Schools by employees or volunteers.
See template
See template
Administrative Waiver How To Request Waiver For An Overpayment Under 1000
PDF template
Instructions for requesting an administrative waiver for Social Security overpayments less than $1,000.
See template
See template
Adoption Assistance Reimbursement Form
PDF template
Form for employees to request reimbursement for qualified adoption expenses through the university's adoption assistance program.
See template
See template
Adult HIV Confidential Case Report Form
PDF template
Confidential medical reporting form for adult HIV patients in Rhode Island, used for surveillance and epidemiological tracking.
See template
See template
Advanced Illness Benefit Application Form
PDF template
Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by BEMAS medical aid scheme.
See template
See template
Advanced Illness Benefit Application Form
PDF template
Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by Anglovaal Group Medical Scheme.
See template
See template
Automated External Defibrillator (AED) Post Incident Report Form
PDF template
A comprehensive form for documenting events involving the use or attempted use of an Automated External Defibrillator at Middle Georgia State University.
See template
See template
AED Incident Report Form
PDF template
A comprehensive form for documenting and reporting incidents involving the use or attempted use of an Automated External Defibrillator (AED)
See template
See template
Athletic Equestrian League Accident Report
PDF template
A detailed form for documenting accidents and incidents during equestrian events or competitions.
See template
See template
Army Emergency Relief Application For Financial Assistance
PDF template
Comprehensive application form for military personnel seeking emergency financial support from Army Emergency Relief (AER)
See template
See template
WIGI Bill Residency Affidavit For Children And Spouses Of Eligible 5 Year Veterans
PDF template
Residency verification form for children and spouses of veterans seeking Wisconsin GI Bill educational benefits based on veteran's 5-year state residency.
See template
See template
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
INJURYINCIDENT INVESTIGATION FORM
PDF template
A form for documenting workplace injuries, near misses, and harmful incidents by AFL New Zealand employees or volunteers.
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
MUI Annual Report Form
PDF template
Annual reporting form for tracking and analyzing mortality and unusual incidents across different categories over multiple years.
See template
See template
Benefits Committee Meeting Agenda
PDF template
Agenda for a Benefits Committee meeting discussing various benefits-related topics and goals for 2018/2019.
See template
See template
Benefits Committee Meeting Agenda
PDF template
Agenda for Benefits Committee meeting detailing review of minutes, old and new business items related to employee benefits.
See template
See template
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
Charitable Organization Annual Report Form
PDF template
Instructions for charitable organizations to file annual reports with the Minnesota Attorney General's Charities Division.
See template
See template
AGS Incident Near Miss Hazard Report Form FRM067 010519
PDF template
A workplace safety form for reporting incidents, near misses, hazards, or potential safety concerns within an organization.
See template
See template
Near Miss Hazard And Incident Reporting Guidelines
PDF template
Comprehensive guidelines for reporting and managing workplace health and safety incidents, near misses, and hazards within an organization.
See template
See template
AHE Chapter Annual Report Form
PDF template
Annual reporting form for AHE chapter officers to submit organizational details and contact information by January 31st each year.
See template
See template
Out Of State Residential Incident Reporting Form
PDF template
A form for reporting critical incidents to Alaska Department of Health and Social Services agencies involving out-of-state residential care recipients.
See template
See template
Alabama EWIC Vendor Kickoff Meeting
PDF template
Presentation explaining the electronic WIC benefits system for vendors in Alabama, detailing transaction processing and program benefits.
See template
See template
Allied, Therapeutic And Psychology Extender Benefit Application Form For 2024
PDF template
Application form for healthcare benefit coverage under the Retail Medical Scheme's Essential Plus Option for allied, therapeutic, and psychology services.
See template
See template
Accident Coverage Claim Form
PDF template
Insurance claim form for reporting accidental injuries and seeking coverage benefits from American Heritage Life Insurance Company.
See template
See template
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
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
AM 501 11 Vehicle Damage And Malfunction
PDF template
Procedures and responsibilities for reporting and managing vehicle damage, malfunctions, and accidents within an organization.
See template
See template
City Of Waupaca Dental Amalgam Program Annual Report
PDF template
Annual reporting form for dental practices to document amalgam waste management and separator maintenance practices.
See template
See template
Enrollment Change Waiver Group Insurance Form
PDF template
Insurance form for enrolling, changing, or waiving group dental insurance coverage for employees and their dependents.
See template
See template
Hearing Insurance Enrollment Form
PDF template
A comprehensive form for employees to enroll in or modify hearing insurance coverage for themselves and dependents.
See template
See template
Incident And Hazard Report Form
PDF template
A comprehensive form for reporting workplace incidents, injuries, property damage, and potential hazards within the Anglican Diocese of Melbourne.
See template
See template
Animal Incident Report Form
PDF template
A detailed form for reporting animal-related incidents involving bites, scratches, or other exposures to an animal.
See template
See template
Animal Incident Report Form
PDF template
Official form for documenting animal-related incidents involving potential exposure or injury in Volusia County, Florida.
See template
See template
Annual Body And Dash Cam Compliance Survey
PDF template
Annual survey documenting police department's body-worn and dashboard camera equipment, staffing, and policy compliance
See template
See template
Annual 4 H Club Inventory Form
PDF template
A form for documenting and tracking assets and inventory items for a 4-H Club to be submitted to the Extension Office annually.
See template
See template
Carl Moyer AndOr FARMER Funding Agreement Annual Report
PDF template
Annual reporting form for tracking equipment usage and status under Carl Moyer or FARMER funding agreements.
See template
See template
Annual Report Proposition 1B Truck Replacement
PDF template
Annual reporting form for truck fleet operators participating in a vehicle replacement incentive program with air pollution control requirements.
See template
See template
NPDES Small MS4 General Permit (ARR040000) Annual Reporting Form
PDF template
Annual reporting form for municipal stormwater permit compliance and water quality management.
See template
See template
Annual Reporting Instructions
PDF template
Instructions for completing three essential documents during a curacy program, including reporting forms, skills checklist, and development plan.
See template
See template
CEPH Annual Reports Guidelines
PDF template
Guidelines for submitting annual reports for accreditation monitoring by the Council on Education for Public Health (CEPH)
See template
See template
I.B.E.W. LOCAL UNION 363 MONEY PURCHASE PENSION PLAN Annuity Benefit Application Form
PDF template
A comprehensive form for members of I.B.E.W. Local Union #363 to apply for pension or annuity benefits, collecting personal, marital, and employment information.
See template
See template
Wilmington University Anonymous Incident Report
PDF template
A confidential form for reporting criminal activities, threats, and concerns within the Wilmington University community without revealing the reporter's identity.
See template
See template
Anthem Blue Cross Enrollment Form
PDF template
Comprehensive enrollment form for selecting medical and dental insurance coverage through Anthem Blue Cross for employers and employees.
See template
See template
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
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
MDHS Administrative Policy AP 45
PDF template
Policy establishing a standardized process for reporting significant events within the Mississippi Department of Human Services
See template
See template
APA Bi Annual Report To Administrative Area Supervisor
PDF template
A bi-annual reporting document for administrators to document accomplishments, challenges, projects, and professional development
See template
See template
TITLE V APPLICATION Schedule Of Compliance (FORM 1401 L)
PDF template
A form for listing emission units not in compliance with federal requirements and detailing their compliance correction schedule.
See template
See template
BOATING ACCIDENT REPORT FORM
PDF template
Official form for documenting and reporting boating accidents in California.
See template
See template
Expense Report Procedures
PDF template
Comprehensive procedures for completing and submitting corporate expense reports for Royal American Management, Inc. and affiliated companies.
See template
See template
Incident Report
PDF template
Official form for documenting significant incidents during polo matches, including player misconduct or pony abuse.
See template
See template
Vehicle Incident Report Form
PDF template
A comprehensive form for documenting vehicle-related accidents, injuries, and incident details.
See template
See template
Program Or Facility Complaint Form
PDF template
A form for filing complaints about programs or facilities, allowing individuals to document incident details and proposed resolutions.
See template
See template
Incident Report Form
PDF template
A confidential form for reporting workplace incidents, accidents, near misses, and potential hazards involving staff, volunteers, or contractors.
See template
See template
FMIL POU RAP SOU ZAF ENTN
PDF template
A form for reporting internal incidents or affairs, likely in Haitian Creole language.
See template
See template
INTERNAL AFFAIRS REPORT FORM
PDF template
A form for reporting allegations of misconduct against law enforcement officers, allowing individuals to document incident details and submit complaints.
See template
See template
Appendix E Grant Disbursement And Compliance Form
PDF template
A form for grantees to submit compliance reporting data and documentation to receive grant funds from MEDC.
See template
See template
MPERS Expense Report
PDF template
A detailed form for tracking and reporting travel-related expenses including mileage, transportation, meals, and other incidental costs.
See template
See template
VOLUNTEER INCIDENT REPORT FORM
PDF template
A form for documenting accidents, injuries, dangerous events, or near misses that occur during volunteer work for NightShift.
See template
See template
DO IT Volunteer Application
PDF template
Application and information for volunteer opportunities supporting students with disabilities through various assistance roles.
See template
See template
Rental Application
PDF template
Comprehensive rental application form for housing at Hidden Valley Village, collecting household composition and student status details.
See template
See template
Phased Retirement Application And Reemployment Agreement
PDF template
A voluntary program allowing faculty to transition to half-time employment while beginning retirement benefits and maintaining institutional connection.
See template
See template
APPLICATION FEE WAIVER FORM
PDF template
Form to request waiver of civil service examination application fees for unemployed individuals or those receiving public assistance.
See template
See template
Application For Member Survivor Allowance
PDF template
Form for survivors to apply for allowance benefits under Massachusetts General Laws, Chapter 32, Section 12A, pending approval of accidental death benefits.
See template
See template
Application Form For Extra Increase Single Pensioners
PDF template
A form for single pensioners in the Caribbean Netherlands to apply for an additional pension increase based on specific eligibility criteria.
See template
See template
Pension Application Form
PDF template
Comprehensive form for individuals applying for pension benefits, collecting personal, marital, and employment information.
See template
See template
Service Request Form
PDF template
A form for submitting and tracking information technology service requests within an organization.
See template
See template
STUDENT INCIDENT REPORT FORM
PDF template
A comprehensive form for documenting student incidents, including details of the event, student's account, and additional comments from faculty or preceptors.
See template
See template
How To Apply For An SVF Plan Retirement Benefit Or Survivor Benefit
PDF template
Detailed instructions for volunteer firefighters applying for retirement or survivor benefits through the PERA Statewide Volunteer Firefighter Plan.
See template
See template
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
CITY OF MEDINA HAMEL COMMUNITY BUILDING RENTAL AGREEMENT
PDF template
Rental application and agreement for the Hamel Community Building event venue in Medina, Minnesota.
See template
See template
PARTNERSHIP AGREEMENTS STATE ARTS AGENCIES And REGIONAL ARTS ORGANIZATIONS FINAL DESCRIPTIVE REPORT
PDF template
Comprehensive reporting template for state and regional arts organizations to document grant activities, project locations, and financial details.
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
Status Inquiry Form
PDF template
A form for reporting the status of a bonded construction project, requested by a surety bond producer to track project progress and potential issues.
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
Administrative Regulation 310
PDF template
Establishes policies and procedures for reporting accidents involving Alabama Department of Corrections vehicles and vehicle damage.
See template
See template
Area Committee Expense Report Form
PDF template
A detailed form for tracking and reporting travel, organizational, and miscellaneous expenses for reimbursement.
See template
See template
Isle Of Man Government Accident Report Form
PDF template
Official government form for documenting ship-related accidents, casualties, and incidents with detailed personnel and occurrence information.
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
Student Accident Report Form
PDF template
Comprehensive form documenting details of student accidents and injuries within a school district setting.
See template
See template
Alabama State Port Authority Truck Control Terminal
PDF template
A form for truck drivers to provide required information for delivering cargo at an Alabama port terminal.
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
Pecan First Handler Assessment Form
PDF template
A monthly reporting form for pecan handlers to record commodity purchases and submit assessments to the Georgia Agricultural Commodity Commission for Pecans.
See template
See template
Assessment Submission Form
PDF template
A comprehensive form for documenting academic program assessment results, outcomes, and future planning for academic year 2023-2024.
See template
See template
Assessment Submission Form
PDF template
A form for submitting academic program assessment results, evaluating performance and identifying improvement areas.
See template
See template
A.S.S.I.S.T. Referral Form
PDF template
A comprehensive intake form for collecting client demographic and service referral information for social assistance programs.
See template
See template
Charitable Organization Annual Report Form
PDF template
Official form for charitable organizations to file annual reports with the Minnesota Attorney General's Charities Division as required by state law.
See template
See template
Minnesota Department Of Employment And Economic Development Angel Tax Credit Program Power Of Attorn
PDF template
A form allowing an applicant to appoint a representative for matters related to the Minnesota Angel Tax Credit Program.
See template
See template
Accessible Technology Purchase Form
PDF template
Form for requesting electronic and information technology purchases to ensure accessibility for students and users in academic settings.
See template
See template
COMPLAINT FORM
PDF template
A form for participants to file complaints related to the Commodity Supplemental Food Program (CSFP)
See template
See template
State Of Minnesota Contract
PDF template
A standard contract template used by the State of Minnesota for soliciting and executing contractual agreements with vendors or service providers.
See template
See template
Waiver Service Request Form (DP 1022)
PDF template
A form for requesting changes or new services in a waiver program, to be completed when team concurrence is not achieved.
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
FINAL PERMIT AKG523000 Annual Report
PDF template
Annual reporting form for vessels discharging pollutants to Alaska waters under General Permit AKG523000, tracking seafood processing waste and discharge details.
See template
See template
Fund Eligibility And Membership
PDF template
Document detailing eligibility requirements, enrollment procedures, and membership conditions for a health benefits fund.
See template
See template
EMS Attendance
PDF template
Procedure for tracking event registrant attendance using the Events Management System, including creating sign-in sheets, entering attendance, and viewing attendance reports.
See template
See template
Audit Report
PDF template
A financial audit report form for PTA/PTSA units to document and verify financial records and transactions.
See template
See template
California State PTA Toolkit Audit Report
PDF template
A comprehensive financial audit form for tracking and verifying PTA unit financial records, receipts, and disbursements.
See template
See template
Authorization For The Release Of InformationPrivacy Act Notice
PDF template
A consent form authorizing HUD to verify income, employment, and financial information for housing assistance programs.
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
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
Sample Auxiliary Audit Form Instructions
PDF template
Detailed instructions for completing a financial audit form for Veterans of Foreign Wars (VFW) Auxiliary chapters.
See template
See template
VFW Auxiliary Report Form
PDF template
Annual reporting form for Veterans of Foreign Wars (VFW) Auxiliary detailing program activities, projects, and member participation.
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
OIG 1 156 Incident Report Form Instructions
PDF template
Guidance for filing and completing incident reports for the U.S. Department of Labor's Employment and Training Administration
See template
See template
2022 Annual Academic Assessment Report Form
PDF template
Annual reporting document for academic programs to document assessment activities, student learning outcomes, and institutional competencies at the University of Alaska Anchorage.
See template
See template
Arizona 4 H Accident Incident Report Form
PDF template
A comprehensive form for documenting accidents, incidents, and injuries during University of Arizona Cooperative Extension (UACE) 4-H programs and events.
See template
See template
Az Dps Accident Report Request
PDF template
A document for requesting accident reports from Arizona's Department of Public Safety with details about filing and obtaining crash reports.
See template
See template
General Instruction Manual For Texas Title Insurance Agent Experience Report Submission
PDF template
Comprehensive guide for Texas title insurance companies and agents to submit their annual experience report to the Texas Department of Insurance.
See template
See template
American Federation Of Musicians Report Form
PDF template
Official document for reporting details of music recording sessions, including performer and production information for the American Federation of Musicians.
See template
See template
Departmental Accidents
PDF template
A general order defining procedures for reporting and managing departmental vehicle accidents and collisions for Sheriff's Office personnel.
See template
See template
FORM B 7REV. 3 03 AMERICAN FEDERATION OF MUSICIANS REPORT FORM
PDF template
Official form for documenting music recording sessions for motion pictures, television, and other media productions
See template
See template
Benefit Application Form (BA1)
PDF template
Application form for members of the New Zealand Firefighters Welfare Society to claim benefits and reimbursements.
See template
See template
OP 95 5 02 Backward Deferred Retirement Option Plan (Back DROP)
PDF template
Operational policy detailing the process for Fire and Police Pension Plan members to apply for retirement using the Backward Deferred Retirement Option Plan.
See template
See template
Background Check Consent Form
PDF template
A consent form allowing criminal history record disclosure for a non-profit organization's application process.
See template
See template
Ball Park Damage Report Form
PDF template
A form for documenting and reporting damage to a ball park facility in the Town of Wakefield.
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
BASIC PENSION APPLICATION
PDF template
A comprehensive pension application form for members of the Southern California Pipe Trades Retirement Fund seeking to apply for retirement benefits.
See template
See template
ACHD Bathing Place Incident Report Form
PDF template
A comprehensive form for reporting incidents and injuries at public bathing facilities, including water rescues and medical treatments.
See template
See template
BAT SUBMISSION FORM
PDF template
A form for reporting bat encounters and potential exposure, used by veterinary clinics and animal shelters to notify Public Health about bat specimens.
See template
See template
Incident Report Procedure
PDF template
A comprehensive procedure for managing and reporting incidents involving Best Buddies members, volunteers, and staff, focusing on safety and proper response protocols.
See template
See template
Sport Injury Accident Report Form
PDF template
A comprehensive form for documenting sports-related injuries or accidents during an event, capturing details about the injured person and medical response.
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
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
Bridge Construction Records Procedures Manual
PDF template
A manual detailing procedures for reporting and investigating incidents in bridge construction work, including definitions of incidents, accidents, and near-misses.
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
Law Enforcement Guide For Reporting Drivers To WI DMV
PDF template
A guide for law enforcement professionals to report potentially unsafe drivers to the Wisconsin Department of Motor Vehicles for medical review.
See template
See template
BE 11 Claim For Not Filing
PDF template
Mandatory confidential form for reporting exemption status for annual survey of U.S. direct investment abroad.
See template
See template
BE 13 Claim For Exemption
PDF template
Survey collecting data on foreign investors' acquisition or establishment of U.S. business enterprises and their expansions.
See template
See template
Bellin College Incident Report Form
PDF template
A form used to document and report incidents occurring at Bellin College, capturing details about the event, involved parties, and actions taken.
See template
See template
BENEFIT APPLICATION FORM
PDF template
Application form for pension fund withdrawal with personal and employment details
See template
See template
Benefit Application Form
PDF template
A form for youth members of the Sipekne'katik First Nation to apply for benefits from their trust.
See template
See template
Direct Deposit Form
PDF template
Form for employees to set up direct deposit for benefits reimbursements with bank account details and authorization.
See template
See template
M NCPPC BENEFITS ENROLLMENTCHANGE FORM
PDF template
Form for employees to enroll or change benefits, covering medical, dental, and prescription plans for new hires or those experiencing qualifying life events.
See template
See template
Benefits Billing Form
PDF template
A form for employees to elect benefits continuation options during FMLA or general leave of absence
See template
See template
Benefits Cancellation Form
PDF template
Form used to remove dependents from an employee's benefits plan and modify coverage options.
See template
See template
Benefits Cancellation Form
PDF template
Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
See template
See template
Dental Insurance Plan
PDF template
Insurance plan detailing dental coverage eligibility for employees and their dependents at the University of Nebraska.
See template
See template
Benefits Enrollment Form
PDF template
A comprehensive form for employees to select and enroll in medical, dental, and optional insurance benefits
See template
See template
ENERGY BENEFIT TRANSFER REQUEST FORM
PDF template
A form for transferring energy benefits between utility vendors and documenting account changes.
See template
See template
Berger Book Bag Grant Application Form
PDF template
Financial assistance grant for Moraine Park Technical College students to help purchase required books and academic supplies.
See template
See template
Inn Membership Survey
PDF template
A comprehensive survey evaluating membership experience, leadership, meetings, and mentoring within a professional legal organization.
See template
See template
Benefits 2 Work Enrollment Form
PDF template
A comprehensive form for San Francisco residents seeking employment benefits and counseling, particularly targeting seniors, disabled individuals, and those with limited employment prospects.
See template
See template
Post DocTrainee Billing Form
PDF template
A form for managing billing and payment details for post-doctoral trainees and their associated departments at the University of Utah.
See template
See template
H.R. 7772
PDF template
A bill to restrict federal assistance benefits to individuals who can be verified as United States citizens.
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
UH IBC Biological Laboratory Incident Report Form
PDF template
A comprehensive form for reporting biological incidents, injuries, or near misses in a laboratory setting, requiring documentation within 24 hours.
See template
See template
Accident Report Form
PDF template
Comprehensive form documenting details of a workplace accident, injury specifics, and follow-up actions.
See template
See template
Domestic Vs Wild Mammal Incident Report Form
PDF template
Form for reporting domestic and wild mammal interactions, primarily used to track potential rabies exposure incidents in Los Angeles County.
See template
See template
SafeLink Lifeline Assistance Application
PDF template
Application for low-income individuals to receive free or discounted wireless phone service through government assistance programs
See template
See template
Health Savings Account (HSA) Payroll Deduction Form
PDF template
Form for employees to authorize automatic payroll deductions into their health savings account (HSA)
See template
See template
Blood Body Fluid Exposure Report
PDF template
A form documenting blood or body fluid exposure incidents for students, tracking medical testing and follow-up procedures.
See template
See template
Incident Report Form
PDF template
A comprehensive form for reporting various types of incidents, accidents, or unsafe conditions on campus.
See template
See template
Classical Premiere Report Form
PDF template
A form for reporting new classical music performances and premieres to BMI for documentation purposes.
See template
See template
Reporting A Boating Accident
PDF template
Instructions for reporting boating accidents in Virginia, including when and how to file a report with the Department of Wildlife Resources.
See template
See template
HAZING REPORT FORM FOR ORGANIZATIONS
PDF template
Standardized form for reporting hazing incidents involving organizations affiliated with postsecondary institutions, as required by Act 382 of 2019.
See template
See template
Unemployment Insurance Benefit Payment Guidance
PDF template
Instructions for employers on preventing improper unemployment insurance benefit payments and reducing potential tax impacts.
See template
See template
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
Building Incident Report Form
PDF template
A form used to record and track building-related issues and incidents, maintaining a comprehensive log of problems and actions taken.
See template
See template
Bullying, Harassment And Inappropriate Behavior Report Form
PDF template
A confidential form for reporting incidents of bullying, harassment, or inappropriate behavior at Chrysalis Charter School.
See template
See template
Bullying Incident Report Form
PDF template
A comprehensive form to document and report instances of bullying in a school setting.
See template
See template
DeKalb County School District BullyingHarassmentHazing Report Form
PDF template
A comprehensive form for reporting incidents of bullying, harassment, or hazing within the DeKalb County School District.
See template
See template
Form SSA 634 Request For Change In Overpayment Recovery Rate
PDF template
A form for individuals to request adjustment of Social Security overpayment recovery based on financial hardship and inability to meet necessary living expenses.
See template
See template
Data Processing Agreement Whistleblowing System
PDF template
Agreement governing the data processing and privacy requirements for a digital whistleblowing system provided by Compliance.One GmbH.
See template
See template
Charitable Organization Initial Registration Form
PDF template
Form for registering charitable organizations in Minnesota, detailing filing requirements and guidelines for solicitation of contributions.
See template
See template
AccidentIncident Investigation Recording Policy
PDF template
A comprehensive policy for recording, investigating, and reporting accidents, incidents, and near misses within an educational trust.
See template
See template
Opinion Of Trustees ROD Case No. CA 0097
PDF template
A legal opinion addressing a dispute over prescription pre-authorization requirements for Viagra benefits under the Coal Industry Retiree Benefit Act.
See template
See template
Accident Report Form
PDF template
A form for collecting comprehensive details about a vehicle accident for insurance claim purposes.
See template
See template
Special Power Of Attorney
PDF template
A legal document allowing individuals to designate representatives for retirement-related decisions within CalPERS, LRS, and JRS systems.
See template
See template
AccidentIncident Reporting Form
PDF template
A comprehensive form for documenting accidents and incidents involving coaches, fencers, and members of the public during fencing activities.
See template
See template
Campaign Report Form
PDF template
A comprehensive form for tracking and reporting organizational campaign contributions, donations, and fundraising activities.
See template
See template
Camp Scholarship Request Form
PDF template
A scholarship request form for Jewish children to attend residential summer camps in south central Kansas.
See template
See template
Self Evaluation Report Feedback Form
PDF template
A form for providing feedback on Mount San Antonio College's draft self-evaluation report for accreditation purposes.
See template
See template
Safety ConcernsHazard Report Form
PDF template
A form for reporting and tracking safety hazards or concerns within a university campus environment.
See template
See template
SAFETY CONCERNSHAZARD REPORT FORM
PDF template
A form for reporting safety concerns and potential hazards on campus by faculty, staff, or students.
See template
See template
Vehicle Accident Report
PDF template
A comprehensive form for documenting details of a vehicle accident involving university personnel or on university property.
See template
See template
Campus Security Authority Crime Report Form
PDF template
A form for reporting crimes on campus by designated campus security authorities to track and document potential criminal incidents.
See template
See template
Canada Manitoba Housing Benefit Homelessness Stream Application
PDF template
Application for financial housing support for individuals at risk of or experiencing homelessness in Manitoba.
See template
See template
Request To Cancel Coverage Form
PDF template
A form detailing reasons and documentation required for canceling health insurance coverage with specific qualifying events.
See template
See template
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
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
CareASSIST Enrollment Form
PDF template
Enrollment form for patient support program offering personalized assistance for specific Sanofi medications and related support services.
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
Cash Incident Report
PDF template
A form used to document and report cash discrepancies in financial transactions at an organization.
See template
See template
CATCH A Serial Offender Program Sample Form
PDF template
A confidential form for adult sexual assault victims to provide information about a suspected serial offender in the Department of Defense.
See template
See template
Patient Medical Information Form
PDF template
Comprehensive medical intake and tracking form for patient demographics, facility details, and medical specimen information.
See template
See template
Community Benefit Application Form
PDF template
An annual application process for community facilities and small businesses to receive support for community development projects from Sennit Construction.
See template
See template
CarerS Credit Application Form
PDF template
An application form for individuals providing care to claim Carer's Credit, a National Insurance credit for carers.
See template
See template
Backflow Incident Report Form
PDF template
A form for reporting water system backflow incidents, detailing contamination sources, effects, and corrective actions.
See template
See template
Backflow Incident Report Form
PDF template
A form for reporting water supply contamination incidents involving backflow, used to document details of potential water quality hazards.
See template
See template
Authorization To Disclose Application Assistance Information To Authorized Individuals
PDF template
A form allowing patients to authorize specific individuals to access their healthcare application assistance information.
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
Accident Report
PDF template
A comprehensive form for documenting accidental injuries, incidents, and near misses in educational or work settings.
See template
See template
HAZARD REPORT FORM
PDF template
A comprehensive form for reporting potential workplace hazards and assessing risk levels in an organizational setting.
See template
See template
City Of Kalamazoo CDBG CV Program APPLICATION
PDF template
Application for Community Development Block Grant - Coronavirus (CDBG-CV) funding to support various assistance activities in Kalamazoo.
See template
See template
APPLICATION FOR DISABILITY BENEFIT
PDF template
Application form for disability benefits from the Central States, Southeast and Southwest Areas Pension Fund for eligible participants.
See template
See template
Central States Pension Fund Retirement Declaration
PDF template
A document for declaring retirement date, employment status, and receiving pension benefits from the Central States Pension Fund.
See template
See template
Housing Rehabilitation Program Application
PDF template
Application form for housing rehabilitation assistance from the Bloomington Housing and Redevelopment Authority.
See template
See template
California Employers Retiree Benefit Trust Sub Account Contribution Form
PDF template
A form for making contributions to multiple California Employers' Retiree Benefit Trust sub-accounts for different employee bargaining units.
See template
See template
CERS Access Request Form
PDF template
Form for providing access to an existing business or organization in the California Environmental Reporting System (CERS) when the Lead User cannot do so.
See template
See template
Certificated Employee Resignation Form
PDF template
A form for certificated employees of Vacaville Unified School District to resign from their position and document retirement benefits election.
See template
See template
Certificate Of Residency Step By Step Instruction Sheet
PDF template
Guidance for students seeking county tuition and fee assistance through a Certificate of Residency in Idaho.
See template
See template
CERTIFICATION AGREEMENT
PDF template
A certification form for veterans and dependents seeking educational benefits through VA programs at Santa Monica College.
See template
See template
CESS IncidentEmergency Management Initial Point Of Contact Form
PDF template
A form used to document initial details of an emergency or incident involving students, faculty, or staff.
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
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
State Of Illinois Department Of Children And Family Services Employment Job Training Apprenticeshi
PDF template
Application for youth to receive employment, job training, or apprenticeship support through the Illinois Department of Children and Family Services
See template
See template
CFTC FORM 40 STATEMENT OF REPORTING TRADER
PDF template
Official form for reporting large trader positions in futures and options markets to the CFTC for market surveillance purposes.
See template
See template
CGMA Form 2 Special Needs Grant
PDF template
A form for Coast Guard members to apply for special needs financial assistance, collecting client and applicant information for potential grant support.
See template
See template
WV Income Maintenance Manual Chapter 2
PDF template
Guidelines for reporting changes and maintaining SNAP (Supplemental Nutrition Assistance Program) case eligibility in West Virginia.
See template
See template
Accident Investigation Appendix C Resources
PDF template
Guide for reporting and documenting workplace accidents, incidents, and injuries at Portland Community College
See template
See template
Change Direct Deposit
PDF template
Instructions for changing direct deposit payment method by completing and uploading a form to the Benefits Portal.
See template
See template
STANDARD CHANGE FORM
PDF template
A form used for updating employee payroll information, deductions, and status for existing employees or new hires.
See template
See template
Change Of Address Form
PDF template
Form for updating personal contact information for 1199SEIU Benefit Funds members.
See template
See template
NEW ADDRESS CHECKLIST (ACTIVE RETIRED)
PDF template
Guide for active and retired members of the Uniformed Firefighters Association to update their contact information and address.
See template
See template
Change Of Circumstances (HCVP ApplicantParticipant)
PDF template
Form for reporting changes in income, assets, household members, or status for housing assistance program participants.
See template
See template
VA Form 22 1990 Application For VA Education Benefits
PDF template
Official application form for veterans seeking educational assistance benefits through VA programs like Montgomery GI Bill.
See template
See template
2024 FSA Enrollment Form
PDF template
Annual enrollment form for flexible spending accounts covering healthcare, limited healthcare, and dependent daycare expenses for the 2024 plan year.
See template
See template
NonprofitCharity Complaint Form
PDF template
A formal complaint form for individuals to report issues with nonprofit or charitable organizations in Minnesota
See template
See template
Charter License Agreement
PDF template
A licensing document for charter boat operators using Port of Newport recreational marina facilities, detailing vessel and operator information.
See template
See template
Retirement Checklist
PDF template
Comprehensive checklist for teachers preparing to retire, detailing required documentation and steps to complete before retirement.
See template
See template
Checklist To Enroll In Retiree Health Insurance
PDF template
Step-by-step instructions for Dutchess County employees enrolling in retiree health insurance and Medicare
See template
See template
CHEM 3000 Undergraduate Research Grade Report Form
PDF template
A form for documenting undergraduate research project details and final grade for a chemistry research course.
See template
See template
CHEM 4300 Senior Research Grade Report Form
PDF template
A formal document for submitting and grading a senior research project in a chemistry course.
See template
See template
CHFA Form 375 Guide To CHFA Down Payment Assistance (DPA) Second Mortgage Loan Deferred Payment (Bal
PDF template
Guide for completing loan estimates and closing disclosures for CHFA Down Payment Assistance Second Mortgage Loans, providing lender instructions and disclosure guidance.
See template
See template
COPERS Change Of Address Form
PDF template
A form for retired city employees to update their contact information with the City of Phoenix Employees' Retirement System.
See template
See template
Child Abuse Or Neglect Report Form
PDF template
Official form for reporting suspected child abuse or neglect within the University of Alabama System, to be submitted to campus police.
See template
See template
Childcare Aggregate Report Form
PDF template
A comprehensive form for childcare centers to report immunization records for children not stored in digital systems.
See template
See template
Academic Student Employee (ASE) And Graduate Student Researcher (GSR) Childcare Reimbursement
PDF template
Form for UAW-represented student employees to request reimbursement of eligible childcare expenses at the University of California.
See template
See template
Chronic Illness Benefit Application Form
PDF template
An application form for patients seeking chronic illness benefits through the Glencore Medical Scheme, detailing submission requirements and contact information.
See template
See template
Student Loan Repayment Program
PDF template
Official instruction establishing Coast Guard policy for student loan repayment benefits for civilian employees.
See template
See template
Countermeasures Injury Compensation Program Request For Benefits Form
PDF template
Form for individuals seeking medical and employment benefits after experiencing a serious injury from a covered countermeasure such as vaccines or medical equipment.
See template
See template
Enrollment Change Form (Consolidated)
PDF template
A comprehensive form for employees to enroll or change health insurance and related benefits with multiple coverage options.
See template
See template
CIMERLI Solutions Enrollment Form
PDF template
Comprehensive enrollment form for healthcare services, insurance verification, and patient assistance programs offered by CIMERLI Solutions
See template
See template
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
Lowell Police Department Citizen Complaint Form
PDF template
A form for citizens to file a formal complaint against law enforcement officers, documenting incident details and complainant information.
See template
See template
CITIZEN COMPLAINT FORM
PDF template
A government form for citizens to report various property and neighborhood issues to local authorities.
See template
See template
Augusta University Police Department Citizen Complaint Form
PDF template
A formal document for citizens to file complaints against police officers or university police department employees
See template
See template
Citizen Complaint Illicit Discharge Reporting Form
PDF template
A citizen-submitted form to report and document potential environmental contamination or unauthorized water discharge incidents.
See template
See template
Citizen Vehicle Contact Form
PDF template
A form for citizens to report vehicle-related incidents to the General Services Agency Fleet Services Department.
See template
See template
Waiver Of Service Of Summons
PDF template
Legal document allowing a defendant to waive formal service of court summons to reduce legal processing costs.
See template
See template
Civil Rights Diversity Complaint Form
PDF template
A form for reporting civil rights violations and diversity-related complaints by members of the public or employees.
See template
See template
Military Connected New Student Checklist
PDF template
A comprehensive guide for military-connected students transitioning to Northern Arizona University (NAU), covering benefit applications and campus resources.
See template
See template
Virginia Workers Compensation Commission Claim Form
PDF template
Official form for filing a workers' compensation claim in Virginia, documenting workplace injury details and requesting benefits.
See template
See template
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
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
Federal Reserve Bank Financial Disclosure Report (Form A)
PDF template
A financial disclosure report for a Federal Reserve Bank employee detailing personal financial information and ethics compliance.
See template
See template
Clery Act Student Travel Form
PDF template
A form for University of New Haven faculty and staff to report travel program details for Clery Act compliance.
See template
See template
Clery Act Student Travel Form
PDF template
A form for documenting student travel details and lodging information for ISU-sponsored overnight trips in compliance with the Clery Act.
See template
See template
Clery Act Student Overnight Travel Form
PDF template
A documentation form for reporting college-related overnight student travel activities in compliance with the Clery Act
See template
See template
Client Grievance Report Form
PDF template
A form for clients to report grievances or complaints about program services and interactions with program members.
See template
See template
Patient Intake Form
PDF template
Comprehensive intake form for cancer patients seeking medical and support services, collecting personal, medical, and assistance request information.
See template
See template
Account Holder Authorization And Consent Form
PDF template
A consent form allowing the Department of Community Services and Development to share utility account information for energy assistance program evaluation.
See template
See template
Clinical Incident Report Form 4.3
PDF template
A form documenting details of a clinical incident, including injury, location, witnesses, and actions taken.
See template
See template
Anglican Diocese Of Canberra Goulburn Incident Report Form
PDF template
A comprehensive form for reporting incidents, injuries, property damage, and potential hazards within the Anglican Diocese of Canberra & Goulburn.
See template
See template
Clock Hour Approval Application Form
PDF template
A form for educators to request and receive approval for professional development clock hours as required by Minnesota Administrative Rules.
See template
See template
4 H Annual Financial Statement Jackson
PDF template
A comprehensive financial reporting form for 4-H clubs to document annual income, expenses, and account activity.
See template
See template
Nationwide Incident Report Form
PDF template
A document used to record details of an incident, including personal information, location, and incident type.
See template
See template
Civilian Marksmanship Program Excellence In Competition Match Report Form
PDF template
Form for reporting details of Excellence-in-Competition shooting matches, including competitor information, entry fees, and match circumstances.
See template
See template
Congressionally Mandated Reports Submission Form Field Definitions
PDF template
A comprehensive document detailing field definitions and submission requirements for reports mandated by Congress to be submitted to GPO.
See template
See template
HEALTH INSURANCE CLAIM FORM
PDF template
Standard medical insurance form for submitting healthcare claims and patient information for reimbursement purposes.
See template
See template
Health Insurance Claim Form
PDF template
Official form for submitting medical insurance claims and capturing patient and insured party information.
See template
See template
Medicare Redetermination Request Form 1st Level Of Appeal
PDF template
Official form for Medicare beneficiaries to request a first-level appeal of a Medicare claim determination.
See template
See template
Medicare Reconsideration Request Form 2nd Level Of Appeal
PDF template
A form for Medicare beneficiaries or providers to request a second-level appeal of a Medicare claim determination.
See template
See template
Privacy Impact Assessment Benefits Coordination And Recovery Center
PDF template
Privacy impact assessment documenting the data collection and processing system for Medicare benefits coordination and recovery processes.
See template
See template
CMSP 215 Supplemental Application
PDF template
Application form for individuals seeking medical services coverage through the County Medical Services Program with rights and responsibilities outlined.
See template
See template
CMS REPORTS REQUEST FORM
PDF template
Form for financial institutions to request reports from the Federal Reserve regarding collateral holdings and transactions.
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
CNSC Incident Hazard Report Form.Docx
PDF template
A form for reporting incidents, accidents, or safety concerns to the Castlegar Nordic Ski Club.
See template
See template
College Of Education And Health Professions ACCIDENTINCIDENT REPORT
PDF template
A comprehensive form for documenting accidents, injuries, and incidents within the College of Education and Health Professions.
See template
See template
College Of Education And Health Professions Incident Report Form
PDF template
A standardized form for documenting and reporting incidents within an educational or health professional setting.
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
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
CommendationCommunity Feedback Form
PDF template
A form for reporting commendations or feedback about a peace officer, with details about the incident and parties involved.
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
FM 11 ACT 101 Recycling Compliance Report
PDF template
A form for commercial, municipal, and institutional establishments in Pennsylvania to report recycling compliance and performance metrics.
See template
See template
Committee Report Form
PDF template
A form for faculty committees to document and submit reports to the Faculty Senate Executive Committee.
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
APPLICATION FOR COMMERCIAL OPERATIONS LICENSE
PDF template
Application form for obtaining or renewing a commercial aviation operations license from the Minnesota Department of Transportation Office of Aeronautics
See template
See template
Communicable Disease Report For Healthcare Providers
PDF template
A comprehensive medical reporting form for healthcare providers to document communicable disease cases in Arizona.
See template
See template
Compatriot Death Report Form
PDF template
A form used to report the death of members in a society or organization, with space for multiple death reports.
See template
See template
Citizen Complaint Form Confidential
PDF template
Official form for citizens to file complaints about county, city government, public schools, or special districts with the Sonoma County Civil Grand Jury.
See template
See template
City Of Shady Cove Complaint Form
PDF template
Official form for citizens to report potential violations or issues within the City of Shady Cove municipal jurisdiction.
See template
See template
Complaint Report
PDF template
A form for submitting complaints to the local health department, allowing individuals to report health or nuisance-related issues.
See template
See template
Incident Report Form
PDF template
A form for documenting student incidents at Northeastern State University with details about the event, individuals involved, and desired outcomes.
See template
See template
Complaint Form
PDF template
A form for residents to report potential code violations in the Matanuska-Susitna Borough area of Alaska.
See template
See template
USDA Foods Complaint Form
PDF template
A form for reporting issues and complaints related to USDA food products, including details about the product, problem description, and documentation requirements.
See template
See template
Complaint Form For Reporting Sexual Harassment
PDF template
A standardized form for reporting sexual harassment incidents in the workplace, compliant with New York State Labor Law.
See template
See template
Complaint Report Form
PDF template
Form for reporting patient complaints and potential protected health information disclosure at UW-Milwaukee
See template
See template
Complementarity Completed Project Form
PDF template
A form for documenting and submitting details about a completed project for organizational record-keeping and knowledge sharing.
See template
See template
EEOC Component 2 EEO 1 Online Filing System Sample Form
PDF template
A sample form for employers with 100 or more employees to report compensation data by race, ethnicity, gender, and job category.
See template
See template
Creating Reports
PDF template
Comprehensive guide for creating expense reports, detailing expense types, naming conventions, and documentation requirements for travel and local expenses.
See template
See template
Concussion Incident Form
PDF template
A form for documenting and reporting concussion-related incidents in sports, specifically for Ringette Canada.
See template
See template
Conference And Travel Stipend Expense Report
PDF template
Form for scholars to report and document conference and travel expenses funded by the Cooke Foundation.
See template
See template
Susquehanna Conference Incident Investigation Report
PDF template
A comprehensive form for documenting workplace incidents, injuries, and safety investigations within the Susquehanna Conference.
See template
See template
CONFIDENTIALSUPERVISORY EMPLOYEES ABSENCE REPORT FORM
PDF template
A form for reporting employee absences, specifically detailing bereavement leave policies for supervisory employees.
See template
See template
Public Meeting Minutes
PDF template
Minutes documenting a public meeting for a school district board discussing financial and operational matters.
See template
See template
Congressional Visit Report Form
PDF template
A form for documenting meetings between occupational therapy professionals and members of Congress, capturing key discussion details and follow-up needs.
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
Consumer Assistance Request Form
PDF template
A form for consumers to report complaints and seek assistance from the Minnesota Attorney General's Office regarding various consumer issues.
See template
See template
Federal RetireeS Master Contact List
PDF template
Comprehensive contact list for federal retirees to manage benefits, services, and important resources.
See template
See template
CONTACT REPORT FORM
PDF template
A form for documenting concerns, interactions, or issues related to a student's academic or personal situation.
See template
See template
Environmental Health And Safety Contractor Incident Report
PDF template
A comprehensive form documenting workplace incidents, injuries, and safety-related events for contractors.
See template
See template
Sales Tax Fact Sheet 128 Contractors
PDF template
A Minnesota state revenue document explaining sales and use tax obligations for contractors and subcontractors working on real property.
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
CONTRIBUTORY PENSIONGRATUITY APPLICATION FORM
PDF template
An official form for individuals applying for contributory pension benefits in Bermuda, to be submitted within 13 weeks of eligibility.
See template
See template
Request For Group Life Conversion Materials
PDF template
Form for obtaining individual life insurance policy after group coverage cessation or reduction
See template
See template
ING Premier Disability Cancellation Form
PDF template
A form for employees to cancel their ING Premier Short Term Disability insurance policy and associated payroll premium deduction.
See template
See template
Request For Accident Report Form
PDF template
A form for requesting a copy of an accident report from the Eastchester Police Department with required privacy act certification.
See template
See template
CORRECTIONAMENDMENT AFFIDAVIT FOR CANDIDATEOFFICEHOLDER
PDF template
Official form for correcting or amending previously filed candidate or officeholder reports with legal affirmation.
See template
See template
Corn Assessment Form
PDF template
Quarterly reporting form for corn dealers to track and remit corn assessments based on market value and total bushels sold.
See template
See template
Corn Assessment Form
PDF template
A monthly reporting form for corn handlers and processors to report bushel purchases and pay assessment fees to the Georgia Agricultural Commodity Commission for Corn.
See template
See template
COVID 19 Incident Report Form
PDF template
A form to document and track potential COVID-19 exposure and incidents among employees.
See template
See template
Change Of Status Form (Household Composition)
PDF template
A form for reporting changes in household composition for housing assistance, including adding or removing household members.
See template
See template
Court Reporter Refund Request Form
PDF template
A legal form for attorneys to request court reporter services or request a refund for previously paid court reporting services.
See template
See template
Things To Think About From A Benefits Perspective During The COVID 19 Pandemic
PDF template
A document outlining COVID-19 test reimbursement, free test kit options, and virtual care services for MUSC Health Plan members.
See template
See template
COVID 19 Employee Report Form
PDF template
A form for employees to report COVID-19 positive tests or symptoms, used by Wichita State University for tracking and workplace safety purposes.
See template
See template
COVID 19 Outbreak Report Form
PDF template
A form for reporting probable COVID-19 cases and outbreaks in facilities and businesses, detailing clinical criteria and outbreak resolution definitions.
See template
See template
Request For COVID 19 Employer Paid Leave Of Absence
PDF template
A form for employees to request paid leave related to COVID-19 circumstances including personal illness, vaccination, or childcare needs.
See template
See template
Illinois Traffic Crash Report SR 1050 C
PDF template
Official form for documenting motor vehicle traffic crashes in Illinois, used by law enforcement to record accident details and classifications.
See template
See template
CPJ Emergencies Risk Assessment Template
PDF template
A comprehensive risk assessment template for journalists to evaluate potential safety risks and develop mitigation strategies for reporting assignments.
See template
See template
Committee For Respectful Behavior Incident Report Form
PDF template
A confidential form for reporting allegations of disrespectful behavior within the Town of Ancram's Code of Conduct.
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
Consumer Reporting Form Training Manual
PDF template
A comprehensive guide for completing multi-part reporting forms for mental health and substance abuse programs in Delaware.
See template
See template
Consumer Reporting Form Training Manual
PDF template
A training manual for consumer reporting forms used by the Delaware Department of Health and Social Services' Division of Substance Abuse and Mental Health for tracking treatment and client outcomes.
See template
See template
CSA Crime Incident Report Form
PDF template
Official form for reporting criminal incidents by Campus Security Authorities in compliance with the federal Clery Act, used for statistical tracking and safety reporting.
See template
See template
Crime Report Form
PDF template
A comprehensive form detailing definitions and categories of criminal offenses for law enforcement reporting purposes.
See template
See template
Crime Report Form
PDF template
A form for documenting crimes or lack of crime reports within an organization during a specific calendar year.
See template
See template
Report Of Critical Incident
PDF template
Official form for documenting critical incidents within Indiana Department of Correction's Community Corrections Division.
See template
See template
DMMA Critical Incident Form
PDF template
A comprehensive form for documenting and reporting critical incidents involving healthcare members or patients.
See template
See template
Critical Incident Report
PDF template
A comprehensive form for documenting critical incidents in licensed and unlicensed care facilities, tracking various types of incidents and adverse events.
See template
See template
Critical Incident Report
PDF template
A comprehensive form for reporting critical incidents, abuse, and restricted practices in community living service programs.
See template
See template
CRS Funding Report Form
PDF template
A form for reporting on the utilization and outcomes of research funding from CRS.
See template
See template
Accident Report Form
PDF template
A comprehensive form for documenting accidents and injuries occurring on campus recreational facilities and programs.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting safety incidents and accidents on campus or in recreational facilities.
See template
See template
CSA Crime Report Form
PDF template
A form for reporting criminal incidents by Campus Security Authorities in compliance with the Clery Act for campus safety documentation.
See template
See template
Incident Report And Written Statement
PDF template
A form for documenting workplace or campus incidents, including details about the event, parties involved, and witness information.
See template
See template
SHORT TERM DISABILITY CLAIM FORM
PDF template
Form for employees to file a claim for short-term disability benefits, including personal and employment details.
See template
See template
Dependent Care Reimbursement Form
PDF template
Form for submitting out-of-pocket dependent care expenses for reimbursement through Peak1 benefits program.
See template
See template
Van Wert PD Report Request Submission Form
PDF template
A form for requesting a police report for a non-emergency crime incident in Van Wert jurisdiction.
See template
See template
Request Update To PeopleSoft Grants Module Data For Billing Reporting Purposes
PDF template
Internal form for updating grant and project data in the PeopleSoft system for billing and reporting purposes.
See template
See template
Customizing Contribution Forms To Seek Lobbyist Registration Numbers
PDF template
Guidelines for candidates on customizing online contribution forms to identify lobbyist contributions and ensure regulatory compliance.
See template
See template
CVS Caremark Prescription Benefits Guide
PDF template
A guide providing six strategies for saving money and time on prescription medications through CVS Caremark's pharmacy benefits program.
See template
See template
Unemployment Insurance Benefits Referral Form
PDF template
A California state form requiring individuals to apply for Unemployment Insurance Benefits before becoming eligible for CalWORKs.
See template
See template
Private Trust Form
PDF template
A government form for collecting detailed information about private trusts for Centrelink and Veterans' Affairs purposes.
See template
See template
Incident Investigation Reporting Form
PDF template
Detailed form for documenting workplace incidents, including type, category, potential, and root cause analysis.
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
PTA Council Annual Historian Report Form
PDF template
Annual reporting form for California PTA councils to document volunteer hours and organizational activities
See template
See template
Damage Report Form
PDF template
A form for documenting damage to shipping cases, exhibits, and graphic panels during transportation and handling
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
Dam Incident Report Form
PDF template
Official form for reporting incidents at high or intermediate hazard dams to the New York State Department of Environmental Conservation.
See template
See template
Data Request Form
PDF template
A form for requesting data from the Minnesota Department of Natural Resources, allowing individuals to request data inspection or copies.
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
Juror Request For Day Care Reimbursement
PDF template
A form for jurors to request reimbursement for day care expenses incurred during jury service in the Minnesota Judicial System.
See template
See template
Compensation Policy
PDF template
A comprehensive policy outlining compensation principles, employment classifications, and contractor relationship criteria.
See template
See template
DB 450 Notice And Proof Of Claim For Disability Benefits
PDF template
Instructions for filing a disability benefits claim in New York State, detailing submission requirements and process for employees and recently unemployed individuals.
See template
See template
New York State Disability Benefits Rights Statement
PDF template
Informational document outlining disability benefits rights for employees in New York State under Section 229 of the Disability and Paid Family Leave Benefits Law.
See template
See template
ATTENDANCE REPORTING APPRENTICE
PDF template
Administrative regulation detailing attendance tracking procedures for apprentice students, including certificate issuance, instructor verification, and absence reporting.
See template
See template
ATTENDANCE REPORTING APPRENTICE
PDF template
Policy detailing attendance tracking and reporting procedures for apprenticeship programs, including use of attendance certificates and reporting requirements.
See template
See template
DD FORM 2656
PDF template
A military form for establishing retired pay accounts, beneficiary designations, and Survivor Benefit Plan elections for military personnel.
See template
See template
VA Fiduciary Hub Financial Institution Information Form
PDF template
A document for veterans' fiduciaries to establish or update direct deposit and account titling with the Department of Veterans Affairs.
See template
See template
Affidavit To Request Replacement Of SNAP Benefits
PDF template
Form for requesting replacement of SNAP benefits lost due to household misfortune or electronic benefit theft in Oregon.
See template
See template
Claim For Disability Insurance (DI) Benefits
PDF template
Authorization form for releasing medical information to process a disability insurance claim with the California Employment Development Department (EDD).
See template
See template
Incident Investigation Form
PDF template
A comprehensive form for documenting workplace accidents, near misses, personal injuries, and property damage incidents.
See template
See template
Franchise Agreement
PDF template
Official form documenting the agreement between a vehicle manufacturer and a new vehicle dealer for selling specific vehicle makes in Minnesota.
See template
See template
Motor Vehicle Basic Requirements And Information Dealer Guide
PDF template
Comprehensive guide for motor vehicle dealers in Minnesota covering licensing, business regulations, and documentation requirements.
See template
See template
DEATH BENEFIT APPLICATION FORM
PDF template
A form for processing retirement and terminal benefits for deceased retirement savings account (RSA) holders and their next of kin.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission filing by Greenidge Generation Holdings Inc. disclosing current business information
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
2024 Deep Roots Festival VendorExhibitor Application
PDF template
Application for local vendors and exhibitors to participate in an event focused on sustainable farming, local food, and rural Minnesota community
See template
See template
DEFINED BENEFIT PLAN CHANGE OF ADDRESS FORM
PDF template
A form for SERS members to update their mailing address for retirement benefits communication.
See template
See template
Designated Eligible Individual (DEI) Enrollment Form 2024
PDF template
Form for Michigan Tech employees to enroll a non-spouse individual for health coverage under specific eligibility criteria.
See template
See template
Delhi Police Complaint Reference Number Status
PDF template
A document related to tracking and submitting police complaint reference numbers in Delhi, India.
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
UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS PRESTON LEE DENT V. ROBERT A. MCDONALD
PDF template
Legal document detailing an appeal regarding the overpayment of non-service-connected pension benefits and the effective dates of benefit reduction.
See template
See template
ADA Dental Claim Form Instructions
PDF template
Comprehensive instructions for completing the ADA Dental Claim Form, including general instructions, coordination of benefits, and National Provider Identifier requirements.
See template
See template
Delta Dental Of Wisconsin EnrollmentChangeWaiver Form Dental
PDF template
A form for enrolling in, changing, or waiving dental insurance coverage through an employer's group plan with Delta Dental of Wisconsin.
See template
See template
COBRA Dental Insurance EnrollmentWaiver Form
PDF template
A form for employees to enroll in or waive dental insurance coverage, with options for adding or dropping dependent coverage under COBRA.
See template
See template
Dental Insurance EnrollmentWaiver Form
PDF template
A comprehensive form for employees to enroll or waive dental insurance coverage, including personal and dependent information.
See template
See template
Employee Enrollment Form
PDF template
Comprehensive form for employee insurance enrollment with personal information and coverage details.
See template
See template
Dental Insurance EnrollmentChange Form
PDF template
A form for employees to enroll in or modify dental insurance coverage, including dependent information and policy details.
See template
See template
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
Provider Agreement Form
PDF template
Legal agreement for healthcare providers to participate in a dental assistance program for transplant candidates/recipients.
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
LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request various types of leave, including medical, personal, and family leave.
See template
See template
LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request various types of leave, including medical, personal, and family leave.
See template
See template
Health Insurance Enrollment Form
PDF template
A comprehensive form for active employees to enroll in health insurance plans, select medical providers, and manage flexible spending accounts.
See template
See template
DependantS Pension Application Form
PDF template
A form for Nestl European Pension Fund members to nominate a financial dependent to receive pension benefits in the event of the member's death.
See template
See template
DEPENDENT CHILD CERTIFICATION
PDF template
Form for certifying dependent child eligibility for Texas Employees Group Benefits Program, with multiple certification options based on child relationship and tax claiming status.
See template
See template
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
Burial Billing Form
PDF template
Application for financial assistance with funeral and burial expenses for indigent individuals in West Virginia.
See template
See template
City Of Chicago Budget Form Instructions
PDF template
Instructions for completing the City of Chicago's standard budget form, including guidance on capturing agency and budget information.
See template
See template
DHA Form 131, TRICARE Prime Travel BenefitCombat Related Disability Travel Patient Information Works
PDF template
Form for documenting specialty care and non-medical attendant travel requirements for TRICARE Prime enrollees.
See template
See template
DHR Office Of Licensing And Monitoring Incident Reporting Form
PDF template
A comprehensive form for reporting incidents involving youth in placement programs, staff, and foster parents under the Maryland Department of Human Resources.
See template
See template
DHS 1640 Report Form For Suspected Abuse And Neglect Of Vulnerable Adults
PDF template
Confidential form for reporting suspected abuse, neglect, or exploitation of vulnerable adults in Hawaii.
See template
See template
Incident Report Form
PDF template
A comprehensive form for reporting critical incidents involving clients, staff, or other parties within a Department of Human Services (DHS) context.
See template
See template
DHS 2240 Change Report
PDF template
A form used to report changes in household composition, income, and other key life events within 10 days of occurrence.
See template
See template
UDENYCA Solutions Enrollment Form
PDF template
Enrollment form for patients seeking information about UDENYCA medication and insurance verification services.
See template
See template
Veterans Certification Request (VCR)
PDF template
A form for veterans and military-affiliated students to request educational benefits and certification at Southeastern Louisiana University
See template
See template
Direct Deposit Agreement Form
PDF template
A form for setting up direct deposit of housing assistance payments with Cambridge Housing Authority.
See template
See template
Direct Deposit Authorization Manual Claim Reimbursement
PDF template
A form allowing employees to authorize direct deposit of claim reimbursements into a checking or savings account.
See template
See template
Form 61 (Rev July 2021) UNITED ASSOCIATION NATIONAL PENSION FUND DIRECT DEPOSIT AUTHORIZATION FORM
PDF template
Form for authorizing direct deposit of pension fund benefits and providing bank account details for benefit payments.
See template
See template
Direct Deposit Authorization Form
PDF template
Form for authorizing direct deposit of retirement benefits for Alameda County Employees' Retirement Association members.
See template
See template
ACHform 2022
PDF template
A form for pension plan members to set up or modify direct deposit banking information for retirement benefits.
See template
See template
DIS 101C V7 EMPLOYEE STATEMENT DISABILITY CLAIM FORM
PDF template
A comprehensive form for employees to file a disability claim for short-term or long-term disability benefits.
See template
See template
Disability Allowance To Service Retirement Application
PDF template
A form for CalSTRS members transitioning from disability allowance to service retirement, providing instructions for benefit conversion.
See template
See template
Disability Benefit Application Form
PDF template
Official government form for applying for disability benefits in Bermuda, detailing eligibility requirements for contributory and non-contributory disability benefits.
See template
See template
PSOB Disability Benefits Program Checklist
PDF template
A comprehensive checklist for filing disability claims for public safety officers with the U.S. Department of Justice's PSOB Office.
See template
See template
SUPPLEMENTAL DISABILITY CLAIM FORM
PDF template
Claim form for submitting a disability benefit request for IUOE Local 132 Health and Welfare Fund participants
See template
See template
Group Disability Claim Filing Instructions
PDF template
Instructions for filing a disability insurance claim with American Fidelity Assurance Company, detailing the required steps and documentation.
See template
See template
DISABILITY HEALTH WELFARE HOURS CLAIM FORM
PDF template
A form for participants to claim disability hours and benefits through the Southwest Carpenters Health & Welfare Trust
See template
See template
Disability Coverage Claim Form
PDF template
Insurance claim form for filing a disability coverage claim with American Heritage Life Insurance Company.
See template
See template
Disability Claim Form
PDF template
A comprehensive form for submitting a disability insurance claim, detailing the policyholder's medical condition and disability status.
See template
See template
Delta Pilots Mutual Aid Disability Claim Form
PDF template
Disability claim form for Delta pilots to request benefits and authorize medical information release and payment processing.
See template
See template
Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a claim for short-term disability benefits, requiring input from the employee, employer, and attending physician.
See template
See template
Disability Claim Form Instructions
PDF template
Comprehensive instructions for filing a disability insurance claim with sections for physician, claimant, and employer statements.
See template
See template
New York State NOTICE AND PROOF OF CLAIM FOR DISABILITY BENEFITS
PDF template
Official New York State form for filing a disability benefits claim, to be used by employees who became disabled while employed or within four weeks of employment termination.
See template
See template
MetLife Disability Insurance Guide
PDF template
A comprehensive guide for reporting disability claims and absence procedures through MetLife insurance.
See template
See template
Disability Claim Form
PDF template
A comprehensive form for filing a disability claim with the Teamsters Joint Council No. 83 of Virginia Health & Welfare and Pension Funds.
See template
See template
Short Term Disability Reporting Form
PDF template
A reporting form for employees to document short-term disability leave and absence from work due to illness or non-work related injury.
See template
See template
Supplementary Disability Claim Form
PDF template
A form used to submit disability claims, requiring details from both the claimant and attending physician about an employee's inability to work.
See template
See template
Disability Support Pension Application Form
PDF template
A comprehensive form for individuals seeking financial support due to disability, covering eligibility, evidence requirements, and application process.
See template
See template
SI 11268 Your Disability Benefit Claim
PDF template
Application packet for submitting a long-term disability benefits claim, including instructions for completing required forms.
See template
See template
How To File A Claim For Weekly Disability Benefits
PDF template
Comprehensive guide for filing a disability benefits claim, including required documentation and medical certification requirements.
See template
See template
Discharge Report Form Instructions
PDF template
Instructions for reporting oil spills, hazardous substance releases, and environmental contamination incidents to appropriate authorities.
See template
See template
Disciplinary Action And Risk Management Report Form
PDF template
A form for reporting additions, deletions, and corrections related to disciplinary actions in youth soccer organizations.
See template
See template
License Disciplinary Action Form
PDF template
Official form for reporting license disciplinary actions for psychology professionals in California
See template
See template
Discipline Referral Form
PDF template
A form for judicial officers or court staff to report attorney misconduct or violations of Professional Conduct Rules.
See template
See template
Discrimination Complaint Form
PDF template
A form for reporting alleged discrimination incidents involving SANDAG, allowing individuals to document discriminatory experiences and file a formal complaint.
See template
See template
Complaint Form DiscriminationHarassmentSexual Misconduct
PDF template
A form for reporting incidents of discrimination, harassment, or sexual misconduct at a college institution with guidance on confidentiality and reporting options.
See template
See template
APPENDIX 15 DIVING INCIDENT REPORT FORM
PDF template
A comprehensive form for reporting diving-related accidents, injuries, and incidents with detailed documentation requirements.
See template
See template
Retirement Scheme Divorce Benefit Information Form
PDF template
A form collecting member details for potential benefit distribution in the event of a divorce order affecting a retirement fund
See template
See template
Retirement Scheme Divorce Benefit Information Form
PDF template
A form for collecting member information related to potential benefit distribution in the context of a divorce order
See template
See template
Accident Classification Form
PDF template
Detailed form for documenting accident circumstances, environmental conditions, and road characteristics.
See template
See template
DOC 8 Report Form
PDF template
Wisconsin Department of Corrections form for reporting changes in offender's personal information, employment, education, and other status details.
See template
See template
Housing Assistance Payments Contract (HAP Contract)
PDF template
Contract for providing Section 8 tenant-based housing assistance payments between public housing agencies and property owners.
See template
See template
Accident Incident Report Form
PDF template
A form for reporting accidents or incidents that occur during National Tree Day events, requiring details about participants, injuries, and actions taken.
See template
See template
HUD Occupancy Handbook 4350.3 REV 1
PDF template
Guidelines for terminating housing assistance and tenancy in HUD-supported housing programs, including procedures for owners and tenants.
See template
See template
HUD 9887A Fact Sheet
PDF template
Document package for obtaining consent from housing assistance applicants to verify personal information with various government agencies.
See template
See template
Auto Loss Report Form
PDF template
A form for reporting and documenting incidents involving licensed vehicles, mobile equipment, or trailers, with specific instructions for employees and managers.
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
Donor Leave Request Form
PDF template
A form for employees to request leave for organ, blood, or other donation activities under the Kansas State Donor Program.
See template
See template
First Time Home Buyer Down Payment Assistance Program
PDF template
Application for down payment assistance program for first-time homebuyers in New Rochelle, New York.
See template
See template
Docking Pilot Annual Report Form
PDF template
Annual reporting form for maritime docking pilots to document vessel movements, absences, activities, and medical information.
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
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
DROP Enrollment Form New Participant
PDF template
A form for qualifying members to enroll in the Municipal Fire and Police Retirement System of Iowa's Deferred Retirement Option Plan.
See template
See template
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
CityFHEPS Landlord Information Form Apartment Rentals
PDF template
A form for landlords participating in the CityFHEPS rental assistance program, detailing rental terms and program requirements.
See template
See template
Requesting And Implementing Data Self Service (DSS)
PDF template
Comprehensive guide for requesting and implementing Data Self Service interconnection with USA Staffing, including planning, requirements, and documentation process.
See template
See template
Richmond Retirement System Durable Power Of Attorney Fact Sheet
PDF template
A legal document explaining how Richmond Retirement System members can designate an agent to manage their retirement benefits under specific conditions.
See template
See template
Employee Benefit Enrollment Form
PDF template
A comprehensive form for employees to select and enroll in medical, dental, and vision benefit plans.
See template
See template
E 09 Incident Report (42018)
PDF template
A comprehensive form for documenting various types of incidents including vandalism, theft, accidents, and violence in organizational settings.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission filing providing current report for Prothena Corporation Public Limited Company
See template
See template
Employee Academic Tuition Waiver Request Form
PDF template
A form for Cameron University employees to request tuition waivers for themselves or their dependents for academic courses.
See template
See template
UTILITY ACCIDENT REPORT FORM E 5
PDF template
Official form documenting accidents and injuries related to utility operations in New Hampshire.
See template
See template
EAF Contribution Form
PDF template
A form for Camelback employees to voluntarily contribute to the Employee Assistance Fund through payroll deductions.
See template
See template
Hazard Report Form
PDF template
A standardized form for employees to report potential workplace safety hazards and risks.
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
SCHOOL ACCIDENT REPORT FORM
PDF template
A form to document injuries occurring in school or during school-sponsored activities, used for recording accident details and follow-up actions.
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
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
Safe Church Forms And Resources
PDF template
Comprehensive collection of forms and documentation for church safety protocols and incident reporting.
See template
See template
Educational Theatre Association General Incident Report Form
PDF template
A comprehensive form for documenting accidents, injuries, or policy violations within the Educational Theatre Association.
See template
See template
New York Council Of Nonprofits, Inc. Enrollment Form
PDF template
Enrollment form for Health Care and Dependent Care Flexible Spending Accounts with options for salary reduction and reimbursement methods
See template
See template
HSA Enrollment Form
PDF template
A form for enrolling in a Health Savings Account through an employer, allowing employees to set up contributions.
See template
See template
Power Of Attorney (POA)
PDF template
A form allowing participants or beneficiaries to designate an agent to act on their behalf with the Pension Benefit Guaranty Corporation (PBGC).
See template
See template
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
Eisai Patient Support Enrollment Form
PDF template
A comprehensive enrollment form for patients seeking support programs related to the medication LEQEMBI, including benefits investigation, patient assistance, and copay assistance.
See template
See template
EZ Retirement Plan Enrollment Form
PDF template
Enrollment form for Florida Retirement System employees to choose between Investment and Pension Plan options.
See template
See template
General Retirement Plan Enrollment Form
PDF template
Enrollment form for new employees to choose between retirement plan options in the Florida Retirement System for Regular, Special Risk, and Special Risk Administrative Support Class Employees.
See template
See template
Consent Form For Electronic Distribution Of Benefit Materials And Notices
PDF template
A consent form allowing employees to receive electronic copies of benefit materials and notices from Michigan State University.
See template
See template
STATE OF IDAHO ELEVATOR ACCIDENT REPORT
PDF template
Official form for reporting elevator accidents and incidents in the state of Idaho, to be completed by elevator owners or their representatives.
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
Reimbursement Claim Form
PDF template
Instructions for submitting healthcare reimbursement claims through multiple methods including Rx debit card, online portal, and paper submission.
See template
See template
Emeriti Retirement Health Solutions Personal Contribution Form
PDF template
A form for making personal contributions to an employer-sponsored retirement health plan managed by TIAA-CREF.
See template
See template
Emeriti Reimbursement Benefit Claim Form
PDF template
Instructions for submitting healthcare reimbursement claims through Rx debit card, online portal, or paper submission.
See template
See template
HR 122 Employee Incident Report
PDF template
A detailed form for documenting workplace incidents and injuries for employees of Biggs Unified School District.
See template
See template
EMPLOYEE COMPLAINT FORM
PDF template
A comprehensive form for employees to document workplace concerns including discrimination, harassment, ethical, or safety issues.
See template
See template
Employee Course Registration Form
PDF template
Form for Gustavus employees to register for courses with tuition benefits, requiring HR and supervisor approvals.
See template
See template
NHRDeparture Employee Departure Information Sheet
PDF template
A comprehensive guide for faculty and staff leaving their position at the University of Wisconsin Madison, covering benefits, computer access, leave balances, and other departure-related information.
See template
See template
ENROLLMENT, CHANGE, CANCELLATION, OR OPT OUT EMPLOYEES ONLY HEALTH AND WELFARE PLANS
PDF template
A form for Lawrence Livermore National Security employees to enroll, change, cancel, or opt out of health and welfare benefit plans.
See template
See template
ENROLLMENT FORM FOR GROUP INSURANCE
PDF template
A comprehensive form for enrolling in group insurance benefits, capturing employee and dependent information, coverage selections, and authorization.
See template
See template
Employee Exit Checklist
PDF template
Comprehensive form documenting employee departure procedures, including credential return, benefits termination, and administrative tasks.
See template
See template
Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for Health Savings Account contributions with annual contribution limits and details.
See template
See template
Employee HSA Payroll Deduction Form
PDF template
Form for employees to authorize payroll deductions for their Health Savings Account contributions with contribution limit details.
See template
See template
Employee Injury Report Form
PDF template
A form for documenting employee workplace injuries, incidents, and medical treatment details for workplace safety and insurance purposes.
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
Employee Profile And Travel Form
PDF template
A comprehensive form for employees to update personal information, marital status, and travel privileges for family members.
See template
See template
Employee Reporting Of Abuse Policy
PDF template
Policy detailing mandatory reporting requirements for abuse of dependent adults by employees and volunteers in care facilities.
See template
See template
Employee Retirement Contribution Form
PDF template
Form for employees to start, change, or suspend retirement plan contributions at Mountainland Technical College.
See template
See template
M NCPPC Benefits EnrollmentChange Form
PDF template
Form for employees to enroll in or modify benefits, including medical, dental, and prescription plans.
See template
See template
Employee Self Service Guide
PDF template
Comprehensive guide for navigating the Employee Self Service (ESS) portal and accessing various employee-related resources and information.
See template
See template
Employee Services FAQ Contact List
PDF template
A comprehensive contact reference for employees covering various HR topics, benefits, and service inquiries.
See template
See template
Employee And Dependent Tuition WaiverReimbursement Form
PDF template
Form for employees to request tuition waiver or reimbursement for themselves or dependents at SSU.
See template
See template
Eye Care Insurance Enrollment Form
PDF template
A comprehensive form for employees to enroll in or modify eye care insurance coverage for themselves and dependents.
See template
See template
Health Coverage Waiver Form
PDF template
A document allowing employees to waive health insurance coverage offered by their employer with options for alternative coverage.
See template
See template
Employer Error Institution Process
PDF template
Guidelines for handling employer errors in employee insurance enrollment, detailing steps for institutions and employees to correct coverage issues.
See template
See template
Windfall Elimination Provision
PDF template
Explanation of how Social Security retirement or disability benefits may be reduced for workers with pensions from employers not withholding Social Security taxes.
See template
See template
How To File A Disability Appeal Online
PDF template
Step-by-step instructions for filing a disability appeal online with the Social Security Administration
See template
See template
Completing An Accident Report Form Answers
PDF template
A reference document for understanding how to complete an accident report form, provided as an answer sheet or instructional guide.
See template
See template
Adult Disability Starter Kit
PDF template
A comprehensive checklist to help applicants prepare for filing a Social Security disability benefits claim by organizing personal, medical, and employment information.
See template
See template
EnergyShare Application Form
PDF template
Application form for individuals seeking energy assistance and support from HeartShare organization in Brooklyn, NY.
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
Financial Assistance Application
PDF template
A comprehensive form for patients to provide financial details and income verification for potential medical financial assistance.
See template
See template
Boulder County Homeownership Programs Common Application
PDF template
A comprehensive application form for multiple homeownership assistance programs in Boulder County, Colorado.
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
Integrated Report Form For Simplified Reports
PDF template
Official document for member states to report on implementation of international labor conventions and measures taken to comply with ILO standards.
See template
See template
SiS Enrolling In Health Insurance
PDF template
Step-by-step instructions for students to enroll in university health insurance through the Student Self Service system.
See template
See template
SiS Enrolling In Health Insurance
PDF template
Step-by-step instructions for students to enroll in the university's health insurance plan through the Student Self Service system.
See template
See template
Northern California Carpenter Funds Enrollment Form
PDF template
Form for enrolling or updating records with the Northern California Carpenter Funds, including health plan selection and participant information.
See template
See template
Vision Service Plan EnrollmentChange Form
PDF template
Form for employees of Fallbrook Elementary School District to enroll or modify vision insurance coverage for themselves and dependents.
See template
See template
Superior Dental Care Employee Enrollment Form
PDF template
Form for employees to enroll in dental and vision insurance benefits through Superior Dental Care.
See template
See template
ENROLLMENT FORM GL.2017.010
PDF template
A comprehensive employee insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
See template
See template
NEA Membership Enrollment Form CCA
PDF template
Enrollment form for teachers to join the National Education Association, California Teachers Association, and local education unions.
See template
See template
California State University, Sacramento Benefit Enrollment Worksheet
PDF template
A form for employees to complete transactions affecting health, dental, vision, and FlexCash coverage at California State University, Sacramento.
See template
See template
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
Complaint Form For Filing A Protected Disclosure Of Improper Governmental Activities AndOr Significa
PDF template
A form for employees or applicants to report improper governmental activities or significant health and safety threats.
See template
See template
Nomination And Declaration Form For Unexempted Exempted Establishments
PDF template
A form for employees to nominate beneficiaries for provident fund and pension scheme benefits in case of death.
See template
See template
Employer Pension Guide
PDF template
Comprehensive guide for rejoining employees about pension scheme options and eligibility criteria in the Principal Civil Service Pension Scheme (PCSPS).
See template
See template
BSWIC INDV EPO APP 01 2022
PDF template
Application form for Exclusive Provider Organization (EPO) health insurance coverage with Baylor Scott & White Insurance Company
See template
See template
Spill Or Release Report
PDF template
Official form for reporting environmental spills, releases, or incidents in Michigan by individuals or organizations.
See template
See template
Equipment Damage Report Template
PDF template
A template for documenting equipment damage, loss, or theft incidents in an organization's accounting records.
See template
See template
Equipment FailureDamage Report Form
PDF template
A form used to document and report instances of equipment failure or damage with key identifying information.
See template
See template
Expense Report Form
PDF template
A comprehensive financial reporting form for tracking program and administrative expenses for Communities In Schools of Wake County.
See template
See template
Retirement Checklist
PDF template
A comprehensive checklist for members preparing to retire, outlining key steps and document requirements one year before retirement.
See template
See template
ElectricianS Retirement Fund Benefit Application Packet
PDF template
An application packet for pension benefits from the Electrician's Retirement Fund, providing instructions for submitting retirement documentation.
See template
See template
RETIREE INSURANCE ENROLLMENT FORM
PDF template
A form for Texas Employees Retirement System retirees to enroll in insurance and provide Medicare information
See template
See template
ESA 1126A FORFFA Cancellation Of Direct Deposit
PDF template
Official form for cancelling direct deposit for unemployment insurance benefits in Arizona
See template
See template
ESRD Incident Or Accident Report Form
PDF template
A detailed reporting form for documenting critical incidents or accidents in healthcare facilities, especially for End-Stage Renal Disease (ESRD) centers.
See template
See template
Event Expense Reimbursement Form
PDF template
Form for reimbursing event expenses for approved sporting events at fire stations, with a $500 annual benefit maximum.
See template
See template
Event Registration And Venue Booking Application
PDF template
A comprehensive form for registering and booking venues for public events in the Kawerau District.
See template
See template
Event Registration And Venue Booking Application
PDF template
A comprehensive form for registering and booking venues for public events in the Kawerau District
See template
See template
Event Report
PDF template
A form used to document and report incidents involving residents in healthcare facilities, tracking details of potential abuse, neglect, or mistreatment.
See template
See template
Community Calendar Submission Form
PDF template
A form for local non-profit organizations to submit community events for public listing on the Waterloo Community Calendar.
See template
See template
ACCIDENT REPORT FORM
PDF template
A comprehensive form documenting details of an accident, including injured person information, accident circumstances, and follow-up actions.
See template
See template
Volunteer Management Toolkit Health And Safety Information
PDF template
A comprehensive guide outlining health and safety responsibilities, reporting procedures, and expectations for volunteers in arts organizations.
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
Supervisor Safety Accident Report Form
PDF template
A comprehensive form for documenting workplace accidents, injuries, and recommended corrective actions.
See template
See template
Form 10 Q
PDF template
Quarterly financial report filed with the U.S. Securities and Exchange Commission for the period ended September 30, 2012.
See template
See template
Instructions For Compliance Inspection Report Form Existing Subsurface Sewage Treatment Systems (S
PDF template
Official guidance for completing Minnesota Pollution Control Agency compliance inspection form for subsurface sewage treatment systems
See template
See template
EXIT INTERVIEW FORM
PDF template
A comprehensive form tracking an employee's departure process, including benefits, equipment return, and final payroll details.
See template
See template
SEMA4 EMPLOYEE EXPENSE REPORT
PDF template
A form for employees to document and request reimbursement for travel-related expenses and mileage.
See template
See template
Expense Reimbursement Policy
PDF template
Policy detailing expense reimbursement guidelines for Society of Toxicology members traveling on official business.
See template
See template
Expense Report
PDF template
A comprehensive form for employees to document and request reimbursement for work-related expenses including travel, meals, and other costs.
See template
See template
Judging Accreditation Test Administrators Expense Report Form
PDF template
Form for USA Gymnastics test administrators to report expenses and honorarium for exam administration.
See template
See template
SEMA4 Employee Expense Report
PDF template
A detailed form for documenting employee travel expenses, mileage reimbursement, and other related costs.
See template
See template
Form B Exposure Incident Report Form
PDF template
A form documenting potential medical exposure incidents for students during clinical training or placement.
See template
See template
Express Benefit Report
PDF template
A form used to report accumulated unused sick leave balances and employment termination information for CalSTRS retirement benefits.
See template
See template
Eyeglass Reimbursement Form
PDF template
A form for employees to request reimbursement for eyeglass purchases through the school district's benefits program.
See template
See template
EnrollmentChange Form
PDF template
Insurance enrollment and change form for employees and their family members, underwritten by Fidelity Security Life Insurance Company.
See template
See template
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
Change Of Address Form Benefit Recipient
PDF template
A form for benefit recipients to update their mailing address with the Massachusetts Teachers' Retirement System (MTRS)
See template
See template
Change Of Address Form
PDF template
A form for members to update their mailing address for various trust fund communications and services.
See template
See template
Wisconsin Medicaid Services Application
PDF template
Wisconsin state application form for Medicaid services, including applicant and spouse information, income details, and eligibility questions.
See template
See template
Medicaid Asset Assessment
PDF template
A form to evaluate the total assets owned by a Medicaid applicant and their spouse to determine eligibility for Medicaid benefits.
See template
See template
Cigarette DistributorS Monthly Return
PDF template
Monthly tax reporting form for cigarette distributors tracking unstamped and stamped cigarette inventory in Arizona
See template
See template
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
NW Plumbers Pipefitters Health Fund Change Of Address Form
PDF template
A form for updating personal contact information for members of the NW Plumbers & Pipefitters Health Fund
See template
See template
Medical Dental Vision Prescription Weekly Disability Claim Form
PDF template
Comprehensive claim form for medical, dental, vision, prescription, and weekly disability benefits for NW Plumbers & Pipefitters Health Fund members.
See template
See template
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 8 K
PDF template
Securities and Exchange Commission filing providing current report information for Renovaro Inc.
See template
See template
Disability Claim Form
PDF template
A comprehensive form for submitting a disability insurance claim, covering coverage information, work schedule, and earnings details.
See template
See template
Change Of Address Form
PDF template
A form for union members to update their contact information with the trust funds administration office.
See template
See template
Misconduct Incident Report
PDF template
Form for reporting incidents of alleged misconduct, client abuse, neglect, or misappropriation of client property in healthcare settings.
See template
See template
Form 8038 GC
PDF template
IRS form for reporting information about small tax-exempt governmental bond issues, leases, and installment sales under Internal Revenue Code section 149(e).
See template
See template
Change Of Address Form
PDF template
A form for employees to update their personal contact information with the Engineers-AGC Retirement Trust
See template
See template
Form 8655 Reporting Agent Authorization
PDF template
An Internal Revenue Service form for authorizing a reporting agent to sign, file tax returns, and make deposits or payments on behalf of a taxpayer.
See template
See template
Form 8922 Third Party Sick Pay Recap
PDF template
A tax form used to reconcile employment tax returns with Forms W-2 when third-party sick pay is paid.
See template
See template
Change Of Address Form
PDF template
A form for members of Steamfitters Local Union 602 to update their personal contact information for benefit funds records.
See template
See template
FAA Child Care Subsidy Program Monthly Invoice Form
PDF template
A form for FAA employees to submit monthly child care service costs and receive subsidy reimbursement.
See template
See template
One E App Health E Arizona
PDF template
An electronic application system for assistance programs supported by One-e-App software, used by FAA, AHCCCS, and authorized organizations.
See template
See template
Mixture Component Form
PDF template
A form for documenting chemical substances and their ingredients for environmental and safety reporting purposes.
See template
See template
Faculty Assigned Time Pre Authorization Form
PDF template
A form for faculty to request and document assigned time for academic activities with required approvals and reporting.
See template
See template
Faculty Auditing Inquiry Form
PDF template
A form for faculty to report issues or make special requests related to faculty hours auditing and reporting.
See template
See template
Faculty Development Grant Summary Report Form
PDF template
A form for faculty to report on the outcomes and impact of a professional development grant.
See template
See template
Fair Hearing Request Form
PDF template
A form for appealing MassHealth decisions and requesting a fair hearing to challenge agency actions or inactions.
See template
See template
Fall 2023 Veterans Education Benefits Enrollment Form
PDF template
A form for veterans to enroll and verify educational benefits and student status at the University at Buffalo for the Fall 2023 term.
See template
See template
Instructions Financial Affidavit
PDF template
Detailed guidance for completing a financial affidavit in family court cases, explaining form requirements and resources for legal assistance.
See template
See template
Study Order Form
PDF template
Order form for purchasing FAMIC study reports and executive summaries with payment and membership options.
See template
See template
Family And Medical Leave Request Form
PDF template
A comprehensive form for employees to request unpaid family and medical leave under federal FMLA guidelines, detailing leave entitlements and notice requirements.
See template
See template
Family Contribution
PDF template
A document used to verify and document financial contributions from a provider to an applicant or participant.
See template
See template
ELIGIBILITY AND BILLING FORM
PDF template
Form for qualifying for corporate and family education benefits at DeVry University, detailing eligibility requirements and student/employer information.
See template
See template
NECAIBEW Family Medical Care Plan Family Enrollment Form
PDF template
An enrollment form for employees to enroll in the NECA/IBEW Family Medical Care Plan, including personal, spousal, and dependent information.
See template
See template
APPLICATION FOR GRANT OF FAMILY PENSION
PDF template
Application form for requesting family pension benefits from Bank of Baroda Pension Fund Trust after the death of a pensioner.
See template
See template
FAMILY SUPPORT ORDER FORM
PDF template
Order form for families receiving developmental disability support services to request specific items and supplies.
See template
See template
Educational Benefit Tax Exemption Frequently Asked Questions
PDF template
A guide explaining tax implications and procedures for educational assistance benefits through UET (University/Employer Training) program.
See template
See template
FAQs CVS Caremark Pharmacy Transition
PDF template
Frequently asked questions about prescription drug benefits transition from Medco to CVS Caremark for PERS Select/Choice/Care members.
See template
See template
Appendix B Accident Report Form
PDF template
A detailed form for documenting accidents that occur at a market, capturing incident details, injuries, and witness information.
See template
See template
Dual Benefits Reimbursement Form
PDF template
A form for open-shop contractors to request reimbursement for employer-sponsored benefit plan contributions while working on City of Seattle projects.
See template
See template
Retiree Enrollment Form
PDF template
Enrollment form for Fulton County retirees to select health and dental plan coverage options and update personal information.
See template
See template
STATEMENT OF FACTS SUPPORTING ELIGIBILITY FOR AFDC FOSTER CARE(FC)
PDF template
California state form documenting a foster child's eligibility for AFDC-Foster Care benefits and personal information.
See template
See template
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
Instructions For FEC Form 3 And Related Schedules
PDF template
Comprehensive guide to filing Federal Election Commission Form 3 for campaign finance reporting, explaining report components and schedules.
See template
See template
FEC Form 3X Instructions
PDF template
Comprehensive instructions for filing Federal Election Commission Form 3X, detailing reporting requirements for party and political action committees.
See template
See template
Targa New Zealand 2017 FeedbackDebrief Report
PDF template
A form for participants to provide feedback and insights about the Targa New Zealand motorsport event.
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
RESIDUAL SUPPLIES INVENTORY FORM
PDF template
A form to document unused supplies and their disposition according to Federal guidelines for grant-funded projects.
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
AccidentIncident Report Form
PDF template
A comprehensive form for documenting workplace accidents, incidents, and related details for reporting and prevention purposes.
See template
See template
ST. LOUIS LIVING WAGE ORDINANCE ANNUAL REPORT FORM
PDF template
Annual reporting form for non-city parties to city contracts documenting compliance with living wage requirements.
See template
See template
Change Of Address Notice
PDF template
Official form for updating member contact information with the New York City District Council of Carpenters Benefit Funds.
See template
See template
APPLICATION FOR EMPLOYMENT
PDF template
A comprehensive employment application form for potential job candidates seeking employment with the Port of Port Angeles.
See template
See template
FINAL PROJECT REPORTING FORM
PDF template
A form for documenting a project plan and desired outcomes from skills learned in township governance training.
See template
See template
Form Cc 11 AccidentIncident Report Form
PDF template
Official form for documenting accidents or incidents involving individuals in the city jurisdiction.
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
Employee Handbook
PDF template
Comprehensive guide detailing company policies, employee benefits, conduct expectations, and workplace guidelines for employees.
See template
See template
REQUEST FOR INTERIM RECERTIFICATION
PDF template
Form for reporting changes in household income, composition, or other relevant factors for housing assistance.
See template
See template
Sick Leave Request Form
PDF template
A form for employees to request sick leave and associated pay, to be processed by the payroll department.
See template
See template
Student InjuryIncident Report Form
PDF template
A comprehensive form for reporting student injuries, visitor incidents, or property damage within Saint Paul Public Schools
See template
See template
TTWC Incident Report Form
PDF template
A comprehensive form for documenting incidents occurring at Truth Transformation Worship Center, collecting details about the incident, location, and involved parties.
See template
See template
Appendix B Credit And Debt Management Operating Standards And Procedures Handbook
PDF template
Guidelines for federal agencies on referring debt information to credit reporting bureaus and managing credit programs.
See template
See template
Financial Aid Request Form Redding Park Recreation
PDF template
A document outlining the process for requesting financial aid for local park and recreation programs in Redding, Connecticut.
See template
See template
Non Borrower Financial Contribution Form
PDF template
Form for non-borrowers to contribute income and financial information for a mortgage assistance application review.
See template
See template
VEHICLE ACCIDENT REPORTING
PDF template
Detailed procedure for reporting and managing vehicle accidents involving Phoenix Fire Department vehicles, including notification protocols and scene management.
See template
See template
AHCA Form 3500 0031 Fire Incident Report
PDF template
A form used to document and report details of a fire or explosion incident at a licensed facility in Florida.
See template
See template
Health Care Facility Fire Incident Report
PDF template
A comprehensive form for documenting fire incidents in healthcare facilities, tracking details about the fire, casualties, damage, and prevention strategies.
See template
See template
SAFE SPORT INCIDENT REPORT FORM
PDF template
A form for reporting various types of misconduct within First Tee organization, including child abuse, harassment, and other inappropriate behaviors.
See template
See template
First Time Home Buyer Housing Revolving Loan Inquiry
PDF template
Application form for first-time home buyers seeking downpayment assistance and housing loan support from Southern Iowa Development Group.
See template
See template
Employee Voluntary Payroll Deduction Authorization For Fitness Center Usage Fee
PDF template
Voluntary authorization form for employees to have fitness center usage fee deducted from their paycheck
See template
See template
Payroll Deduction For Fitness Center Membership
PDF template
A form for employees to authorize payroll deductions for fitness center membership at Clayton State University.
See template
See template
Management Benefits Fund (MBF) Health And Fitness Reimbursement Program Claim Form
PDF template
A form for MBF members to claim reimbursement for health and fitness expenses for themselves and their spouse/domestic partner.
See template
See template
2024 Fitness Reimbursement Program
PDF template
A program offering up to $300 per family annually for eligible fitness expenses for University System of New Hampshire employees and dependents.
See template
See template
PF 132 (10 18) SUNY Reimbursement Accounts Enrollment Form
PDF template
Form for employees to enroll in health care and dependent care flexible spending accounts with pre-tax payroll deductions.
See template
See template
Reimbursement Form For Flexible Spending Account (FSA)
PDF template
Form for employees to request reimbursement for healthcare and dependent care expenses through a Flexible Spending Account.
See template
See template
BESTflex Plan Election Form
PDF template
Document for employees to elect participation in flexible spending accounts for healthcare and dependent care expenses
See template
See template
Work Order To Physical Plant To Correct Safety Needs
PDF template
Procedure for reporting and managing campus accidents, injuries, and safety incidents at Texas A&M University-Corpus Christi.
See template
See template
Adverse Incident Report Form
PDF template
A comprehensive form for reporting and documenting adverse incidents in behavioral health services involving clients or employees.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting incidents, injuries, and damages at farmers markets with contact and emergency information.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting accidents, injuries, or incidents occurring at farmers markets.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission filing providing current report for FedNat Holding Company as of July 24, 2022
See template
See template
FNS 415 Interviewing
PDF template
Guidelines for conducting interviews for Food and Nutrition Services benefit applications, outlining interview requirements and interviewer responsibilities.
See template
See template
Food And Nutrition Services Certification Applications FNS 415 Interviewing
PDF template
Guidelines for conducting interviews for Food and Nutrition Services benefits application process, detailing interview requirements and interviewer responsibilities.
See template
See template
JANDAKOT AIRPORT HOLDINGS HAZARD REPORT FORM
PDF template
A form for reporting safety hazards and potential risks at Jandakot Airport, used by tenants, employees, and visitors to document safety concerns.
See template
See template
JANDAKOT AIRPORT HOLDINGS HAZARD REPORT FORM
PDF template
A form for reporting safety hazards and potential risks at Jandakot Airport, with sections for hazard details and management corrective actions.
See template
See template
Food Delivery Checklist
PDF template
Comprehensive checklist for state agencies managing WIC food delivery systems, vendor management, and food benefit distribution.
See template
See template
Group Ruling And OCD Reportable Changes
PDF template
Instructions for submitting forms related to inclusion, deletion, and reporting changes for Catholic organizations in group rulings and official directories.
See template
See template
Termination Refund Application
PDF template
A form for APERS members to request a termination refund with options for direct deposit or rollover of retirement benefits.
See template
See template
PBGC Form 10 Post Event Notice Of Reportable Events
PDF template
A form for reporting significant events related to pension plans that may impact plan participants and financial stability.
See template
See template
INCIDENT REPORT FORM
PDF template
A detailed form for documenting incidents involving children in child care settings, capturing injury details, environmental factors, and treatment information.
See template
See template
ApplicatorTechnician Pesticide Annual Report
PDF template
Annual reporting form for pesticide applicators and technicians documenting their commercial pesticide applications in New York State.
See template
See template
Change Of Address Form RetireesBenefit Recipients
PDF template
Official form for updating personal contact information for retirees and benefit recipients of Arkansas Retirement System.
See template
See template
Individual Unemployability (IU Or TDIU) Intake Form
PDF template
A comprehensive intake form for veterans seeking total disability benefits based on individual unemployability due to service-related medical conditions.
See template
See template
Form 430300 2 Incident Report Form
PDF template
An official form for documenting workplace incidents, injuries, property damage, and witness information for Alameda County employees.
See template
See template
Incident Investigation Form
PDF template
A comprehensive form for documenting workplace incidents, accidents, and potential hazards within 72 hours of occurrence.
See template
See template
Incident Report Form
PDF template
A form for reporting incidents or violations in mobile home parks by residents of the Golden State Manufactured-Home Owners League.
See template
See template
Dependency And Indemnity Compensation (DIC) Intake Form
PDF template
A form for surviving spouses, children, or dependent parents to apply for monthly compensation based on a veteran's service-connected death or disability.
See template
See template
Form 8 K
PDF template
Current report filed by Varex Imaging Corporation with the U.S. Securities and Exchange Commission, documenting material business events or changes.
See template
See template
Accident Report
PDF template
A document used to record details and circumstances of an accident at Piedmont Virginia Community College.
See template
See template
ACCIDENT REPORT FORM
PDF template
A detailed form for documenting workplace accidents, injuries, and related incident information.
See template
See template
Energy Assistance Program Change Of Address Form
PDF template
Form for updating contact and utility information when moving to a new address while receiving energy assistance benefits.
See template
See template
Adoption Assistance Reimbursement Request Form
PDF template
A form for employees to request reimbursement for eligible adoption expenses up to $10,000.
See template
See template
Form ADV (Paper Version)
PDF template
Official form used by investment advisers to register with SEC and state securities authorities, or report as an exempt reporting adviser.
See template
See template
FORM A MMTS Program StudentS Progress Report Form
PDF template
An annual academic productivity and research progress tracking form for students in the MMTS graduate program.
See template
See template
Assignment Of Housing Assistance Payments Contract Lease
PDF template
A form for transferring housing assistance payments between property owners or management companies for a Housing Choice Voucher participant.
See template
See template
SEIU Michigan Health And Welfare Fund MemberS Change Of Address Form
PDF template
A form for SEIU Michigan Health and Welfare Fund members to update their personal and employment information.
See template
See template
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
TRA Data Request Form For Members Of The Public
PDF template
A form for members of the public to request data access and inspection from TRA, with options for inspection or copies of documents.
See template
See template
ElevatorEscalator Accident Report Form
PDF template
Mandatory reporting form for elevator and escalator accidents in the Reedy Creek Improvement District, required by Florida law.
See template
See template
VVA Election Report Form
PDF template
Form for reporting election results for Vietnam Veterans of America chapter and state council elections.
See template
See template
FMLA LEAVE REQUEST FORM
PDF template
A form for employees to request family or medical leave, documenting leave details and employee information.
See template
See template
Permanent Mailing Address Form
PDF template
A comprehensive form for collecting personal and professional information for employment and retirement system membership in Ohio
See template
See template
Employer Sponsored Program How To File A Claim For Approval
PDF template
Comprehensive guide for employees on submitting claims through a healthcare benefits platform with detailed filing instructions and documentation tips.
See template
See template
Form M 1 Report For Multiple Employer Welfare Arrangements (MEWAs) And Certain Entities Claiming Exc
PDF template
A U.S. Department of Labor form for reporting multiple employer welfare arrangements and entities claiming exception under ERISA regulations.
See template
See template
Incident Report Form
PDF template
A form documenting incidents of abuse, neglect, or injury for victims under or over 60 years old, to be reported to licensing agencies and adult protective services.
See template
See template
IBEW LOCAL NO. 461 VARIABLE PENSION PLAN REQUEST FOR APPLICATION FORM
PDF template
A form for IBEW Local No. 461 members to request pension benefits, including normal retirement, early retirement, or total and permanent disability benefits.
See template
See template
IBEW LOCAL NO. 32 NECA PENSION PLAN REQUEST FOR APPLICATION FORM
PDF template
A form for requesting pension benefits from the IBEW Local No. 32 NECA Pension Plan, allowing participants to apply for various retirement options.
See template
See template
Plumbers And Pipefitters Local 333 Pension Fund Request For Application Form
PDF template
A form for requesting a pension application for members of Plumbers and Pipefitters Local #333 Pension Fund seeking retirement benefits.
See template
See template
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
In Processing Forms Checklist
PDF template
Comprehensive checklist for new federal employees joining the Federal Retirement Thrift Investment Board (FRTIB) to complete required employment and benefits documentation.
See template
See template
WATAUGA COUNTY ROAD SIGN MAINTENANCE REQUEST FORM
PDF template
A form for reporting issues with road signs in Watauga County, such as damage, missing signs, or vegetation obstruction.
See template
See template
Baltimore County Fire Department Forms Index
PDF template
Comprehensive index of forms used by the Baltimore County Fire Department covering various administrative, operational, and personnel management functions.
See template
See template
Change Address
PDF template
Guide for employees to update personal information and manage insurance-related documentation
See template
See template
Travel Form
PDF template
Official form for city council members to report details of trips or excursions accepted on behalf of the city from external sponsors.
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
City Of Miami Beach Found Damaged Report
PDF template
Internal form for documenting damage to city-owned vehicles by employees, used for tracking and risk management purposes.
See template
See template
Fraud Incident Report Form
PDF template
A form for reporting suspected fraud, waste, abuse, or irregular activities involving university resources at SUNY Oneonta.
See template
See template
Frequently Asked Questions For Tuition Benefit
PDF template
Comprehensive guide explaining application process, deadlines, and details for tuition benefit programs at Augsburg University and partner institutions.
See template
See template
Enrollment Form
PDF template
Comprehensive enrollment form for fringe benefits including health care, life insurance, and retirement plans for carpenters in Western Washington.
See template
See template
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
Public Safety Officers Benefits (PSOB) Program History
PDF template
Document detailing the history and purpose of the Public Safety Officers' Benefits Act, which supports law enforcement and firefighter recruitment and retention.
See template
See template
FSA Dependent Care Reimbursement Form
PDF template
A form for submitting dependent care expenses for reimbursement through a flexible spending account.
See template
See template
Flexible Spending Accounts (FSA) Program EnrollmentChange Form
PDF template
Form for enrolling in or changing Health Care Flexible Spending Account (HCFSA) or Dependent Care Assistance Program (DeCAP) for Plan Year 2023
See template
See template
2024 Flexible Spending Account EnrollmentChange Form
PDF template
A form for employees to enroll in or modify their Flexible Spending Account benefits for healthcare and dependent care expenses
See template
See template
Enrollment Form Flexible Spending Account(S)
PDF template
A form for employees to enroll in healthcare and dependent care flexible spending accounts, specifying contribution amounts and acknowledging plan rules.
See template
See template
Recurring Claim Form
PDF template
A form for employees to automate reimbursement of qualified expenses with fixed payments to a service provider.
See template
See template
Virginia Tech Employee Software Sales Order Form
PDF template
A form for Virginia Tech employees to purchase software licenses and technology accessories at discounted rates.
See template
See template
PENSION BENEFIT APPLICATION FORM
PDF template
A comprehensive pension benefit application form for members to provide personal, marital, and employment information to determine benefit entitlement.
See template
See template
Fund Eligibility And Membership Section
PDF template
Document outlining eligibility requirements, enrollment procedures, and membership terms for a health insurance fund covering active and retired employees.
See template
See template
Funeral Benefit Application Form
PDF template
Application form for claiming funeral benefits through the JLT (CSI Member Benefits) Discretionary Trust
See template
See template
ORGANIZATION OF STAFF ANALYSTS FURLOUGH SURVEY FORM
PDF template
Survey form for staff members to indicate interest in taking a voluntary leave of absence with potential health benefit considerations.
See template
See template
FURLOUGH SURVEY FORM
PDF template
Survey form for staff analysts to indicate interest in taking a leave of absence with health benefit conditions.
See template
See template
Form W 3
PDF template
Official IRS form for transmitting wage and tax information for employees to the Social Security Administration
See template
See template
Form W 8IMY
PDF template
IRS form for foreign intermediaries and entities to certify tax withholding and reporting status for United States tax purposes.
See template
See template
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
Maryland Statewide Medical Assistance Transport TransferDischarge Form
PDF template
A county health department form for documenting medical transportation needs and patient transfer details for medical assistance recipients.
See template
See template
FY2018 Application For Pathway II Early Learning Scholarships
PDF template
A scholarship application to help families pay for high-quality child care and early education for school preparation in Minnesota.
See template
See template
Organizational Membership Form
PDF template
Form for organizations to become members of MAPS with different membership levels and benefits
See template
See template
General Fund Budget Form A Instructions
PDF template
Detailed instructions for completing the General Fund Budget Form A for Louisiana school districts, covering budget reporting for fiscal year 2021-2022.
See template
See template
STATE OF MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT FORM
PDF template
Annual reporting form for charitable organizations registered to solicit contributions in Minnesota, outlining filing requirements and deadlines.
See template
See template
FORM LB 1
PDF template
A detailed financial document presenting budget allocations and expenditures for multiple fiscal years.
See template
See template
Benefits Open Enrollment Form 2020
PDF template
Form for employees to select or modify healthcare coverage options and provide personal information for benefits enrollment.
See template
See template
FY22 Public Art Guidelines
PDF template
Guidelines for public art funding program providing support for permanent and temporary public art projects in specific Minnesota counties.
See template
See template
FY24 Guidelines Public Art Grant
PDF template
Guidelines for public art grant funding for Region 7W residents in Minnesota, providing financial support for permanent or temporary public art projects.
See template
See template
FY25 Grant Management Handbook
PDF template
Comprehensive handbook for grant recipients detailing requirements, deadlines, and key steps in the grant management process.
See template
See template
Form G 615 (06 19) EmployerS Supply Requisition
PDF template
A form used by employers to request informational materials from the U.S. Railroad Retirement Board about retirement, survivor, unemployment, and sickness benefits.
See template
See template
DR 1 Disability Benefit Application
PDF template
A comprehensive form for Ohio Public Employees Retirement System members to apply for disability benefits, requiring detailed personal and physician information.
See template
See template
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
Hopelink Gas Card Reimbursement Form
PDF template
Form for requesting reimbursement for medical transportation gas expenses through Hopelink transportation services.
See template
See template
EBLEN CHARITIES GENERAL MEDICAL INTAKE PROCESS
PDF template
A comprehensive intake form for applicants seeking assistance from Eblen Charities, requiring personal and financial documentation.
See template
See template
General Inquiry Form
PDF template
A form for individuals to submit questions or issues related to Medicaid services and benefits.
See template
See template
General Liability 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 CLAIM SUBMISSION FORM
PDF template
A comprehensive form for submitting insurance claims with sections for member information, coverage details, and claim specifics.
See template
See template
Make Sure You Receive Your Retirement Benefits On Time
PDF template
A guide for managing the transition to pension payments, focusing on documentation and timing for retirement benefits from the Government Employees Pension Fund.
See template
See template
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
Gift Acceptance Report (GAR) Form
PDF template
A form for documenting and processing gifts received by a university's Advancement Services department, including donor and gift details.
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
RECORDABLE INCIDENT REPORT
PDF template
A comprehensive form for documenting workplace safety incidents, detailing the nature, location, and circumstances of an occupational injury or accident.
See template
See template
Form GNOCHC 1 Excel Encounter Data Instructions
PDF template
Instructions for GNOCHC participating providers to report enrollee encounter data using Form GNOCHC-1 or Form CMS-1500.
See template
See template
SOR GPRA Frequently Asked Questions
PDF template
Guidance for providers on GPRA data collection requirements for clients receiving SOR-funded treatment.
See template
See template
FINAL INVOICE FORM
PDF template
A grant reporting form for documenting service metrics, geographic engagement, and participant demographics for cultural grant recipients.
See template
See template
Complaint Initial Report Form
PDF template
A form for documenting and reporting workplace complaints, discrimination issues, or grievances in an employment or program context.
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
Growth Loan Fund Program Business Enrollment Application
PDF template
An application for businesses seeking loans between $100,000 and $400,000 with specific equity investment requirements.
See template
See template
Vehicle Use Post Trip Inspection Report Form
PDF template
A form for documenting vehicle condition and usage after a trip by an employee, including inspection checklist and details.
See template
See template
Non Employee AccidentIncident Report Form
PDF template
A standard form for documenting accidents or incidents involving non-employees at district properties or district-sponsored activities.
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
ACCIDENT REPORT FORM
PDF template
A comprehensive form for documenting accidents involving individuals at Gethsemane United Methodist Church
See template
See template
Glen Urquhart School Title IX Incident Report Form
PDF template
A form for reporting Title IX incidents and violations at Glen Urquhart School, capturing details about the incident, involved parties, and supporting documentation.
See template
See template
Minnesota Common Grant Application Form
PDF template
A standardized grant application form designed to simplify the grantseeking process for nonprofits in Minnesota.
See template
See template
Influenza Sentinel Provider Report Form
PDF template
Comprehensive medical reporting form for tracking influenza cases, patient information, clinical data, and laboratory test results.
See template
See template
Homeowner Assistance Fund Plan
PDF template
A submission portal for eligible entities to apply for homeowner assistance funding from the U.S. Treasury Department's Homeowner Assistance Fund program.
See template
See template
Sexual Other Prohibited Harassment Complaint Form
PDF template
A formal document for reporting sexual and prohibited harassment incidents at Oral Roberts University, designed to enable prompt investigation and community protection.
See template
See template
BullyingHarassment Incident Report Form
PDF template
Official form for reporting incidents of bullying, harassment, or threatening behavior in Oklahoma public schools
See template
See template
MC Hardware Request
PDF template
A form for requesting computer hardware for Montgomery College employees, with options for remote work and instructional needs.
See template
See template
Settlement Agreement Harper Et Al. V. Massachusetts Department Of Transitional Assistance
PDF template
A settlement agreement addressing access to benefits for individuals with disabilities at the Massachusetts Department of Transitional Assistance
See template
See template
HAVA Elections Complaint Form
PDF template
Official form for reporting alleged violations of the Help America Vote Act (HAVA) Title III provisions in Minnesota elections.
See template
See template
Chemical Description Physical And Health Hazards Inventory
PDF template
A form for documenting chemical inventory details, physical properties, hazards, and storage information for multiple chemicals.
See template
See template
Chemical Facility Identification And Reporting Form
PDF template
A comprehensive form for reporting facility and chemical information, including emergency contacts and hazardous material details.
See template
See template
HAZARD REPORT FORM
PDF template
A standardized form for documenting workplace safety hazards, observations, and recommended corrective actions.
See template
See template
Hazard Report Form
PDF template
A comprehensive form for identifying and assessing workplace safety hazards and potential risks to personnel, environment, and property.
See template
See template
HAZARD REPORT FORM
PDF template
A document for employees to report workplace safety hazards and for management to investigate and resolve potential risks.
See template
See template
Hazard Report Form
PDF template
A comprehensive form for identifying, assessing, and reporting workplace safety hazards with risk assessment matrix.
See template
See template
HAZARD REPORT FORM
PDF template
A comprehensive form for documenting workplace safety hazards, potential risks, and immediate actions taken to mitigate dangers.
See template
See template
Shepherd University Hazard Report
PDF template
A comprehensive form for reporting workplace safety hazards and documenting investigation and corrective actions at Shepherd University.
See template
See template
EPCRA Chemical Reporting Form
PDF template
A form for reporting chemical storage, hazardous materials, and facility chemical inventory details for regulatory compliance.
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
Family Household Income Statement
PDF template
Form for verifying household income and financial assistance for Child Care services through the Ohio Department of Job & Family Services.
See template
See template
HOME STRETCH HOUSING ASSISTANCE FUND APPLICATION
PDF template
A confidential application for housing assistance funds for individuals experiencing or recently experiencing homelessness in Alameda County.
See template
See template
Household Domestic Worker Employment Agreement (HDWEA)
PDF template
A comprehensive employment agreement template for household domestic workers in Canada, outlining conditions of employment and immigration requirements.
See template
See template
Dulwich Society IncidentAccident Report Form
PDF template
A detailed form for documenting accidents, incidents, and injuries within the Dulwich Society organization.
See template
See template
Tips For Claim Submission
PDF template
Comprehensive guide for submitting healthcare and flexible spending account claims, detailing documentation requirements and eligible expenses.
See template
See template
Eligibility And Enrollment Information For Employees
PDF template
A comprehensive form for employees to provide personal information and make flexible spending account elections.
See template
See template
Health Incident Report Form
PDF template
A form for documenting health and safety incidents involving nursing students and faculty, to be completed within 24 hours of an occurrence.
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
Portland Community College HSA Payroll Contribution Form
PDF template
Form for employees to set up pre-tax payroll contributions to a Health Savings Account (HSA) through Optum.
See template
See template
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
Bill Summary H.F. 1
PDF template
Legislation establishing standards for proving identity and residency for obtaining driver's licenses and ID cards in Minnesota, including document requirements and penalties.
See template
See template
Habitat For Humanity Information Needed For All Household Members
PDF template
Comprehensive list of required documents for Habitat for Humanity housing application and verification process.
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
Income Declaration Form
PDF template
A confidential form for families to document household income and service eligibility for HFI programs, collecting detailed financial and household information.
See template
See template
Statement Of Kurt DelBene On VA.Gov
PDF template
Congressional testimony about the Department of Veterans Affairs' VA.gov website, its usage, services, and digital modernization efforts.
See template
See template
Shasta County HHSA Economic Mobility Homeless Assistance Contact Form
PDF template
A referral form for homeless individuals to connect with county outreach workers and access housing and community resources.
See template
See template
HIGH SEAS TRANSSHIPMENT DECLARATION FORM
PDF template
Official form for reporting fish transshipments that occurred on the high seas, to be submitted within 15 days of vessel entering port.
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
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
Membership HoldCancellation Form
PDF template
Form for YMCA members to request a membership hold or cancellation with specific policy details.
See template
See template
Nevada Holder Reporting Manual
PDF template
Comprehensive manual for reporting unclaimed property to the Nevada State Treasurer's Office, detailing requirements and procedures for fiscal year 2024.
See template
See template
11 Homebuyer Services Intake Form 2019.21
PDF template
Intake form for individuals seeking homebuyer services, collecting personal and demographic information.
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
Homelessness Prevention Benefit Application For Assistance
PDF template
A benefit program to assist low-income households in Leeds and Grenville with housing stability and prevention of homelessness.
See template
See template
Homelessness Prevention Benefit Application For Assistance
PDF template
A benefit program assisting low-income households in Leeds and Grenville to obtain and retain housing, supporting those at risk of homelessness.
See template
See template
Hospice RevocationDischarge Form
PDF template
A form for documenting hospice patient discharge or service revocation under Medicaid guidelines
See template
See template
Fairfield Township Police Department Household Inventory
PDF template
A form for documenting household items with details for potential theft or loss recovery purposes.
See template
See template
Household Report Form
PDF template
Official form for reporting household information to determine public assistance benefits in Minnesota.
See template
See template
LCDBG PUBLIC FACILITIES PROJECT SURVEY FORMS
PDF template
Survey forms and instructions for collecting demographic data in public facilities project areas, required for HUD reporting.
See template
See template
CHIP Housing Program Application Checklist
PDF template
A comprehensive checklist and application package for low- and moderate-income home buyers seeking housing assistance through the CHIP program.
See template
See template
Housing For Texas Heroes Grant Project Form
PDF template
A grant project form for home modifications and repairs for veterans and surviving spouses in Texas, documenting project details and beneficiary eligibility.
See template
See template
Program Eligibility Application
PDF template
Application for determining eligibility for Housing Trust Silicon Valley Homebuyer Programs, detailing submission requirements and process.
See template
See template
Reporting Attendance
PDF template
Instructions for reporting course attendance through a web interface using either a grid or Excel file upload method.
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
UCR Retiree Association Membership Information
PDF template
Comprehensive guide for University of California, Riverside retirees outlining membership benefits, access, and how to join the retiree association.
See template
See template
Accident Investigation Report
PDF template
A comprehensive form for documenting workplace accidents, including details of injury, witness statements, and reporting procedures.
See template
See template
Health Reimbursement Account (HRA) Claim Form
PDF template
A form for employees to submit healthcare expense reimbursement claims through their Health Reimbursement Account (HRA)
See template
See template
Change Of Address Form
PDF template
Document for employees to update their address for health benefits and pension purposes
See template
See template
EmployeeS InjuryIllness Report Form
PDF template
A comprehensive form for documenting workplace injuries or illnesses at the Fashion Institute of Technology.
See template
See template
FMLA LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request leave under the Family and Medical Leave Act (FMLA) for various qualifying reasons.
See template
See template
MSC Leave Request Form
PDF template
A comprehensive form for employees to request various types of leave from their employer, covering sick, vacation, personal, and specialized leave types.
See template
See template
Supplemental Insurance Cancellation Form
PDF template
A form for employees to cancel pre-tax and post-tax supplemental insurance deductions with specified effective date.
See template
See template
Open Enrollment And HR Benefits Communication
PDF template
Document covering open enrollment period, CARES Act unemployment information, and employee performance evaluation process for 2020.
See template
See template
HSA Payroll Deduction Form
PDF template
Employee form for setting up pre-tax payroll deductions to a Health Savings Account (HSA) through Grand Rapids Community College.
See template
See template
Changing Your Name AndOr Address
PDF template
Comprehensive guide detailing the forms and departments employees must notify when changing personal information such as name or address.
See template
See template
HSA Contribution Form
PDF template
A form for employees to adjust their Health Savings Account contributions through payroll deductions, specifying contribution amounts and frequency.
See template
See template
Health Savings Account 2023 Payroll Deduction Contribution Form
PDF template
Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions.
See template
See template
Health Savings Account 2024 Payroll Deduction Contribution Form
PDF template
Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions for the 2024 plan year.
See template
See template
HEALTH SAVINGS ACCOUNT Voluntary Contribution Designation
PDF template
University of Arizona form for employees to voluntarily designate contributions to their Health Savings Account
See template
See template
Health Savings Account (HSA) Contribution Form
PDF template
A form for employees to authorize salary reduction for Health Savings Account contributions under a High Deductible Health Plan
See template
See template
Health Savings Account Employer Contribution Form
PDF template
A form for employers to make contributions to employee Health Savings Accounts with specific contribution details and authorization.
See template
See template
HEALTH SAVINGS ACCOUNT EMPLOYER CONTRIBUTION FORM
PDF template
A form for employers to make contributions to employee Health Savings Accounts (HSAs) with details for initial and subsequent contributions.
See template
See template
HSA Enrollment Form
PDF template
A form for employees to enroll in a Health Savings Account (HSA) with employer contribution and payroll deduction options.
See template
See template
Health Savings Account (HSA) Payroll Deduction Form
PDF template
A form for employees to establish, change, or stop payroll deductions for their health savings account (HSA)
See template
See template
HSA Payroll Deduction Authorization Form
PDF template
Form for employees to authorize payroll deductions for health savings account contributions through the City of Wisconsin Rapids.
See template
See template
HEALTH CONCERN SAFETY HAZARD CHEMICAL SPILL REPORT FORM
PDF template
A form for reporting health concerns, safety hazards, or chemical spills with details and recommended actions.
See template
See template
Health And Safety Form Incident Investigation Form
PDF template
A confidential form used to document and investigate workplace incidents and accidents for North Lanarkshire Council.
See template
See template
Project Lone Star Submission Form
PDF template
A form for reporting lone star tick discoveries in Vermont with detailed location and contact information.
See template
See template
Discretionary Residency Benefit Application Form
PDF template
Financial assistance program for Ontario Works and ODSP recipients who are homeless, at risk of homelessness, or moving to more affordable housing.
See template
See template
CrimeIncident Report Form
PDF template
A standardized form for reporting crimes or incidents within a university setting, used to document details of an event and track its resolution.
See template
See template
HUDESGSTEHP ES PREV DISCHARGE
PDF template
A form used to collect universal data elements and income/benefits information when a client exits a homeless shelter or prevention program.
See template
See template
Hy Flex Attendance Certification Form
PDF template
Form for documenting in-classroom attendance for hy-flex courses to maintain VA education benefits eligibility.
See template
See template
Incident Report (Personal)
PDF template
A standardized form for reporting incidents and accidents that occur during Scouting activities, to be completed by group or activity leaders.
See template
See template
UNCLAIMED PROPERTY HOLDER REPORTING MANUAL
PDF template
A comprehensive manual for businesses on reporting unclaimed property to the Nevada State Treasurer's Office, detailing compliance requirements and submission procedures.
See template
See template
Form 8275 Instructions
PDF template
Instructions for filing Form 8275, a disclosure statement used to avoid certain tax penalties by revealing specific tax return positions.
See template
See template
Form I 864A, Contract Between Sponsor And Household Member
PDF template
A contract used to combine income and assets of a sponsor and household member to meet financial requirements for supporting immigrants.
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
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
IACUC Incident Report Form
PDF template
A form for documenting and reporting incidents related to institutional animal care and use procedures.
See template
See template
BA T1103 Project Readiness Assessment For The Port Of Barbados
PDF template
Technical cooperation document to support the government of Barbados in assessing project readiness for port infrastructure through a Global Infrastructure Facility methodology.
See template
See template
Form Ng Ulat Ng Mga Gawaing Panloob
PDF template
A form for reporting internal incidents or encounters, with space for personal information and incident details.
See template
See template
NEAR MISS REPORT FORM
PDF template
A form used to document potential workplace hazards, safety concerns, and suggestions for preventing future incidents.
See template
See template
FAQ MN Care Coordinators Using The Interactive Care Reviewer (ICR)
PDF template
A guide to help Minnesota care coordinators resolve common member lookup issues in the Interactive Care Reviewer system.
See template
See template
Simple Printable Expense Report Form
PDF template
A form for employees to document and submit work-related expenses for reimbursement.
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
Workplace Incident Report Form
PDF template
A comprehensive form for documenting workplace incidents, injuries, and near misses in a professional setting.
See template
See template
Student Incident Report
PDF template
A comprehensive form for documenting student safety incidents, including details about the incident, actions taken, and notifications.
See template
See template
Federal Employees Health Benefits (FEHB) Premium Conversion Election Form
PDF template
Form for federal employees to elect or waive pre-tax treatment of health insurance premium contributions.
See template
See template
Options For Reporting Your Survey Of Occupational Injuries And Illnesses Data
PDF template
Guide for employers on three methods of reporting occupational injuries and illnesses data to the Bureau of Labor Statistics.
See template
See template
IEEE Expense Report Form Instructions
PDF template
Comprehensive instructions for completing an IEEE expense report, covering data entry, protected fields, and expense tracking procedures.
See template
See template
Commercial Income Expense Report Instructions
PDF template
Instructions for completing a commercial property income and expense reporting form for tax purposes.
See template
See template
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
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
IncidentHazard Report Program
PDF template
A comprehensive program for employees to report workplace hazards and potential safety risks within county departments.
See template
See template
Developmental Disabilities Supports Division (DDSD) Regional Office Request For Assistance RORA
PDF template
A form used to request assistance for individuals with developmental disabilities, addressing various service and support needs.
See template
See template
American Legion Auxiliary Year End Impact Report Forms
PDF template
Annual reporting form for documenting volunteer hours, contributions, and service activities by American Legion Auxiliary members supporting veterans and military families.
See template
See template
American Legion Auxiliary Year End Impact Report Forms
PDF template
Comprehensive reporting form for American Legion Auxiliary members to document their service and impact for annual reporting to Congress.
See template
See template
American Legion Auxiliary Year End Impact Report Forms
PDF template
Annual reporting form for American Legion Auxiliary members to document volunteer hours, service contributions, and impact for veterans and military families.
See template
See template
American Legion Auxiliary Year End Impact Report Forms
PDF template
A comprehensive reporting form for American Legion Auxiliary members to track and report their volunteer hours, services, and contributions to veterans and community.
See template
See template
IncidentAccident Procedures
PDF template
Comprehensive procedures for reporting accidents involving university vehicles, detailing steps to take immediately after an incident and notification requirements.
See template
See template
IncidentAccident Report Form
PDF template
A comprehensive form for documenting details of an incident or accident, including injury information, first aid, and follow-up actions.
See template
See template
INCIDENTACCIDENT REPORT FORM
PDF template
A comprehensive form for documenting details of incidents, accidents, or injuries that occur at a camp or youth activity setting.
See template
See template
IncidentAccident Procedure
PDF template
Procedure for reporting and managing injuries or accidents involving faculty, students, or guests in the Occupational Therapy Program.
See template
See template
INCIDENTACCIDENT REPORT FORM
PDF template
A comprehensive form for reporting accidents, injuries, thefts, medical situations, or student behavior problems at the college.
See template
See template
Incident Analysis Form (IAF)
PDF template
A comprehensive form for documenting workplace incidents, injuries, property damage, and other workplace events.
See template
See template
Incident And Hazard Report Form
PDF template
A form for documenting workplace incidents, injuries, and potential safety hazards involving staff, students, contractors, or visitors.
See template
See template
Incident And Hazard Report Physical And Psychosocial
PDF template
A comprehensive form for documenting workplace incidents, hazards, injuries, and required corrective actions.
See template
See template
INCIDENT ACCIDENT (BODILY INJURY) PROCEDURE FLOWSHEET
PDF template
Guide for reporting workplace incidents, accidents, injuries, and hazards with contact information and procedural steps.
See template
See template
IncidentProperty Damage Report Form
PDF template
A form for documenting incidents, property damage, or injuries that occur on church premises or involving church personnel.
See template
See template
INCIDENT HAZARD REPORT FORM
PDF template
A standardized form for reporting physical and psychological workplace injuries and hazards within the Australian Kinesiology Association.
See template
See template
UND Incident Investigation Form
PDF template
A comprehensive form for documenting workplace incidents, injuries, exposures, and near-misses at the University of North Dakota.
See template
See template
Workplace Violence Incident Investigation Form
PDF template
A comprehensive form for documenting and investigating workplace violence incidents, including details about the event, parties involved, and preventative recommendations.
See template
See template
INCIDENT INVESTIGATION PROCEDURE AND REPORT FORM
PDF template
A comprehensive guide for conducting workplace accident investigations to determine root causes and prevent future incidents.
See template
See template
Developmental Disabilities Program Incident Management Manual
PDF template
A comprehensive guide for managing incidents, reporting, and ensuring safety within developmental disabilities services.
See template
See template
IncidentHazard Report Form
PDF template
A document used to report workplace incidents, hazards, and potential risks for churches, schools, or businesses.
See template
See template
Incident Or Injury Form
PDF template
A comprehensive form documenting details of an incident or injury involving a child in a care facility.
See template
See template
Victoria County 4 H Incident Report Form
PDF template
A form for reporting health, safety, and conduct concerns within Victoria County 4-H programs
See template
See template
Incident Report Form
PDF template
A comprehensive form for reporting incidents, injuries, property damage, or youth protection events within a Scouting organization.
See template
See template
INCIDENT INJURY HAZARD REPORTING PROCEDURE
PDF template
A comprehensive procedure for reporting, investigating, and preventing workplace incidents, injuries, and hazards to ensure health and safety.
See template
See template
Unusual Incident Report Form
PDF template
A comprehensive form for documenting unusual incidents involving clients of the developmental disabilities board, including details of the incident, injuries, and follow-up actions.
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
PDF template
A confidential form for documenting and reporting various types of incidents involving clients, staff, or facilities.
See template
See template
Incident Report Form
PDF template
A comprehensive form for reporting workplace or campus-related incidents, injuries, and potential safety issues.
See template
See template
David Douglas School District Incident Report
PDF template
A comprehensive form for documenting accidents or sudden illnesses involving students, employees, or patrons on school district premises.
See template
See template
AccidentIncident Report Form
PDF template
A form used to document workplace accidents, injuries, near misses, or property damage incidents for safety tracking and prevention.
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
Incident Report Form
PDF template
A form for reporting incidents of discrimination, harassment, or sexual assault at Monroe College for Title IX investigation purposes.
See template
See template
Incident Report Form
PDF template
A form used to document accidents, injuries, medical situations, or student behavior incidents on a campus setting.
See template
See template
Duke University Department Of Chemistry Incident Report Form
PDF template
A comprehensive form for documenting personal injuries, fires, and chemical spills in a university chemistry department.
See template
See template
Wildlife Incident Report Form
PDF template
A comprehensive form for documenting and reporting wildlife health incidents, including species details, environmental conditions, and collected specimens.
See template
See template
Incident Report
PDF template
A comprehensive form for documenting workplace incidents, accidents, and potential injuries at Upper Merion Township.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting workplace incidents, injuries, and follow-up actions.
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
4 H Youth Development Incident Report Form
PDF template
A standardized form for reporting safety incidents, injuries, or situations involving 4-H program participants, volunteers, or staff.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting serious incidents involving college employees, students, or visitors including illness, injury, or theft.
See template
See template
INCIDENT REPORT FORM
PDF template
A comprehensive form for documenting workplace or camp-related incidents, tracking details of injuries, accidents, and other reportable 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
Employee, Volunteer Youth AccidentIncident Report Form
PDF template
A comprehensive form for documenting accidents, incidents, and injuries involving employees, volunteers, and youth participants at the University of Kentucky Cooperative Extension Service.
See template
See template
Employee, Volunteer Youth AccidentIncident Report Form
PDF template
A comprehensive form for documenting accidents, incidents, and injuries involving employees, volunteers, and youth participants at the University of Kentucky Cooperative Extension Service.
See template
See template
Incident Report Form July 2019
PDF template
Confidential form for reporting incidents involving ACE students or mentors that potentially compromise health, safety, or welfare.
See template
See template
Incident Report Form Instructions
PDF template
Guidelines for completing and submitting incident reports for medical and non-medical situations in Scouting environments.
See template
See template
INCIDENT, ACCIDENT, ILLNESS, DEATH OR ARREST REPORT
PDF template
A comprehensive form for documenting and reporting health-related incidents, accidents, illnesses, or other critical events in a community health network.
See template
See template
PHHS CCF INCIDENT REPORT FORM
PDF template
A form used to document incidents and injuries that occur in child care facilities, capturing details about the incident, equipment involved, cause, and type of injury.
See template
See template
Incident Report Form College Of Engineering
PDF template
A detailed form for documenting safety incidents, injuries, or accidents within the College of Engineering environment.
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
Incident Report Form
PDF template
A document used to document workplace incidents, including details about the event, witnesses, and location.
See template
See template
Moycullen Basketball Club Accident Report Form
PDF template
A standardized form for documenting accidents and incidents occurring during basketball club activities.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting incidents involving personal injury, vehicle damage, property damage, or other types of incidents within the Town of Pelham.
See template
See template
Incident Report Form
PDF template
A form used to report incidents involving injury, exposure, illness, damage, theft, or safety issues for nursing students, employees, or visitors.
See template
See template
Paw Point Incident Report Form
PDF template
A form for documenting incidents involving dogs at Paw Point, used to review and potentially take action on reported events.
See template
See template
Incident Report Form
PDF template
Official form for reporting incidents, injuries, or property damage at the University of Texas at Dallas
See template
See template
Incident Report Form
PDF template
A form for documenting incidents involving injury or safety concerns during a camp or program within 48 hours of occurrence.
See template
See template
New Choices Waiver Incident Report Form
PDF template
A comprehensive form for reporting critical incidents involving clients in healthcare or social service settings, requiring timely notification to case management agencies.
See template
See template
RCSC Incident Report
PDF template
A comprehensive form for documenting incidents, injuries, complaints, and policy violations within an organization
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
Incident Report Form
PDF template
A form for reporting violations of NASPA's Code of Conduct during sanctioned events or activities.
See template
See template
Incident Report Form
PDF template
A standardized form for reporting accidents, injuries, or property damage, to be submitted within 24 hours of an incident.
See template
See template
Wayne State University Recreation And Fitness Center Incident Report Form
PDF template
A detailed form for documenting incidents occurring at the Wayne State University Recreation and Fitness Center, collecting information about the incident, witnesses, and involved parties.
See template
See template
DEPARTMENTAL INCIDENT AND HAZARD REPORT FORM
PDF template
A comprehensive form for reporting workplace incidents, accidents, and safety concerns at a campus or organizational setting.
See template
See template
ABC Adult School Incident Report
PDF template
A standard form for documenting details of incidents occurring at ABC Adult School.
See template
See template
Incident Report Form
PDF template
A form used to document and report incidents requiring college staff involvement or potential outside agency referral.
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 reporting alleged fraudulent activities involving federal workforce development funds in San Diego.
See template
See template
Incident Report Form
PDF template
Formal document for reporting misconduct, harassment, bullying, hazing, abuse, or other youth protection events within a club setting.
See template
See template
Incident Report Form
PDF template
A standardized form for documenting school-related incidents, injuries, and follow-up actions involving students.
See template
See template
Child Care Licensing Incident Report Form For Temporary Operations
PDF template
A form for reporting serious incidents, accidents, or health and safety issues in temporary child care operations during COVID-19 emergency period.
See template
See template
Incident Report Prince GeorgeS County Summer Youth Enrichment Program (SYEP)
PDF template
A form for reporting workplace incidents, injuries, or harassment involving youth participants in the Summer Youth Enrichment Program.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting details of an incident, including participant information, injury details, first aid, and follow-up actions.
See template
See template
Incident Hazard Report Form
PDF template
A comprehensive form for documenting workplace incidents, injuries, hazards, and corrective actions within the Anglican Diocese of The Murray.
See template
See template
YMCA Incident Report Form
PDF template
A comprehensive form for documenting incidents occurring at YMCA facilities, camps, or school sites involving staff, volunteers, or participants.
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
AYSO Incident Report Form
PDF template
Comprehensive form for documenting injuries, incidents, and accidents during AYSO soccer events and activities.
See template
See template
ADMH DDD Incident Report Form For Incident Occurring During Provision Of Self Directed Services In I
PDF template
A form used to document and report incidents occurring during self-directed services for waiver program enrollees.
See template
See template
Incident Reporting Form
PDF template
A comprehensive form for reporting incidents of bullying, harassment, or discrimination in a school setting
See template
See template
Incident Report Form
PDF template
A form used to document details of an incident, including persons involved, property damage, and event description.
See template
See template
How To File An Incident Report
PDF template
Comprehensive guide for reporting workplace, student, and visitor incidents at Clark College, detailing the proper procedures for documenting accidents and near misses.
See template
See template
Incident Reporting Procedure
PDF template
Comprehensive procedure defining incident types and reporting requirements for various critical events in family and child services.
See template
See template
Incident Reporting System User Guide Incident Investigation
PDF template
A comprehensive guide for users on how to access and complete incident investigation forms in the university's online reporting system.
See template
See template
Dexter Community Schools Incident Report Non Staff Accident Report Form
PDF template
A form for documenting accidents, injuries, vandalism, theft, and safety hazards occurring within a school environment.
See template
See template
Incident Report Policy
PDF template
A comprehensive policy detailing the procedure for documenting and reporting incidents that occur on library property, including submission requirements and best practices.
See template
See template
CANTON PUBLIC SCHOOLS INCIDENT REPORTS FOR STUDENTS AND STAFF
PDF template
Guidelines for documenting and reporting accidents, injuries, and significant health incidents involving students and staff at Canton Public Schools.
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
Appendix C Grant Survey Form Instructions
PDF template
Detailed instructions for completing a grant survey form, including guidelines for documenting family income, demographics, and survey validation.
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
State Of Texas Emergency Assistance Registry (STEAR) Individual Registration Form
PDF template
A form for individuals to register with local emergency services to assist in disaster planning and response.
See template
See template
INITIAL COMPLAINT FORM
PDF template
A form for filing complaints related to staff or student misconduct within the Salinas Union High School District.
See template
See template
Initial Interview Form
PDF template
A comprehensive form for veterans and their family members to collect information needed to apply for veterans' benefits.
See template
See template
Louisiana State Employees Retirement System Purchase Of Service Credit For Military Service
PDF template
Proposed amendments to retirement system rules regarding military service credit purchase, aligning with federal and state regulations.
See template
See template
IncidentInjuryHazard Notification Form
PDF template
A comprehensive form for reporting workplace incidents, injuries, illnesses, hazards, or near misses within a university setting.
See template
See template
Casa Loma College Incident Report Form
PDF template
A form for documenting incidents involving employees, students, or visitors at Casa Loma College, including details of the incident, actions taken, and analysis.
See template
See template
PUBLIC POOL AND SPA INJURY INCIDENT REPORT FORM
PDF template
A standardized form for reporting injuries, drownings, or near-drownings at public pools and spas to local health districts.
See template
See template
UVU Injury Accident Report Form
PDF template
Comprehensive form for documenting accidents and injuries occurring at Utah Valley University or during university-sponsored activities.
See template
See template
Form D Student Injury Report Form
PDF template
A form used to document and report student injuries or exposures during academic or clinical activities.
See template
See template
Report Of Incident Or Accident
PDF template
A comprehensive form for documenting workplace incidents, accidents, and injuries at California State University, Sacramento.
See template
See template
STEM Center Instructional Assistant Study Session Form
PDF template
Instructions for STEM Center tutors to complete mandatory documentation after each tutoring session to track session effectiveness.
See template
See template
Special Incident Report Form (SIR)
PDF template
Instructions for completing and submitting a Special Incident Report form for San Andreas Regional Center service providers.
See template
See template
UND Incident ReportingIncident Investigation Form
PDF template
Guidelines for reporting and investigating safety incidents, injuries, and hazards at the University of North Dakota (UND)
See template
See template
Budget Form
PDF template
Detailed instructions for completing a multi-tab budget spreadsheet with guidance on filling out summary and activity sheets.
See template
See template
EMPLOYEE WAIVER OF HEALTH INSURANCE FORM
PDF template
Form for employees to waive group health insurance coverage due to alternative coverage.
See template
See template
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
IntakeReferral Form
PDF template
A form for reporting workplace incidents, complaints, or potential misconduct within a Tennessee state agency.
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
Internal Affairs Report Form
PDF template
A form for reporting alleged misconduct or inappropriate behavior by law enforcement officers within the Colts Neck Township Police Department.
See template
See template
Internal Quarterly Progress Report Form
PDF template
A standardized form for tracking and reporting project progress, activities, and financial status for grant-funded initiatives.
See template
See template
Minnesota Court Interpreter Program Interpreter Invoice Submission User Guide
PDF template
A user guide for Minnesota court interpreters to submit invoices through an online system, providing step-by-step instructions for accessing and using the invoice entry site.
See template
See template
Interpreter Invoice Submission User Guide
PDF template
Detailed instructions for court interpreters to submit invoices online through the Minnesota Court system's invoice entry site.
See template
See template
International Annual Report Form For Assembled Countries
PDF template
Annual reporting form for international Daughters of the King chapters to provide organizational and contact information to the national office.
See template
See template
Application Form For Invalidity Pension
PDF template
Official government form for applying for Invalidity Pension in Ireland, with detailed instructions for completion.
See template
See template
Annual IOLTA Compliance Report
PDF template
Annual reporting form for Maryland attorneys to verify IOLTA account compliance and recertification status
See template
See template
Victim Of Trafficking Screening Interview Form
PDF template
Confidential interview form for identifying and documenting potential victims of human trafficking for support and assistance purposes.
See template
See template
IOWA ACCIDENT REPORT FORM
PDF template
Official form for reporting accidents in Iowa causing death, personal injury, or property damage of $1,500 or more.
See template
See template
IPad Damage Report Form
PDF template
A form for reporting damage to student iPads at Salesian College, detailing repair costs and responsibility
See template
See template
Salesian College IPad LossDamage Report Form
PDF template
A form for reporting lost, stolen, or damaged iPads issued by Salesian College to students.
See template
See template
Salesian College IPad LossDamage Report Form
PDF template
A form for reporting lost, stolen, or damaged iPads owned by Salesian College students.
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
Annual Progress Report Form
PDF template
A form for researchers to report annual progress and status of research studies approved by the Institutional Review Board (IRB)
See template
See template
How To File An Incident Report In Cayuse
PDF template
Instructions for reporting research incidents or adverse events using the Cayuse system for Texas Woman's University IRB.
See template
See template
Incident Report Form
PDF template
A standardized form for documenting workplace incidents, injuries, or damages involving employees or volunteers.
See template
See template
Impairment Related Work Expense Request
PDF template
Form for reporting work-related expenses for Social Security disability beneficiaries to potentially offset income calculations.
See template
See template
Islamic State Of Iraq Expense Report
PDF template
A blank financial expense tracking document for recording funds received and expenses incurred by an individual affiliated with the organization.
See template
See template
Incident Investigation Reporting
PDF template
A comprehensive procedure for investigating and reporting workplace incidents, aligned with ISO 45001:2018 occupational health and safety standards.
See template
See template
ISP Audit Meeting Minutes
PDF template
Minutes from an ISP audit meeting discussing safety training, incident reporting, and certification requirements for the Biochemistry department.
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
IT Addendum To ContractorS Contract Form
PDF template
An addendum modifying standard contract terms for IT services between a contractor and the Virginia Community College System (VCCS)
See template
See template
CDW Customer Service Order Form
PDF template
Agreement between Tulsa County and CDW Government, LLC for Mimecast M2A and LCS-Gold annual subscriptions
See template
See template
Incident Report Form
PDF template
A standardized form for documenting workplace accidents, injuries, property damage, or near-miss events to be completed within 24 hours of an incident.
See template
See template
I.T Maintenance Request Form
PDF template
A form used to document and track IT equipment maintenance requests within an organization.
See template
See template
ITP 3 Technology Governance And Procurement Review
PDF template
Administrative procedure defining the technology governance process and requirements for technology procurement review at Marshall University.
See template
See template
Information Technology Professional Services Agreement
PDF template
A service agreement between Cornell University and a technology consultant for professional IT services and deliverables.
See template
See template
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
Form W 8BEN E
PDF template
IRS form for entities to certify their status for US tax withholding and reporting purposes
See template
See template
Wisconsin DNR Infectious Waste Annual Report
PDF template
Instructions for Wisconsin medical facilities and infectious waste generators to complete their annual waste reporting requirements.
See template
See template
Academic And Government Category Incident Report Form
PDF template
A comprehensive form for reporting incidents involving international exchange visitors at Rowan University.
See template
See template
JEB RA Student Accident And Injury Reporting
PDF template
Establishes reporting requirements and guidelines for student accidents and injuries during school-sponsored activities in Anne Arundel County Public Schools.
See template
See template
Instructions For The Job Application Survey Form
PDF template
Detailed guidelines for completing a job application survey form for HUD reporting purposes, focusing on job creation and income reporting.
See template
See template
St. MaryS Catholic School Job Application Form
PDF template
A comprehensive job application form for teaching positions at St. Mary's Catholic School in Minnesota, requiring detailed professional and personal information.
See template
See template
Scholar Health Insurance Waiver Form 2024 2025
PDF template
A health insurance waiver form specifically designed for international J-1 scholars and their J-2 dependents at the University at Buffalo.
See template
See template
HR Change Of Address Form
PDF template
A form for employees to update their personal contact information and notify benefits vendors of address changes.
See template
See template
Transitions
PDF template
Monthly update document from Massachusetts Department of Transitional Assistance covering case transfer functionality, MBTA fare changes, and participation form guidelines.
See template
See template
KPERS 15B Direct Deposit Agreement
PDF template
Form for setting up direct deposit of retirement benefits with Kansas Public Employees Retirement System
See template
See template
DESIGNATION OF BENEFICIARY FOR LIFE INSURANCE KANSAS BOARD OF REGENTS MEMBERS
PDF template
Official form for Kansas Board of Regents members to designate life insurance beneficiaries for KPERS insurance benefits.
See template
See template
Peralta Community College District Reimbursement Form
PDF template
Form for Peralta Community College District employees and retirees to claim medical expense reimbursements based on specific eligibility criteria.
See template
See template
Accident Report Form
PDF template
A form used to document and report accidents or injuries occurring on the Kingsley Allotment Site by members of the community.
See template
See template
SEWAGE DISCHARGE FORM
PDF template
Official report of a combined sewer overflow (CSO) discharge event in Kingston, New York, detailing location, volume, and environmental impact.
See template
See template
Public Complaint Procedure KL AR
PDF template
A formal procedure for addressing and resolving public complaints within the Bandon School District through a three-step escalation process.
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
My Benefits Manager Provider Portal Guide
PDF template
A comprehensive guide for healthcare providers to navigate the My Benefits Manager portal for claims, eligibility, and authorization management.
See template
See template
KPERS Retirement Application
PDF template
Comprehensive guide and application for retirement benefits through the Kansas Public Employees Retirement System (KPERS)
See template
See template
2025 Value Added Benefits
PDF template
Comprehensive benefits guide for pregnant and new mothers, offering rewards, support programs, and additional healthcare services.
See template
See template
Form 990 N (E Postcard)
PDF template
Guide for small tax-exempt organizations explaining the electronic Form 990-N filing requirement to maintain tax-exempt status.
See template
See template
Benefit Application Form For Ontario Works
PDF template
A comprehensive application form for accessing various social assistance benefits and support services in Ontario, specifically for Gull Bay First Nation.
See template
See template
Critical Incident (CI) Report Form
PDF template
A form for reporting and documenting critical incidents involving healthcare members at L.A. Care Health Plan.
See template
See template
Laboratory Incident Report Form
PDF template
A confidential form for reporting safety incidents or concerns related to laboratory work at UMBC, allowing anonymous reporting of workplace safety issues.
See template
See template
Laboratory Incident Report Form
PDF template
A standardized form for documenting and reporting safety incidents or accidents that occur in a laboratory setting.
See template
See template
Application For Pension
PDF template
Comprehensive pension application package for laborers seeking to start their pension benefit, including forms and instructions for benefit election.
See template
See template
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
MCDSS 236 Dwelling Information Form
PDF template
A comprehensive form for documenting rental property details, tenant information, and housing assistance eligibility.
See template
See template
Cable Television Franchise Ordinance
PDF template
An ordinance granting a franchise to Ace Telephone Association to operate a cable television system in Lanesboro, Minnesota with specified conditions and 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
Local Church Funds
PDF template
Annual financial report detailing receipts, disbursements, and balances for various church funds
See template
See template
Referral Form
PDF template
A comprehensive referral form for students seeking support services at a community college resource center
See template
See template
LDSS 2642 Documentation Requirements
PDF template
A form detailing documentation needed to prove various eligibility factors for social services or benefits application.
See template
See template
CommissionerS Model Plan
PDF template
A template to help schools document steps for testing drinking water for lead in compliance with Minnesota statutes.
See template
See template
Lease Accounting Policy
PDF template
Comprehensive policy establishing accounting treatment for lease agreements at Harvard University, covering classification and reporting requirements for lessees and lessors.
See template
See template
Leave Request Form
PDF template
A comprehensive form for Wellesley Public Schools employees to request various types of leave of absence.
See template
See template
Leave Request Form Management
PDF template
A comprehensive form for employees to request various types of leave, including medical, family, and parental leave.
See template
See template
LEGACY BUDGET FORM TO LAGOV BUDGET FORM CROSSWALK
PDF template
A comprehensive mapping of legacy budget forms to new LaGov budget reporting forms and their corresponding sections and attachments.
See template
See template
Legal Form Help Line
PDF template
A resource providing help for self-represented litigants in navigating court forms through a student-staffed helpline.
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
Disability Claim Form
PDF template
A comprehensive form for employees to report disability, injury, or illness for benefits claim purposes.
See template
See template
TCC Child Care Assistance Program Attendance Verification Form
PDF template
A form for child care providers to document and verify child attendance for reimbursement through the TCC Child Care Assistance Program.
See template
See template
Retiree Life Cancellation Form
PDF template
Form for cancelling retiree life insurance coverage with UCM Benefits Group, with a warning that once cancelled, participation cannot be reinstated.
See template
See template
State Of Florida Group Long Term Disability Claim Form
PDF template
A comprehensive claim form for employees seeking long-term disability benefits through the State of Florida's insurance program administered by Cigna.
See template
See template
Medical IncidentAccident Report
PDF template
A comprehensive form for documenting medical incidents or accidents, detailing injury specifics and first aid procedures.
See template
See template
UNall HR Service Requests
PDF template
Comprehensive listing of HR service requests and forms available to UN staff members for various administrative and personal actions.
See template
See template
Audit Report Form
PDF template
A comprehensive financial audit form for tracking and verifying PTA/PTSA financial records and transactions.
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
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
Laptop Devise (LTD) And Hotspot Loaner Program Existing Damage Report Form
PDF template
A form for reporting damage or loss of school-issued laptop devices or hotspots by students.
See template
See template
Employer Expense Report Form
PDF template
A form for employers to report expenses related to legislative lobbying activities in South Dakota.
See template
See template
Annual Lobbying And Expense Report
PDF template
A mandatory annual report for registered lobbyists in Nashville detailing lobbying activities and expenses for the previous calendar year.
See template
See template
LOBBYIST Expense Report
PDF template
An official form for reporting expenses related to lobbying activities in the South Dakota Legislature with specific guidelines for expense disclosure.
See template
See template
Local Church Funds Report
PDF template
Annual financial report detailing receipts, disbursements, and balances for various church funds and organizations.
See template
See template
Local Professionalism Panel Report Form
PDF template
A reporting form for documenting local professionalism panel referrals and activities in Florida judicial circuits.
See template
See template
Disability Claim Form FL
PDF template
A comprehensive form for filing a disability insurance claim with detailed sections for employer and employee information.
See template
See template
Long Term Disability Insurance For Judges Attorneys FAQs
PDF template
Informational document about long-term disability insurance options for New Mexico Judicial Branch judges and attorneys through Northwestern Mutual.
See template
See template
Lost Or Stolen British Passport Notification
PDF template
Official form for reporting a lost or stolen British passport when outside the United Kingdom.
See template
See template
Low Risk Level Supervision Report Form
PDF template
A comprehensive reporting form for individuals under low-risk probation or parole supervision in the State of Missouri, tracking personal, employment, and legal status.
See template
See template
New Jersey Government Records Request Form
PDF template
Official form for requesting access to government records in New Jersey, detailing submission methods and requestor information.
See template
See template
Introduction To LRP Project Status Reports
PDF template
A document explaining the purpose and structure of Long-Range Planning project status reports for state capital projects.
See template
See template
Introduction To LRP Project Status Reports
PDF template
A document explaining the purpose and structure of Long-Range Planning project status reports for state capital projects.
See template
See template
Incident Report Form
PDF template
A comprehensive form for reporting healthcare facility incidents involving resident safety, injuries, or critical events.
See template
See template
Group LTD Insurance Cancellation Form
PDF template
Form for employees to cancel voluntary long-term disability insurance coverage with Tennessee Board of Regents
See template
See template
Disability Claim Form
PDF template
A comprehensive form for filing a disability insurance claim, requiring input from the member, plan sponsor, and attending physician.
See template
See template
Group Long Term Disability Claim Form
PDF template
A comprehensive claim form for employees seeking long-term disability benefits, requiring details from both the employee and attending physician.
See template
See template
Long Term Disability Claim Form Employer Statement
PDF template
Comprehensive employer statement form for filing a long-term disability insurance claim, capturing employee and claim details.
See template
See template
Long Term Disability Claim Form Statement Of Employer
PDF template
A form used by employers to submit details for an employee's long-term disability insurance claim with Lincoln Financial Group.
See template
See template
CampCompetition Incident Report Form
PDF template
A comprehensive form for documenting incidents, accidents, or injuries occurring during camp or competition activities.
See template
See template
Match Day Incident Investigation Form
PDF template
A form for reporting and investigating incidents during lacrosse matches by Lacrosse Victoria officials.
See template
See template
Form M100, Request For Copy Of Tax Return
PDF template
Official form for requesting a copy of a tax return from the Minnesota Department of Revenue
See template
See template
Form M 1 Report For Multiple Employer Welfare Arrangements (MEWAs) And Certain Entities Claiming Exc
PDF template
A Department of Labor form for reporting multiple employer welfare arrangements and entities claiming exception to health coverage regulations.
See template
See template
North Carolina Medicaid Aged, Blind And Disabled Medicaid Manual
PDF template
Guidelines for handling Medicaid application inquiries and documenting when an individual chooses not to apply for assistance.
See template
See template
MA Health Care Coverage Waiver Form
PDF template
Form for employees to decline employer-sponsored health insurance coverage with options for alternative coverage
See template
See template
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
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
Form SS 8572
PDF template
Official guidelines for mandated child abuse reporters detailing reporting responsibilities and procedures under California's Child Abuse and Neglect Reporting Act (CANRA).
See template
See template
Mandatory ADA Annual Report Form
PDF template
A mandatory annual reporting form for Louisiana state agencies to document ADA compliance, training, and employee accommodation requests.
See template
See template
Current Employment Statistics (CES) Reporting Form
PDF template
U.S. Department of Labor form for businesses to report monthly employment statistics for statistical purposes.
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
Map Order Form
PDF template
A form for ordering various types of maps from the Minnesota Secretary of State's Elections Division with pricing and ordering instructions.
See template
See template
Marine Accident Report Form
PDF template
Comprehensive form for documenting marine accidents, incidents, and related details for submission to the Harbour Authority.
See template
See template
Marketing Declaration Form
PDF template
A comprehensive form collecting detailed household demographic, language, and support payment information for marketing or administrative purposes.
See template
See template
Investigation Response To Final Report Form
PDF template
A form outlining the process for finalizing an investigative report and providing response opportunities for involved parties.
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
Maryland Youth Camp Incident Report Form
PDF template
Official form for documenting incidents, injuries, or illnesses occurring at youth camps in Maryland.
See template
See template
MASA Medical Air Services Association Employee Payroll Deduction Authorization Form
PDF template
Employee authorization form for automatic payroll deductions for MASA membership dues with terms and conditions.
See template
See template
Operative Plasterers And Cement Masons Profit Sharing Annuity Plan Summary Plan Description
PDF template
A summary plan description for a profit sharing annuity plan for plasterers and cement masons, detailing plan provisions as of October 31, 2002.
See template
See template
Misconduct, Match And Incident Report Form
PDF template
A form used to document misconduct, match penalties, and incidents during a sporting event, typically for ringette leagues in British Columbia.
See template
See template
Application Form For Maternity Benefit
PDF template
Official form for applying for maternity benefits through Social Welfare Services, providing guidance for employees and self-employed individuals
See template
See template
Application Form For Maternity Benefit
PDF template
A comprehensive form for employees and self-employed individuals to apply for maternity leave benefits in Ireland.
See template
See template
Short Term Disability Insurance For Maternity Leave
PDF template
A detailed explanation of short-term disability insurance coverage for maternity leave, including claim filing process and state-specific benefits.
See template
See template
Incident Report Form Template
PDF template
A standardized form for documenting and reporting incidents involving individuals, with details about the event, participants, and follow-up actions.
See template
See template
Multnomah Bar Association EnrollmentChange Of StatusWaiver Form
PDF template
A comprehensive form for attorneys to enroll, change, or waive health insurance coverage through the Multnomah Bar Association.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting workplace emergencies including spills, fires, and property damage at collection sites.
See template
See template
Incident Report Form
PDF template
A comprehensive form for reporting emergencies including spills, fires, and property damage at collection sites.
See template
See template
Direct Deposit Form
PDF template
Official form for School Employees Retirement System of Ohio to establish direct deposit payment method for retirement benefits.
See template
See template
MC 20 (617) WAIVERSUSPENSION OF FEES AND COSTS (AFFIDAVIT AND ORDER)
PDF template
A legal form for requesting waiver or suspension of court fees based on financial hardship or public assistance status.
See template
See template
Family Loan Program Checklist
PDF template
Comprehensive checklist and application for a family loan program with detailed income and expense verification requirements.
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
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
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
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
Media Inquiry Form
PDF template
A form for media representatives to submit inquiries to the Office of Inspector General regarding specific audits or topics.
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 Incident Report
PDF template
A comprehensive form for documenting medical incidents and patient health status during flight.
See template
See template
SCREENING AND REFERRAL FORM
PDF template
A comprehensive screening form to assess an individual's needs across income supports, housing, employment, and immigration status.
See template
See template
Request For Medicare Part B Reimbursement (Quarterly Or Annual)
PDF template
A form for Contra Costa Community College District retirees to request reimbursement for Medicare Part B premium payments.
See template
See template
MIT Student Medical Report Form 20242025
PDF template
Medical report form for new and returning MIT students requiring health documentation, immunization records, and medical screening information.
See template
See template
MemberS Application For Disability Retirement
PDF template
Application form and guidance for public employees seeking disability retirement benefits in Massachusetts.
See template
See template
Member Inquiry Form
PDF template
A comprehensive form for members to submit inquiries about medical claims, health plans, and personal information updates.
See template
See template
Claim Form 1 Reimbursement For Out Of Network Benefit
PDF template
Form for submitting vision service reimbursement claims for out-of-network eye doctor visits and services.
See template
See template
Member Service Request Form
PDF template
A comprehensive form for members to request various retirement, service, and benefits-related actions.
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
Decree On The Format And Contents Of Reports Submitted To The Banking Agency Of The Federation Of Bo
PDF template
Official decree specifying reporting format, contents, and deadlines for microcredit organizations in the Federation of Bosnia and Herzegovina.
See template
See template
Internship Application Form
PDF template
Application form for internship opportunities at the Museum at FIT in New York City.
See template
See template
Help With Medicare Costs Medicare Savings Programs
PDF template
Application for financial assistance with Medicare premiums, copays, and deductibles, with potential SNAP enrollment option.
See template
See template
Military History Checklist
PDF template
A tool to help hospice staff identify veterans, understand their military service, and assess potential VA benefits for patients and their families.
See template
See template
REFERRAL FORM
PDF template
A form for referring consumers to various support services including advocacy, benefits assistance, healthcare, and employment services.
See template
See template
Military Plan Information
PDF template
A form for dividing military retirement benefits during divorce proceedings, capturing details about service, marriage duration, and benefit allocation.
See template
See template
Notice Of Potential Veterans Benefits
PDF template
A document notifying eligible veterans of their rights to purchase creditable service for military service under Massachusetts retirement laws.
See template
See template
Statutory Short Form Power Of Attorney
PDF template
A legal document granting broad powers to an attorney-in-fact for making decisions on behalf of the principal under Minnesota law.
See template
See template
Minnesota General Power Of Attorney Form
PDF template
A legal document granting financial decision-making powers to an attorney-in-fact with specific limitations and revocation conditions.
See template
See template
Minnesota Lease Agreement Template
PDF template
A legal document template for establishing a rental agreement between landlords and tenants in Minnesota.
See template
See template
Minnesota Standard Residential Purchase Agreement
PDF template
Standard legal document for purchasing residential real estate in Minnesota, outlining terms and conditions between buyer and seller.
See template
See template
Minnesota Standard Residential Lease
PDF template
Standard legal document for residential lease agreements in Minnesota, providing terms and conditions for landlords and tenants.
See template
See template
MINNESOTA VOTER REGISTRATION APPLICATION
PDF template
Official document for registering to vote in Minnesota, collecting personal information and voter eligibility details
See template
See template
Mandatory Inspection Program Decal Order Form
PDF template
Form for ordering vehicle inspection decals from the Minnesota Department of Public Safety State Patrol Division.
See template
See template
MIP Enrollment Form
PDF template
Comprehensive form for UN staff members to enroll in medical insurance coverage for themselves and their dependents.
See template
See template
Monthly Reporting And Reimbursement Requirements Maritime Infrastructure Program
PDF template
Document detailing monthly reporting and reimbursement procedures for ports and navigation districts participating in a maritime infrastructure funding program.
See template
See template
Marshall Work Instruction QD01 Mishap And Close Call Reporting And Investigation Program
PDF template
NASA Marshall Space Flight Center directive for reporting and investigating workplace mishaps and close calls.
See template
See template
MISSINGDAMAGE REPORT FORM
PDF template
A form for reporting missing or damaged luggage and personal items during a cruise or tour with Princess Cruises.
See template
See template
Missing Inventory Form
PDF template
A form used to document and report missing inventory items at Mississippi Delta Community College
See template
See template
Missing Person Declaration
PDF template
Official document for reporting a missing person and describing the circumstances of their disappearance
See template
See template
Mission And Community Service Leave Request Form
PDF template
A form for employees to request time off for mission, community service, or spiritual activities as part of an organizational leave benefit.
See template
See template
MissionInsite Request Form
PDF template
A form for requesting specialized demographic reports for churches and ministries with geographical area specifications.
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
Missing Person Initial Report Form
PDF template
A confidential form for documenting initial details about a missing person case, including personal information, description, and circumstances of disappearance.
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
Mitigation Monitoring And Reporting Program Underground Flow Equalization System Project
PDF template
A mitigation monitoring and reporting program document for a City of San Mateo infrastructure project, outlining environmental impact mitigation strategies and compliance requirements.
See template
See template
Barriers Assessment Form For Scope Of Practice Changes
PDF template
A comprehensive form to assess barriers and strategies for changes in regulated health profession scope of practice in Minnesota.
See template
See template
STATE OF MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT FORM
PDF template
Annual reporting form for charitable organizations operating in Minnesota, detailing organizational and financial information.
See template
See template
Request For Proposals (RFP) For Corn Research
PDF template
A call for research proposals focused on corn production, stewardship, and expanded uses in Minnesota with specific research priority areas.
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
Emergency Repairs Program (ERP) Application
PDF template
A housing assistance program providing funding for critical home repairs for eligible Mtis citizens in Saskatchewan, with different funding levels for northern and central/southern regions.
See template
See template
Monthly Club Report Form
PDF template
A form for student clubs to report monthly activities, membership, topics, future plans, and budget status to their organization.
See template
See template
Monthly Compliance Form
PDF template
A mandatory monthly reporting document for contractors working on City of Waterbury projects over $100,000, tracking Section 3 resident hiring and recruitment efforts.
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
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
Standard Form 91 Motor Vehicle Accident Report
PDF template
Official U.S. government form used for documenting and reporting motor vehicle accidents, capturing details of vehicular incidents.
See template
See template
Personal Leave Request Form
PDF template
A form for employees to request unpaid personal leave of at least 30 days from their employer.
See template
See template
Filing A Claim For Insurance Benefits
PDF template
Guide for lenders on submitting insurance benefit claims through the FHA Connection system for various claim types and loss mitigation options.
See template
See template
MS4 Annual Report Cover Page
PDF template
Annual reporting document for municipal stormwater management systems detailing compliance with environmental regulations.
See template
See template
DEP FORM 62 624.600(2) Annual Report Form For Individual NPDES Permits For Municipal Separate Storm
PDF template
A reporting form for operators of municipal separate storm sewer systems to document compliance with NPDES stormwater permits.
See template
See template
Manufactured Home Statement Of Sale
PDF template
Official form for documenting the sale of a manufactured home in Minnesota, detailing financial transactions and property details.
See template
See template
Incident Report Form
PDF template
A form for documenting incidents and accidents within the Midwestern State University Theatre Department.
See template
See template
HUD 50075 MTW (XX2023)
PDF template
A form for MTW expansion agencies to report and communicate their housing policies and plans to HUD and the public.
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
MUI UI Incident Report Form
PDF template
A comprehensive form for documenting and reporting incidents involving participants, including details of occurrence, medical treatment, and follow-up actions.
See template
See template
DODD Possible Or Determined MUI Report Form
PDF template
A form for documenting and reporting incidents involving individuals receiving services, including details about the incident, injuries, and notifications.
See template
See template
ASCAP Experimental License Agreement Fee Calculation Worksheet
PDF template
A fee calculation worksheet for reporting license fees for non-interactive and interactive music services under an ASCAP experimental license agreement.
See template
See template
Membership Form
PDF template
Membership benefits and registration form for the Museum of History and Art in Ontario, offering various membership levels and associated perks.
See template
See template
Accessing Claims Online Using The Employee Portal
PDF template
A guide for employees on how to access and manage insurance claims through Mutual of Omaha's online employee portal.
See template
See template
Enrollment Form
PDF template
Insurance enrollment form for selecting life and AD&D coverage options for employees and dependents.
See template
See template
Claim For Motor Vehicle Refund
PDF template
Official form for requesting tax refund or registration adjustment for motor vehicles in Minnesota
See template
See template
Monthly Household Budget
PDF template
A comprehensive budget form designed to help potential homeowners assess their current and future financial situation for mortgage eligibility.
See template
See template
CHANGE OF ADDRESS NAME CHANGE FORM
PDF template
Form for employees to update personal information, address, name, and benefit details with their employer.
See template
See template
NASA Media Release For Adults
PDF template
A legal document allowing NASA to interview, photograph, and use an individual's likeness for various media productions without compensation.
See template
See template
Pension Benefit Application
PDF template
Application form for pension benefits with detailed instructions for participants seeking retirement benefits from the Carpenters Pension Fund.
See template
See template
HEALTH COVERAGE ENROLLMENT FORM
PDF template
Enrollment form for health benefits coverage through the National Automatic Sprinkler Industry Welfare Fund, detailing employee and dependent information.
See template
See template
National Security Annual Report Form
PDF template
Annual reporting form documenting a unit's national security and military support activities for servicemembers and families.
See template
See template
Claim Form
PDF template
A form for employees to submit healthcare and dependent care expenses for reimbursement through flexible spending accounts.
See template
See template
Application For Pension
PDF template
Comprehensive pension application package for workers seeking to initiate pension benefits from the National Asbestos Workers Pension Fund.
See template
See template
National Board Incident Report Form
PDF template
A comprehensive form for documenting incidents related to pressure systems and equipment with detailed reporting fields.
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
North Carolina Central University Campus Police CommendationComplaint Form
PDF template
A form for submitting commendations or complaints about campus police incidents or personnel
See template
See template
DHHS Incident And Death Report
PDF template
Official form for reporting incidents and deaths involving individuals receiving publicly funded mental health, developmental disabilities, and substance abuse services in North Carolina.
See template
See template
Cancer Coverage With Optional Riders Claim Form
PDF template
Insurance claim form for filing cancer coverage benefits with American Heritage Life Insurance Company.
See template
See template
N.C. Forest Service Urban And Community Forestry Financial Assistance Program REQUEST FOR REIMBURSEM
PDF template
Financial request form for Urban and Community Forestry grant reimbursements with options for cost share and match share funding.
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
NCSA Partnership Affidavit Form
PDF template
Form for documenting non-commercial sponsorship announcement (NCSA) spots aired by radio and television stations.
See template
See template
NDAH Sexual Misconduct Complaint Form
PDF template
A form for reporting discrimination, harassment, or sexual misconduct at the University of Georgia in compliance with Title IX.
See template
See template
HazardIncident Report Form
PDF template
A form used to report and document health and safety hazards or incidents within an organization, tracking details, recommended actions, and resolution.
See template
See template
Near Miss Equipment Incident Report Form
PDF template
A form for reporting potential workplace hazards, near-misses, and safety concerns to prevent future incidents and maintain a safe work environment.
See template
See template
Near Miss Incident Report Form
PDF template
A comprehensive form for employees to report potential workplace safety hazards or near-accident situations to help prevent future incidents.
See template
See template
Near Miss Report Form
PDF template
A form for documenting workplace safety incidents and near-miss events with potential hazards or safety concerns.
See template
See template
Near Miss Report Form
PDF template
A form for reporting potential workplace safety hazards or incidents that did not result in injury or damage at OSU.
See template
See template
Neighbors Helping Neighbors Contribution Form
PDF template
A form allowing customers to make monthly or direct contributions to help neighbors with utility bill assistance through the Salvation Army.
See template
See template
Charitable Organization Annual Report Form Instructions
PDF template
Official instructions for charitable organizations filing annual reports with the Minnesota Attorney General's Charities Division.
See template
See template
NETBACK EXPENSE REPORT FORM (NERF)
PDF template
A reporting form for documenting oil and gas product sales volumes, values, and associated expenses for the 2021 assessment year.
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
Complaint Form (Guardianship Or Conservatorship)
PDF template
A form for filing complaints related to guardianship or conservatorship proceedings in Minnesota court system.
See template
See template
New Hire Benefits Enrollment Checklist
PDF template
Comprehensive checklist for new employees of the Office of the Comptroller of the Currency to complete benefits enrollment and required forms within specified timeframes.
See template
See template
Checklist For Transfer Employee From Another State Agency
PDF template
A comprehensive checklist for employees transferring between state agencies, covering documentation, policy acknowledgments, and benefits enrollment.
See template
See template
IllnessInjury Report Form
PDF template
Document used to report workplace or campus incidents involving injuries, near misses, or accidents for employees, students, and guests at East Tennessee State University.
See template
See template
IT Project Initiation Proposal Form
PDF template
A comprehensive form for proposing and initiating new IT projects, capturing project vision, goals, resources, and approval requirements.
See template
See template
Newly Wed Checklist (Active Retired)
PDF template
Instructions for adding a spouse to welfare benefits for Uniformed Firefighters Association members.
See template
See template
New Member Enrollment Form
PDF template
A form for newly hired employees to apply for membership in the Massachusetts public retirement system, collecting personal and employment information.
See template
See template
New York Requirements For Employee Termination
PDF template
Comprehensive guide detailing legal requirements for employers when terminating employees in New York State, covering notice, benefits, and payroll obligations.
See template
See template
NHES 0180 R Aug 2022 NEW HAMPSHIRE EMPLOYMENT SECURITY CONTINUED CLAIM FORM
PDF template
Form for unemployment claimants to report weekly work status, availability, and potential income sources during unemployment period.
See template
See template
Health Care Coverage Waiver Form
PDF template
A form for employees to waive health insurance coverage offered by their employer and provide alternative coverage details.
See template
See template
National Incident Investigation Form (NIIF)
PDF template
A systematic form for documenting and investigating workplace incidents, their causes, and outcomes.
See template
See template
NIL DECLARATION FORM
PDF template
Form for reporting zero oil contributions for a specific year in a member state to the 1992 Fund or Supplementary Fund.
See template
See template
2014 Financial Disclosure Statement For Public Employees
PDF template
Mandatory disclosure form for public employees to report financial information with electronic filing requirements.
See template
See template
Reporting Fellowship Application Form
PDF template
Application form for journalists seeking a fellowship with CivicStory and the New Jersey Sustainability Reporting Hub to produce media content.
See template
See template
Reporting Fellowship Application Form
PDF template
Application form for journalists to join a sustainability reporting fellowship program in New Jersey.
See template
See template
NLYH Maintenance Request Form
PDF template
A document providing instructions for reporting maintenance issues and a form to document maintenance requests for Naples Land Yacht Harbor.
See template
See template
Namibian Motorsport Federation Accident Report Form
PDF template
A comprehensive form for documenting accidents and medical incidents during motorsport events in Namibia.
See template
See template
Common Nomination Form For Gratuity, General Provident Fund And Central Government Employees Group I
PDF template
A comprehensive form for Central Government employees to nominate beneficiaries for gratuity, provident fund, and group insurance benefits.
See template
See template
Form A (Common Nomination Form For Arrears Of Pension And Commutation Of Pension)
PDF template
A government form for nominating beneficiaries to receive pension arrears and commuted pension value in case of death of a government employee or pensioner.
See template
See template
Non Employee AccidentIncident Report
PDF template
A form used to document accidents or incidents involving non-employees at California State University, East Bay.
See template
See template
Non Employee Injury Report Form
PDF template
A form for documenting non-employee injuries on college premises, including details of the incident, injury type, and body parts affected.
See template
See template
Request For A Non FMLA Leave Of Absence
PDF template
Form for employees of Roger Williams University to request various types of non-FMLA leave of absence with benefit continuation options.
See template
See template
NON INSTITUTIONAL SCHOLARSHIP FORM 2017 2018
PDF template
A form for students to report private scholarships and loans not from institutional sources for financial aid purposes.
See template
See template
Toquaht Nation Government Non Insured Health Benefit Application Form
PDF template
Application form for Toquaht Nation citizens to request health benefits funding for various medical services and expenses.
See template
See template
Nonoccupational Disability Benefits
PDF template
Guidelines for state employees seeking nonoccupational disability benefits through SERS, including eligibility requirements and benefit terms.
See template
See template
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
Acknowledgement Of Completed Post Adoption Self Report
PDF template
A document used by adoptive parents to report the current status of an adopted child to their adoption agency.
See template
See template
Secretary Of State Notary Public Application
PDF template
Official application form for individuals seeking to become a notary public in California.
See template
See template
Submitting The Notification Of Annual Audit (NAA)
PDF template
Guide for submitting the Notification of Annual Audit form in the AmpliFund system for grant management and reporting.
See template
See template
The Report Form
PDF template
A reporting form for Optimist International clubs to document their New Optimist Welcome (NOW) Program membership recruitment efforts.
See template
See template
Grand Bargain Self Reporting Explanatory Guidance
PDF template
Guidance document for signatories to complete annual self-reporting on humanitarian commitments and progress.
See template
See template
Bullying Incident Report Form
PDF template
A comprehensive form for reporting and documenting alleged bullying incidents in North Reading Public Schools, designed to ensure student safety and proper investigation.
See template
See template
NSHE SupervisorS Incident Investigation Report
PDF template
A detailed workplace incident reporting form used by the Nevada System of Higher Education to document employee incidents and injuries.
See template
See template
Nuisance Complaint Form
PDF template
A form for reporting nuisance complaints to the local health department, allowing citizens to document potential health or safety issues.
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
Physical Clinical Incident Policy
PDF template
Policy detailing procedures for documenting and responding to clinical incidents that involve potential harm to clients or students during educational experiences.
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
NYS OfficialS ACCIDENT REPORT FORM
PDF template
Official form for documenting accidents and injuries during school sports competitions in New York State.
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
APPLICATORTECHNICIAN PESTICIDE ANNUAL REPORT
PDF template
Annual reporting form for pesticide applicators and technicians in New York State, documenting commercial pesticide applications and usage details.
See template
See template
Teams 420 Damage Report Form
PDF template
A comprehensive form for documenting sailing boat damage before and after an event, with detailed inspection of boat components.
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
Notice Of Accidental Injury Or Occupational Disease
PDF template
Official form for reporting workplace injuries or occupational diseases to the New Hampshire Department of Labor
See template
See template
ODH Form 1212 PUBLIC BATHING PLACE INCIDENT REPORT FORM
PDF template
Official form for reporting injuries or contamination incidents at public bathing facilities in Oklahoma
See template
See template
Medicaid Eligibility Review Verification Request Checklist
PDF template
A document used by the Ohio Department of Medicaid to request documentation for verifying Medicaid eligibility and maintaining benefits.
See template
See template
Incident Report (Services For Individuals With An Intellectual Disability Or Autism)
PDF template
Official form for reporting incidents involving individuals with intellectual disabilities or autism in Pennsylvania service settings.
See template
See template
CITIZENS COMPLAINT FORM
PDF template
A form for citizens to report complaints to the university police department, documenting incident details and witness information.
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
215 A28215 C48 Financial Responsibility And Conduct After An Accident
PDF template
Official document detailing reporting requirements for accidents involving off-highway recreational vehicles (OHRV) or snowmobiles resulting in injury, death, or property damage.
See template
See template
COMPLIANCE DATA COLLECTION FORM
PDF template
A comprehensive form for collecting regulatory compliance information and evaluating institutional compliance programs.
See template
See template
On The Job Injury Illness Program Incident Report Form
PDF template
A comprehensive form for documenting workplace, student, or visitor incidents involving injury or illness at the organization.
See template
See template
On Duty Death Or Catastrophic Injury To City Of Pittsburgh Employees
PDF template
Policy outlining procedures and support for handling employee deaths or catastrophic injuries in the line of duty, including notification and benefits processes.
See template
See template
Shared National Credit (SNC) Reporter Contact Form Instructions
PDF template
Instructions for updating contact information for the Shared National Credit Reporting program and accessing SNCnet application.
See template
See template
Huntsville Police Department Incident Report Form
PDF template
Official form for documenting details of a police incident or crime report in Huntsville, Arkansas.
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
Optional Duplication Of Benefit (DOB) Analysis Worksheet For CDBG DR Housing Rehabilitation And Reco
PDF template
A worksheet for analyzing potential duplications of benefits in Community Development Block Grant Disaster Recovery housing programs, helping grantees prevent financial assistance overlap.
See template
See template
Student Responsibilities While On Post Completion OPT
PDF template
Document outlining reporting requirements and employment guidelines for international students on Optional Practical Training (OPT)
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
2009 Form CT 12S Instructions
PDF template
Instructions for filing annual financial reports for charitable organizations in Oregon by the Charitable Activities Section of the Oregon Department of Justice.
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
Government Unit Contract Submission Form
PDF template
A comprehensive form for documenting government contract details, procurement method, and supporting documentation.
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
Outbound Student CounsellorS Report
PDF template
A reporting form for tracking the status and experiences of exchange students during their program period.
See template
See template
2017 2018 Outside Scholarship Form
PDF template
A form for students to report outside scholarships to St. Olaf College's financial aid office for incorporation into their financial aid package.
See template
See template
2020 2021 Outside Scholarship Form
PDF template
Form for students to report scholarships from external sources to Gardner-Webb University's Financial Planning Office.
See template
See template
Outside Scholarship Report Form
PDF template
A form for students to report external scholarships to Hardin-Simmons University's Financial Aid Office for processing and credit.
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
Property Owner As Contractor
PDF template
A form for property owners to acknowledge their responsibilities and exemptions when self-contracting work on their own property in Minnesota.
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
Reasonable Cause Regulations Requirements For Missing And Incorrect NameTINs On Information Returns
PDF template
Official IRS publication providing regulations and requirements for handling missing or incorrect Taxpayer Identification Numbers (TINs) on information returns.
See template
See template
2018 19 Minnesota Employment Law Update
PDF template
Comprehensive review of recent employment legislation and court cases in Minnesota covering topics like paid leave, minimum wage, and discrimination.
See template
See template
FORM P 5 Organization Report
PDF template
A form for reporting organizational details to the Texas Railroad Commission for oil and gas operations.
See template
See template
Wisconsin Tax Information Referral Form
PDF template
Official form for reporting suspected tax violations and providing information to the Wisconsin Department of Revenue
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
Employability Assessment Form (PA 1663)
PDF template
A medical form used to document an individual's disability status for determining eligibility for General Assistance benefits.
See template
See template
The PACT Act One Year Anniversary And Your VA Benefits
PDF template
Information about the Honoring Our PACT Act, which expands VA health care and benefits for veterans exposed to toxic substances during military service.
See template
See template
PACT Act Deadline Health Care For Veterans Who Deployed To Combat Zones
PDF template
Document providing information for veterans about health care enrollment and benefits under the PACT Act, specifically for those who deployed to combat zones between 2001 and 2013.
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
Paid Sick Leave Request Form
PDF template
A form for employees to request paid sick leave in accordance with company policy and employee handbook guidelines.
See template
See template
Paid Parental Leave Request Form Agreement
PDF template
A form for faculty members to request paid parental leave, including details about leave duration and teaching replacement provisions.
See template
See template
BHDV Form 7 Parent Reporting Form
PDF template
A confidential form for parents to report incidents of bullying, harassment, or teen dating violence involving students.
See template
See template
Parking Authorization For Payroll Deduction
PDF template
A form allowing employees to authorize automatic parking fee deductions from their paycheck on a pre-tax basis.
See template
See template
Parking Permit Report Form
PDF template
Form for reporting lost or stolen parking permits at a university or campus
See template
See template
UFCW LOCAL ONE PENSION FUND PENSION APPLICATION FORM
PDF template
A comprehensive form for UFCW Local One union members to apply for various pension benefits including normal, early, and disability pensions.
See template
See template
Participant Medication Report Form
PDF template
A quarterly medication reporting form for nurses participating in the Texas Peer Assistance Program for Nurses (TPAPN), tracking prescription medications and practice safety.
See template
See template
Passenger Tramway Incident Report Form
PDF template
Official California state form for reporting incidents involving passenger tramways, documenting details of accidents, injuries, and operational disruptions.
See template
See template
Application Form For Paternity Benefit
PDF template
Official form for employees and self-employed individuals to apply for paternity leave benefits and documentation.
See template
See template
PATH Annual Reporting Guide
PDF template
A comprehensive guide for providers to complete annual reporting requirements for the Projects for Assistance in Transition from Homelessness (PATH) program.
See template
See template
Checklist For Pathology Consultation
PDF template
A detailed checklist for submitting materials and documentation for pathology consultation at MD Anderson Cancer Center.
See template
See template
Pathology Consultation Request
PDF template
A comprehensive form for submitting pathology consultation materials and patient information for diagnostic review.
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
Warren Public Library Patron Incident Report Form
PDF template
A form for documenting safety incidents and altercations occurring on library premises by library staff.
See template
See template
Application For Service Dog
PDF template
Comprehensive application form for individuals seeking a service dog from Paws-Ability, Inc., requiring multiple supporting documents and personal information.
See template
See template
PF 132 SUNY Reimbursement Accounts Enrollment Form
PDF template
Form for employees to enroll in health care and dependent care flexible spending accounts with pre-tax payroll deductions.
See template
See template
Instructional Faculty Attendance Form
PDF template
A form for tracking and reporting faculty absences during a specific pay period.
See template
See template
Request For Payment Of Monthly Allowance To A Trust
PDF template
A form for CalPERS annuitants to request monthly pension benefits be paid directly to a trust where they are the sole beneficiary.
See template
See template
Payment And Ownership Declaration Form
PDF template
A form for establishing or changing ownership and agent information for Section 8 housing assistance payments.
See template
See template
Absence Management FAQs
PDF template
Comprehensive guide for employees on reporting absences, leave accruals, and time tracking procedures at California State University, Los Angeles.
See template
See template
Payroll Deduction Cancellation Form
PDF template
A form for employees to request cancellation of specific payroll deductions through the Payroll and Benefits Division.
See template
See template
Recreational Sports Fitness Full Time Faculty Staff Payroll Deduction Form
PDF template
A form for AU full-time faculty and staff to sign up for, change, or drop Recreational Sports and Fitness membership with payroll deduction.
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
Payroll Withholding Form HSA
PDF template
A form for employees to specify monthly Health Savings Account (HSA) payroll contributions for Murray City School District.
See template
See template
Annual Report Of Guardian
PDF template
Instructions for completing and filing an annual report for guardianship cases in the Superior Court of Arizona in Maricopa County.
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
Political Contribution Refund Application
PDF template
Application for receiving a refund for political contributions made during the tax year 2024.
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
Custom Benefits Session Request
PDF template
A form for employees to request a custom benefits information session with specific details about the event, audience, and resources needed.
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
Pecan First Handler Assessment Form
PDF template
A monthly assessment form for pecan first handlers to report purchases and pay associated fees to the Georgia Agricultural Commodity Commission for Pecans.
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
ABC NABET Retirement Trust Plan Application For Retirement Payments
PDF template
A comprehensive form for employees to apply for retirement benefits from the ABC-NABET Retirement Trust Plan.
See template
See template
Pension Application Form
PDF template
A comprehensive form for members of a Self-Managed Superannuation Fund (SMSF) to apply for pension benefits.
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
FORM OF PENSION BENEFIT ELECTION
PDF template
A form for selecting pension benefit payment options, including single life and joint survivor annuity choices.
See template
See template
Pension Choices Premium Or Partnership
PDF template
A comprehensive guide to pension options for Civil Service employees, explaining premium and partnership pension choices.
See template
See template
DIRECT DEPOSIT FORM
PDF template
Form for authorizing direct deposit of pension benefit payments by the Carpenters Pension Trust Fund for Northern California
See template
See template
CONSENT FORM
PDF template
A consent form authorizing The Church Pension Fund to share benefit information with specified individuals.
See template
See template
Employee Enrollment Form Defined Contribution (RSVP And Lay DC) Plans
PDF template
Comprehensive form for employees to enroll in defined contribution retirement plans, capturing personal, employment, and compensation details.
See template
See template
PERA Membership Form
PDF template
Official membership form for enrolling in the New Mexico Public Employees Retirement Association (PERA) retirement plan
See template
See template
Periodic Report Form
PDF template
A standardized form for researchers to document project status, achievements, and recommendations during a specific research period.
See template
See template
North Carolina Retirement Plan Enrollment Form
PDF template
Enrollment form for North Carolina public employee retirement plans including 401(k) and 457(b) plans
See template
See template
Tier OneTier Two Estimate Request Instructions
PDF template
Instructions for requesting retirement benefit estimates from the Public Employees Retirement System (PERS)
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
Personnel Feedback Form
PDF template
A form used to document personnel complaints or compliments within the St. Helens Police Department.
See template
See template
A Guide To Your CalPERS Service Credit Purchase Options
PDF template
A comprehensive guide explaining service credit purchase options for CalPERS members, including eligibility, types, costs, and purchase process.
See template
See template
CalPERS Service Retirement Election Application
PDF template
Comprehensive guide for CalPERS members to complete their service retirement election application and understand the retirement process.
See template
See template
Change Of Address Form
PDF template
A form for members and pensioners to update their contact and mailing information with ILWU-PMA Benefit Plans.
See template
See template
Address Change Form
PDF template
Form for updating contact and mailing information for ILWU-PMA Benefit Plans members, pensioners, or representatives.
See template
See template
PFAC Annual Report Form
PDF template
Annual report template for Patient and Family Advisory Councils in Massachusetts hospitals, documenting their activities and key milestones.
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
Girl Scouts AccidentIncident Report Form
PDF template
A comprehensive form used to document accidents, injuries, and incidents involving Girl Scouts participants, volunteers, and staff.
See template
See template
ADEM NPDES Pesticide Adverse Incident Report Form
PDF template
Official form for reporting adverse incidents related to pesticide applications under NPDES permit regulations.
See template
See template
Phoenix PBM Pre Authorization Form
PDF template
A form for healthcare providers to request pharmacy benefit pre-authorization for medication coverage through Phoenix Benefits Management.
See template
See template
Placement Assistance Request Form
PDF template
A comprehensive form for IIBMS graduated students seeking placement assistance and job support services.
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
Personal Plumbing License Change Of Address Form
PDF template
Form for updating address and license information for licensed plumbing professionals in Minnesota.
See template
See template
PLU Spill Reporting Form
PDF template
A comprehensive form for documenting and reporting hazardous material spills at Pacific Lutheran University (PLU)
See template
See template
Expense Report
PDF template
A form for club members to submit and document expenses for reimbursement with detailed receipt requirements.
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
DISCRIMINATIONSEXUAL HARASSMENTBULLYINGHAZINGDATING VIOLENCERETALIATION REPORT FORM
PDF template
A form for reporting incidents of discrimination, harassment, bullying, and other prohibited behaviors in a school setting.
See template
See template
DISCRIMINATIONSEXUAL HARASSMENTRETALIATION REPORT FORM
PDF template
A form for reporting discrimination, sexual harassment, or retaliation within a school entity, designed to provide a safe reporting mechanism for employees, volunteers, and visitors.
See template
See template
Policy 501 Traffic Collision Reporting
PDF template
Procedure for documenting and reporting traffic collisions involving state vehicles and department employees within the jurisdiction of the Fresno State Police Department.
See template
See template
6.2. Accident, Incident, And Hazard Reporting
PDF template
Policy detailing procedures for reporting workplace injuries, incidents, and hazards by county employees.
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
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 On Tax Treatment Of Payments Made To Individuals
PDF template
A comprehensive policy detailing tax withholding and reporting requirements for payments made to individuals by a university.
See template
See template
Post Adjutant Training
PDF template
Comprehensive guide for American Legion post leadership detailing critical documentation, reporting requirements, and administrative responsibilities.
See template
See template
Postdoctoral Scholar Childcare Reimbursement Form
PDF template
Form for UAW-represented postdoctoral scholars to request reimbursement of eligible childcare expenses at the University of California.
See template
See template
AMVETS DEPARTMENT OF FLORIDA EMPLOYEE HANDBOOK
PDF template
Comprehensive employee handbook outlining workplace policies, benefits, and employment practices for AMVETS Department of Florida employees.
See template
See template
STATUTORY SHORT FORM POWER OF ATTORNEY
PDF template
A legal document allowing an individual to appoint an attorney-in-fact to act on their behalf for specified matters under Minnesota law.
See template
See template
STATUTORY SHORT FORM POWER OF ATTORNEY
PDF template
A legal document allowing an individual to designate an attorney-in-fact to make decisions on their behalf for specific matters.
See template
See template
COUNTY OF POWHATAN EMPLOYEE HANDBOOK
PDF template
Comprehensive guide outlining employment policies, compensation, and benefits for Powhatan County employees.
See template
See template
Environmental Performance Partnership Agreement
PDF template
A collaborative agreement between the Minnesota Pollution Control Agency and EPA Region 5 outlining environmental goals and joint priorities for 2022-2026.
See template
See template
PP BHS QM 09 01 Adverse Incident Reports
PDF template
Policy defining and guiding the reporting process for adverse incidents in behavioral health services.
See template
See template
Incident Report Form
PDF template
A form for documenting various types of incidents involving children in child care settings.
See template
See template
Federal Highway Administration Form PR 1391
PDF template
Guidelines for contractors and subcontractors to complete the Federal Highway Administration reporting form for federal-aid projects.
See template
See template
Practical Guidance Lobbying Rules For Nonprofits In New Jersey
PDF template
A comprehensive guide explaining lobbying registration and reporting requirements for nonprofit organizations in New Jersey.
See template
See template
Patient Information And Medical Information Form
PDF template
A comprehensive medical reporting form for documenting patient medical details, demographic information, and disease reporting requirements in Florida.
See template
See template
Patient Information And Medical Information Form
PDF template
Comprehensive medical reporting form for collecting patient personal, medical, and provider information for health tracking and disease reporting in Florida.
See template
See template
Precollege Programs Information And Consent Form
PDF template
A consent and medical information form for students participating in the Fashion Institute of Technology (FIT) Precollege Programs.
See template
See template
BN 688 1117, Routine Pregnancy Claim Form
PDF template
A claim form for processing routine pregnancy and childbirth claims through American Fidelity Assurance Company.
See template
See template
Referral For GeorgiaS Pre K Program
PDF template
A form for families to request child care assistance through the Childcare and Parent Services (CAPS) program for children enrolled in Georgia's Pre-K Program.
See template
See template
CAPS Referral Form For GeorgiaS Pre K Program
PDF template
A referral form for parents seeking to enroll children in Georgia's Pre-K program through the CAPS assistance program.
See template
See template
Policyholder Payroll Audit Report
PDF template
A comprehensive form for reporting payroll details, employee information, and subcontractor details for insurance policy purposes.
See template
See template
CENTER BASED ATTENDANCE AND THERAPY REPORT
PDF template
Document for tracking attendance and therapy services for children in a center-based program, specifically for CPSE (Committee on Preschool Special Education) services.
See template
See template
2018 Monthly Principal Expense Report Form
PDF template
A lobbying expense reporting form for documenting monthly expenditures by registered lobbyists in North Carolina
See template
See template
Veterans Certification Request (VCR)
PDF template
A form for veterans and military-affiliated students to request certification for educational benefits and funding programs at Southeastern Louisiana University.
See template
See template
Annual IOLTA Compliance Report
PDF template
Annual reporting form for Maryland attorneys to demonstrate compliance with IOLTA account regulations and trust fund requirements.
See template
See template
CERTIFICATION OF PRIOR PUBLIC SERVICE MILITARY
PDF template
Form for KCERA members to verify and potentially purchase prior military service credit for retirement benefits.
See template
See template
Privacy Breach Report Form Units
PDF template
A confidential form for reporting and documenting suspected or confirmed privacy breaches at York University.
See template
See template
Foreign National Compliance Procedures
PDF template
Procedure for reporting and withholding taxes for non-U.S. citizens at College of The Albemarle, in compliance with USCIS and IRS regulations.
See template
See template
Campus Procurement Annual Accessibility Report Academic Year 1213
PDF template
Annual report detailing the development of Section 508 compliance processes and procedures for procurement activities.
See template
See template
Producer Controlled Insurer Information Report Form
PDF template
Annual reporting form for property and casualty insurers detailing producer relationships and financial information
See template
See template
Producing Tax Forms And Receipt Information
PDF template
A technical guide for managing tax reporting and generating 1098-T and T2202A forms for educational institutions.
See template
See template
State Of Minnesota Professional And Technical Services Contract
PDF template
A standard contract template for professional and technical services between the State of Minnesota and a contractor, outlining terms and conditions of service engagement.
See template
See template
Program Compliance Form
PDF template
A form used to document and track complaints and violations related to the WIC (Women, Infants, and Children) Program.
See template
See template
Programmatic Report Form
PDF template
A form for principal investigators to submit project progress reports to the Office of Sponsored Research Administration.
See template
See template
IncidentInjury Report Form
PDF template
A comprehensive form for documenting details of an incident, injury, or property damage at a Texas A&M AgriLife location.
See template
See template
REI Home100 Program Summary
PDF template
A mortgage financing and down payment assistance program for low-income individuals and families in Oklahoma, administered by a non-profit organization.
See template
See template
2025 Plan Year Draft QIS Progress Report Form
PDF template
A form for healthcare issuers to report on their quality improvement strategy progress for the 2025 plan year.
See template
See template
Property Maintenance Request Form
PDF template
A form for reporting potential property code violations to the Community Development Department in Glendale Heights.
See template
See template
PROTOCOL MAINTENANCE REQUEST FORM
PDF template
A form for proposing technical revisions, reaffirmation, or withdrawal of existing ISTA test procedures or projects.
See template
See template
Provider Incident Report Form
PDF template
A form used by healthcare providers to document and report incidents involving patients or staff.
See template
See template
Provider Incident Report Form
PDF template
A form for documenting and reporting healthcare-related incidents, including details about harm, root cause, and prevention strategies.
See template
See template
Group Disability Insurance Disability Claim Instructions
PDF template
Comprehensive instructions for filing a disability insurance claim with Prudential, detailing required documentation and submission process.
See template
See template
FORM 2 ASSESSMENT FORM
PDF template
A comprehensive form collecting personal contact information, employment history, and benefit status for participant tracking and support services.
See template
See template
TERMINATION PROCESS (PSL W024)
PDF template
Detailed work instruction for separating active contract employees from the Sacramento City Unified School District.
See template
See template
Annual Report Of Dealer Or Market Agency Buying On Commission Form PSD 3001
PDF template
Official instructions for completing an annual report for livestock dealers and market agencies who buy on commission, required by the USDA Agricultural Marketing Service.
See template
See template
Form PSD 3004 Annual Report Of Packers
PDF template
Instructions for agricultural businesses to complete the annual packer reporting form required by the U.S. Department of Agriculture's Packers and Stockyards Division.
See template
See template
PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE CANCELLATION FORM
PDF template
A form for employees to cancel their payroll deduction for a pre-tax transportation benefit program in the State of Hawai'i.
See template
See template
PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE CANCELLATION FORM
PDF template
Form used by employees to cancel payroll deduction for pre-tax transportation benefits in the State of Hawai'i.
See template
See template
PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE ENROLLMENT FORM
PDF template
An enrollment form for employees to participate in a pre-tax transportation benefit program allowing monthly bus pass purchases through payroll deductions.
See template
See template
PRE TAX TRANSPORTATION BENEFIT PILOT PROGRAM EMPLOYEE ENROLLMENT FORM
PDF template
Enrollment form for employees to participate in a pre-tax transportation benefit program for purchasing bus passes, Handi-Van fare coupons, and vRide seat fees.
See template
See template
Understanding Our Mutual Obligations For Dental Insurance
PDF template
A document explaining dental insurance benefits, patient obligations, and the relationship between dental practice and insurance providers.
See template
See template
Instructions For Purchase Of Service Credit Application Form
PDF template
Instructions for city employees to purchase forfeited or prior service credit towards their pension plan benefits.
See template
See template
MS4 Stormwater Program Illicit Discharge Report Form
PDF template
A form for reporting environmental incidents and potential stormwater pollution in the Village of Hebron, Ohio.
See template
See template
Risk Assessment, Sunshine Provision, And The Local Workforce Development Area (LWDA) Permanent File
PDF template
Guidance for Local Workforce Development Boards on risk assessment, sunshine provision compliance, and annual reporting requirements.
See template
See template
Risk Assessment, Sunshine Provision, And The Local Workforce Development Board (WDB) Permanent File
PDF template
Guidelines for risk assessment, sunshine provision compliance, and annual reporting for Local Workforce Development Boards in Arkansas.
See template
See template
DHHS Incident And Death Report
PDF template
Official form for reporting Level II and Level III incidents involving persons receiving publicly funded mental health, developmental disabilities, and substance abuse services.
See template
See template
Quinsigamond Rowing Club Incident Report Form
PDF template
A standardized form for documenting incidents, accidents, or near-accidents at a rowing club.
See template
See template
Progress Report Form
PDF template
A document for reporting facility compliance status, corrective actions, and milestone progress for regulatory compliance.
See template
See template
Quick Reference Guide
PDF template
Comprehensive guide for Maryland state employees covering health insurance, retirement, human resources, and payroll information.
See template
See template
PensionsFormR57 Local Government Pension Scheme
PDF template
Instructions for completing retirement forms for the Local Government Pension Scheme, including details about Lifetime Allowance calculations.
See template
See template
Monthly Report Of Receipt Of Raisins Produced From Grapes Grown Outside Of The Production Area
PDF template
Official form for reporting raisin receipts from grapes grown outside the production area to the Raisin Administrative Committee.
See template
See template
Redondo Beach Police Foundation Post Grant Project Report Form
PDF template
A comprehensive reporting form for grantees to document project outcomes, expenditures, and impacts across various program categories.
See template
See template
Leaving Covered Employment Requesting A Refund
PDF template
Detailed instructions for members seeking a refund from their South Carolina Retirement System after leaving covered employment.
See template
See template
Retirement Benefits Training Service Purchase Payments
PDF template
Guidelines for retirement service purchase payments including acceptable payment methods, installment details, and tax considerations for fiscal year 2025.
See template
See template
Rawls College Of Business Incident Report Template Guidelines
PDF template
A confidential template for documenting security incidents within the Rawls College of Business, with guidelines for reporting and tracking potential security events.
See template
See template
Report Of Marine Accident, Injury Or Death
PDF template
Official U.S. Coast Guard form for documenting marine accidents, injuries, or fatalities involving vessels.
See template
See template
REAL ID DriverS License And Identification Card Identification Requirements
PDF template
Official document detailing requirements for obtaining a REAL ID-compliant driver's license or identification card in Minnesota
See template
See template
Record Of Employment
PDF template
A form for documenting employment status for unemployment insurance claims in New York State
See template
See template
Pipeline Safety Records Inspection Checklist
PDF template
A comprehensive checklist for documenting and reviewing pipeline safety records and compliance with reporting requirements.
See template
See template
Referral Form
PDF template
A comprehensive form for collecting participant details, living environment, benefits information, and referral source details.
See template
See template
HSD Property Control Contractor Form C 063 IT
PDF template
Form for tracking and managing transfer, donation, destruction, or recycling of IT equipment valued under $5,000
See template
See template
Refund Request Form State Employees
PDF template
A form for state employees to request refunds of insurance premium overpayments with W-2 tax adjustment provisions.
See template
See template
Regence BlueShield Incident Report
PDF template
A form for reporting medical incidents or injuries that may affect insurance claims processing for Regence BlueShield in Washington State.
See template
See template
Registration Form
PDF template
A form for registering households and family members for park and recreation programs with payment and contact information.
See template
See template
Report A Hazard
PDF template
A guide for reporting hazards and creating action plans to eliminate or reduce workplace risks using the Riskware Incident and Hazard module.
See template
See template
Report Approval Form (RAF)
PDF template
Form for principal investigators to certify and approve research project reports submitted to external sponsors.
See template
See template
Report A Road Or Sidewalk Problem
PDF template
Comprehensive list of county-specific links for reporting road and sidewalk issues across California counties.
See template
See template
Report Form FAQ
PDF template
A comprehensive guide explaining how to submit problems, events, or information to the Institutional Review Board (IRB) using the ERICA system.
See template
See template
144 Report Form
PDF template
A document for recording details of safety talks, including attendees, topics, and follow-up actions.
See template
See template
How To Use And Fill Out The Microsoft Word Report System
PDF template
A comprehensive guide for creating and filling out reports using Microsoft Word, specifically for home inspection reporting.
See template
See template
Accident Incident Report Form
PDF template
A form used to document accidents, incidents, injuries, or property damage occurring on university property or at university-sponsored events.
See template
See template
Reporting A Boating Accident
PDF template
Guidelines for reporting boating accidents in Kentucky, including when and how to file a report with the Department of Fish & Wildlife Resources.
See template
See template
Reporting Accidents
PDF template
Procedure for reporting and documenting accidents that occur on school property or at school-sponsored events.
See template
See template
Grievance Report Form
PDF template
A reporting system for communication of harassment, interpersonal conflict, or workplace grievances within the University's Biology department.
See template
See template
Parenting Education Provider Reporting Form Survey Instructions
PDF template
Instructional guide for parenting education providers to complete a comprehensive reporting survey about their program and event details.
See template
See template
Western Hazards Reporting
PDF template
Guidelines for employees to report and address health and safety hazards at Western University campus.
See template
See template
Report Of Mediator
PDF template
A court document for reporting the outcome and details of a mediation settlement conference in the United States District Court, Eastern District of North Carolina.
See template
See template
Report Of Suspected Non Compliance
PDF template
A form for reporting suspected non-compliance incidents involving LifeWays Community Mental Health staff or contracted providers.
See template
See template
Child Support ReportRequest Form
PDF template
A form for requesting child support payment history, enforcement, or reporting information about a non-custodial parent
See template
See template
Online Annual Report Form
PDF template
Detailed guide for completing and submitting an online annual report through Bibliostat Collect system for state libraries.
See template
See template
Annual Report Form For Permitted Liquid Animal Waste Management Systems
PDF template
Annual reporting form for liquid animal waste management systems in Arkansas, requiring detailed information about waste disposal, application, and analysis.
See template
See template
REQUEST FOR APPLICATION FORM
PDF template
A form to request a pension application for various retirement benefits from the Michigan Carpenters' Pension Fund.
See template
See template
REQUEST FOR APPLICATION FORM
PDF template
A form to request a pension application for various retirement benefits for workers in the cement mason and plasterer trades.
See template
See template
Request For Application Plumbers Pipefitters Local 172 Pension Plan
PDF template
A formal request form for obtaining a pension application for retirement benefits from the Plumbers and Pipefitters Local 172 Pension Plan.
See template
See template
Social Security Overpayments Request For Change In Overpayment Recovery Rate
PDF template
A form to request a lower monthly repayment rate for Social Security overpayments that provide financial flexibility for recipients.
See template
See template
Aflac Benefit Services Request For Reimbursement Form
PDF template
A form for requesting reimbursement from a Flexible Spending Account (FSA) for medical care expenses.
See template
See template
Northwestern University Supplier Registration Request For Form W 8 Certificate Of Status
PDF template
A form for establishing the tax status of entities conducting transactions with Northwestern University by completing appropriate W-8 tax forms.
See template
See template
Request For Taxpayer Identification Number
PDF template
A form for collecting vendor tax information and business classification details for tax reporting purposes.
See template
See template
Compliance Form For Full Time Faculty For Reporting Of Research Or Consulting With Outside Public Or
PDF template
A form for full-time faculty to report and obtain approval for consulting or research activities outside the university.
See template
See template
Wage And Hour Survey Form
PDF template
A survey form for collecting detailed wage and benefit information from employers about worker compensation across different occupations.
See template
See template
HING TECHNICIAN RESIGNATION FORM
PDF template
Form for military technicians to process their resignation and manage separation benefits and documentation.
See template
See template
Separation Form
PDF template
A form to document and process an employee's departure from the organization, covering final pay, benefits, and clearance procedures.
See template
See template
Resolution 2015 01 Confidentiality Of Benefits And Insurance Information
PDF template
A resolution establishing guidelines for accessing and protecting confidential benefits and insurance information in compliance with federal privacy laws.
See template
See template
AccidentInjuryIncident Report Form
PDF template
A comprehensive form for documenting accidents, injuries, or incidents at the University of New Hampshire Cooperative Extension.
See template
See template
PRIME CONTRACTOR RESPONSE RESPONSIBLE CONTRACTOR VERIFICATION AND CERTIFICATION OF COMPLIANCE
PDF template
Official form for verifying contractor eligibility and compliance with Minnesota state regulations for construction contracts.
See template
See template
Wage And Hour Survey Form
PDF template
Survey form for collecting wage and hour information from employers about worker compensation and benefits.
See template
See template
Dental AndOr Vision Option Election Form
PDF template
Form for electing optional dental and vision insurance coverage for retired laborers.
See template
See template
STATE AND PUBLIC SCHOOL RETIREE CHANGE OF ADDRESS FORM
PDF template
A form for state and public school retirees to update their mailing address with the Employee Benefits Division.
See template
See template
RETIREE DENTAL VISION ENROLLMENT FORM
PDF template
Form for retirees to enroll in dental and vision insurance coverage through Emory Benefit Plans.
See template
See template
Pre 65 65 Retiree Life Insurance Decrease Coverage Or Cancellation Form
PDF template
Form for University of New Mexico (UNM) retirees to decrease or cancel life insurance coverage based on age category.
See template
See template
Retirement Allowance Estimate Request
PDF template
A form for CalPERS members to request an estimate of their potential retirement benefit amounts within one year of their anticipated retirement date.
See template
See template
Faculty And Staff Retirement Checklist
PDF template
A comprehensive guide for faculty and staff retirement preparation at Seminole State College, outlining key steps for retiring employees.
See template
See template
State Of West Virginia Public Employee Insurance Agency Retiree Health And Life Insurance Enrollment
PDF template
A form for West Virginia public employees to enroll in health and basic life insurance coverage upon retirement.
See template
See template
Twin City Hospital Workers Pension Plan
PDF template
Instructions for submitting a pension application for hospital workers, detailing required documentation and processing timeline.
See template
See template
Retirement Plan And Disability Waiver Form
PDF template
Form for waiving waiting period for retirement and disability coverage when transferring employment to Northeastern
See template
See template
Retirement Planning Checklist For Full Time Employees
PDF template
A comprehensive checklist for district employees preparing to retire, covering steps related to retirement applications, benefits, and insurance.
See template
See template
RetirementResignation Form
PDF template
A comprehensive form for employees to document their retirement or resignation process, including personal information, job details, and required steps.
See template
See template
Retirements And Retiree Benefits
PDF template
Comprehensive guide for Pittsburg State University employees detailing retirement eligibility, benefits, and process for retiring staff and faculty.
See template
See template
Direct Reimbursement Claim Form
PDF template
A form for submitting vision care service reimbursement claims for out-of-network providers through Davis Vision.
See template
See template
Form REV184i, Individual Or Sole Proprietor Power Of Attorney
PDF template
A form allowing an individual or sole proprietor to appoint a representative for tax-related matters with the Minnesota Department of Revenue.
See template
See template
Reverse Referral Form
PDF template
A form used to request and document referral status for social service programs like TANF and SNAP.
See template
See template
QDRO Guidelines Defined Benefit Plans
PDF template
Guidelines for determining the qualified status of a Qualified Approved Domestic Relations Order (QDRO) for State of Connecticut employees during divorce proceedings
See template
See template
Managed Service Provider Request For Proposal
PDF template
Request for Proposal for selecting a Managed IT Services Provider for a school district serving approximately 520 students.
See template
See template
Professional And Technical Services Contract
PDF template
A contract between the State of Minnesota and a contractor for professional and technical services, outlining terms, duties, and obligations.
See template
See template
Representative Payee Application
PDF template
Application for managing retirement benefits for annuitants who cannot handle their own payments, used by the U.S. Office of Personnel Management.
See template
See template
Constituent Service Request Form
PDF template
A form for constituents to request assistance from U.S. Senator Pete Ricketts' office with various personal and governmental matters.
See template
See template
Incident Report
PDF template
A comprehensive form for documenting and reporting critical incidents involving service recipients, detailing medical, legal, and social aspects of the event.
See template
See template
Retiree Health Care Cancellation Form
PDF template
A form for state retirees to cancel their or their spouse's health care coverage with the Rhode Island Office of Employee Benefits.
See template
See template
IncidentAccident Report Form
PDF template
A comprehensive form for documenting accidents, injuries, and property damage within a school district setting.
See template
See template
AccidentIncident Report Form
PDF template
A detailed form for reporting accidents or incidents involving 4-H members, volunteers, or spectators during approved events or activities.
See template
See template
LASER INCIDENT REPORT FORM
PDF template
A form used to document and report incidents involving laser equipment and potential safety exposures at UNLV.
See template
See template
Malvern Road Damage Report Form
PDF template
Form for documenting and reporting road damage incidents within the Malvern Club community.
See template
See template
Revised Rochester Area Common Report Form, DMJF 2018
PDF template
A standardized reporting form for grantmakers and grantseekers to document project outcomes and effectiveness in the Rochester area.
See template
See template
Referral Form For Representative Payee Services
PDF template
A referral form for DC Department of Behavioral Health consumers to receive representative payee services through Bread for the City.
See template
See template
Form RR 05 U.S. Repatriation Program Privacy And Repayment Agreement Form
PDF template
A form authorizing the Department of Health and Human Services to collect personal information and agreeing to repay repatriation assistance services.
See template
See template
RRAC FAQ
PDF template
Frequently asked questions about royalty payments, reporting requirements, and deadlines for the Texas General Land Office
See template
See template
Motor Vehicle Near Miss Report And Incident Investigation Form
PDF template
Comprehensive form for documenting motor vehicle incidents, injuries, and investigation details for workplace safety purposes.
See template
See template
Application For Benefits Fraud Warning
PDF template
Legal document providing state-specific warnings about insurance claim fraud and potential criminal penalties for false claims.
See template
See template
Employer Guide To Reemployment Tax
PDF template
Comprehensive guide for employers on reemployment tax requirements, reporting, and compliance issued by the Department of Revenue.
See template
See template
Tier Two Inventory Form Fees Calculation Worksheet
PDF template
A worksheet for calculating filing fees for chemical inventory reporting by businesses in Louisiana, with special provisions for small businesses.
See template
See template
Insurance Form Number One
PDF template
Administrative rules governing insurance forms used by the State Fire Marshal for fire loss reporting and information requests.
See template
See template
Minnesota Recreational Vehicle Accident Report Form
PDF template
Comprehensive form for documenting recreational vehicle accidents, including details about vehicles, operators, and incident circumstances.
See template
See template
Prescription Drug Reimbursement Coordination Of Benets Claim Form
PDF template
A form for submitting prescription drug reimbursement claims and coordinating medical benefits for pharmacy services.
See template
See template
Safety Hazard Report
PDF template
Policy outlining the procedure for employees to report and address health and safety concerns within the organization.
See template
See template
Incident Report Form
PDF template
A form used to document and report incidents, suspicious persons, or vehicles to the Dallas Police Department.
See template
See template
Safe Sport Incident Report Form
PDF template
A form for reporting misconduct incidents within The First Tee organization, covering various types of potential inappropriate behavior.
See template
See template
SBGP Safety Incident Reporting Form
PDF template
Form for reporting safety incidents involving SBGP staff, contractors, volunteers, and partners.
See template
See template
Pierce College Incident Report
PDF template
Official form for documenting safety incidents, property damage, or theft at Pierce College campus
See template
See template
Safety Inspection Form
PDF template
Inspection form required by Greater Minnesota Gas for properties with interrupted natural gas service over 60 days to ensure safety before service resumption.
See template
See template
Safety Report Form
PDF template
A form for employees to report unsafe workplace conditions or practices at State Center Community College District with optional anonymity.
See template
See template
Voluntarily Hazard Report Form
PDF template
A form for reporting various types of workplace and public safety hazards voluntarily.
See template
See template
CONFIDENTIAL INCIDENT REPORT FORM
PDF template
A confidential form for reporting incidents on or off campus by faculty, staff, or residence life members.
See template
See template
SAFETY SUGGESTIONHAZARD REPORT FORM
PDF template
A form for employees to report workplace safety issues, hazards, and recommend improvements or corrective actions.
See template
See template
SAFETY TALK HAZARD REPORTING
PDF template
Guidelines for identifying and reporting potential safety hazards in the workplace by employees.
See template
See template
Sagewell Healthcare Benefits Trust FAQ
PDF template
Detailed FAQ document explaining the structure, administration, and key details of the Sagewell Healthcare Benefits Trust group insurance arrangement.
See template
See template
Frequently Asked Questions (FAQs) State Aided Institutions (SAIs) Program
PDF template
A document providing answers to frequently asked questions about the State-Aided Institutions Program for fiscal year 2023.
See template
See template
Accident Investigation Form (Example 2)
PDF template
A comprehensive form for documenting and investigating workplace accidents or incidents, capturing details from both employee and supervisor perspectives.
See template
See template
Health Care Benefits Renewal
PDF template
A renewal form for health care benefits from the Texas Health and Human Services Commission for individuals to update their personal and financial information.
See template
See template
Gift Acceptance And Disclosure Form
PDF template
Official document for reporting and seeking approval for gifts received by government agency employees.
See template
See template
ACCIDENT REPORT FORM
PDF template
A comprehensive form for documenting workplace accidents, injuries, and incidents with detailed employee and medical information.
See template
See template
Sample Incident Investigation Form
PDF template
Guidelines for investigating and documenting incidents involving guests or employees, focusing on professional response and thorough documentation.
See template
See template
Sample 1 Incident Investigation Form
PDF template
A comprehensive form for documenting and investigating workplace incidents or near misses to determine causes and recommend preventive actions.
See template
See template
Backflow Incident Report Form
PDF template
A comprehensive form for documenting and reporting water system backflow incidents, contamination, and corrective actions.
See template
See template
Sample Incident Reporting Audit Form
PDF template
A comprehensive form for documenting and tracking incidents, their internal reporting contacts, policy references, insurance details, and external regulatory reporting requirements.
See template
See template
Sanitary Sewer Discharge
PDF template
Procedure for managing and reporting planned or accidental discharges to sanitary sewer systems, outlining notification requirements and responsible parties.
See template
See template
Systematic Alien Verification For Entitlements (SAVE) And U.S. Citizenship Documentation Frequently
PDF template
Guidance document for Texas Department of Housing and Community Affairs subrecipients on verifying citizenship status for housing and assistance programs.
See template
See template
Initial Application For CalFresh, Cash Aid, AndOr Medi CalHealth Care Programs
PDF template
A comprehensive application form for food assistance, cash aid, and health care programs in California for eligible individuals and families.
See template
See template
Technical Correction Vehicle Accident Report
PDF template
Legislation amending Arizona Revised Statutes Section 28-669 related to accident reporting requirements and forms for traffic accidents.
See template
See template
Survivor Benefit Application Form
PDF template
An application form for survivors to claim pension benefits for a deceased account holder
See template
See template
San Benito County Attendance Form
PDF template
A monthly attendance reporting form for CalWORKs participants to document work and activity hours at Gavilan College.
See template
See template
PERSONNEL INVENTORY FORM
PDF template
A form for documenting employee demographics and job categories, used by businesses working with the City of Tacoma.
See template
See template
SBIRSTTR Reporting Final Report Form
PDF template
Guide for completing final reports and payment requests for SBIR/STTR grant recipients across different program phases.
See template
See template
REPORT OF ACCIDENT
PDF template
A comprehensive form documenting details of an accident, including personal information, injury specifics, and medical treatment
See template
See template
Semi Annual Scavenger Waste Discharge Report
PDF template
Official form for documenting waste collection and discharge activities within New York City for a six-month reporting period.
See template
See template
Student Code Of Conduct Incident Report Form
PDF template
A form used to document and report misconduct or violations of student conduct guidelines at an educational institution.
See template
See template
Hazard Report Form
PDF template
A form for reporting obstacles or hazards that may impede bicycle or pedestrian travel in Santa Cruz County.
See template
See template
Bicycle And Pedestrian Hazard Report
PDF template
A form for reporting bicycle and pedestrian travel hazards to the Regional Transportation Commission for investigation and resolution.
See template
See template
Maryland Statewide Medical Assistance Transportation TransferDischarge Form
PDF template
A form for documenting medical transportation needs and patient transfer details for medical assistance recipients in Maryland.
See template
See template
Tuition Discount Application And Verification Form For Employees And Dependents Of Scholarship Ameri
PDF template
Form for employees and dependents of Scholarship America to apply for tuition discounts at Regent University
See template
See template
SCHOLARSHIP FORM
PDF template
Application for youth recreation program scholarships for families receiving public assistance.
See template
See template
School District Student AccidentIncident Report Form
PDF template
A comprehensive form for documenting student accidents or incidents within a school district, capturing details of the event, location, and actions taken.
See template
See template
Scientific Collection Annual Report
PDF template
Official form for documenting scientific wildlife collection activities in Nevada, detailing species capture and habitat information.
See template
See template
Silent Partner The Clock Is Ticking Dates And Deadlines In The Military Divorce Case
PDF template
A legal resource discussing critical dates and deadlines in military divorce cases, focusing on pension division and spousal benefits.
See template
See template
AccidentIncident Report Form
PDF template
A comprehensive form for documenting accidents, incidents, health issues, and complaints occurring on college campus
See template
See template
SDA Housing Assist Inquiry Form
PDF template
A comprehensive inquiry form for collecting information about a potential specialized disability accommodation property and its service requirements.
See template
See template
Student Accident Reporting
PDF template
Guidelines for reporting student injuries during clinical placements, detailing workers' compensation and student accident reporting processes
See template
See template
Railroad Highway Grade Crossing HandbookRevised Second Edition
PDF template
Comprehensive form for documenting railroad-highway grade crossing accidents and incidents with detailed tracking and reporting fields.
See template
See template
MN BCA Background Check Consent Form
PDF template
Consent form for criminal background check for employees or volunteers at a non-profit organization or school.
See template
See template
CitizenNon Citizen Declaration
PDF template
A form for documenting citizenship status and personal information for each household member
See template
See template
NYS Office Of Temporary And Disability Assistance TA And SNAP Employment Policy Manual
PDF template
Policy manual detailing participation requirements, exemptions, and employment guidelines for temporary assistance and SNAP recipients in New York State.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting incidents and injuries involving children in childcare settings.
See template
See template
F4.5 Other Services To Faculty
PDF template
Comprehensive policy detailing various services and benefits available to full-time faculty members at East Central University.
See template
See template
Historical Records Theft Strategies For Prevention And Response
PDF template
A comprehensive guide for documenting and reporting potential theft or unauthorized access to historical records with detailed instructions for incident reporting.
See template
See template
Security Incident Report Form
PDF template
A comprehensive form for documenting and reporting physical security breaches or potential threats to water utility infrastructure.
See template
See template
Group Insurance Disability Claim Form
PDF template
A comprehensive form for submitting a disability insurance claim by an employee, physician, and employer or plan administrator.
See template
See template
Employability Assessment Form (PA 1663)
PDF template
A medical form used to document an individual's disability status for determining eligibility for General Assistance (GA) benefits.
See template
See template
Medical Assessment Form (PA 635)
PDF template
A form used by the Pennsylvania Department of Public Welfare to assess an individual's medical condition and ability to participate in employment and training activities.
See template
See template
SELF REPORT FORM
PDF template
Form for reporting incidents of abuse, neglect, or other critical events in healthcare facilities as required by Nevada regulations.
See template
See template
Emergency And Hazardous Chemical Inventory Form (EPA 0317)
PDF template
EPA form for documenting hazardous chemical inventory, storage locations, and associated physical and health hazards.
See template
See template
Permanent Mailing Address Form
PDF template
Employment and retirement system membership form for school employees in Ohio, collecting personal and job classification information.
See template
See template
TRS 1, TRS 2 And TRS 3 Service Retirement
PDF template
Informational bulletin explaining retirement eligibility and calculation for Teacher Retirement System members in TRS 1, TRS 2, and TRS 3.
See template
See template
SERVICE WAIVER FORM
PDF template
A form for employees to document previous employment and retirement plan eligibility when waiving a waiting period for retirement plan enrollment.
See template
See template
Severance Pay, Policy, And Practices Survey
PDF template
A comprehensive survey by the American Society of Employers collecting data on severance pay practices and policies across organizations.
See template
See template
Sexual Harassment Formal Complaint Form
PDF template
A formal document for reporting sexual harassment incidents at Full Sail University in compliance with Title IX regulations.
See template
See template
Counseling Center Sexual Misconduct Report Form
PDF template
A confidential form for reporting sexual misconduct incidents at Shaw University, designed to document details and support victims/survivors.
See template
See template
Standard Form 1199A Direct Deposit Sign Up Form
PDF template
Government form for setting up direct deposit payments for various federal benefit and payroll programs.
See template
See template
Firefighter Witness Interview Form For Traffic Scene
PDF template
A comprehensive form for firefighter witnesses to document details of a traffic incident or fire scene response.
See template
See template
CUSTODY AND PLEDGING SERVICES SALE(S)DELIVERY(IES) FORM
PDF template
Form for documenting securities delivery, settlement, and pledge instructions for financial transactions.
See template
See template
SFSU Incident Report Form
PDF template
A form for reporting information security incidents at San Francisco State University that potentially compromise IT asset confidentiality, integrity, or availability.
See template
See template
Student Government Association Election Code Violation Report Form
PDF template
A form for reporting potential violations of election rules within the University of North Texas Student Government Association election process.
See template
See template
DA 325 Shared Leave Request Form
PDF template
A form for state employees to request shared leave benefits for serious medical conditions affecting themselves or family members.
See template
See template
Shared Leave Request Form
PDF template
A form for City of Tacoma employees to request shared leave due to severe illness, injury, or medical condition that has exhausted their accrued leave.
See template
See template
Voluntary Shared Leave Request Form
PDF template
A form for employees to request donated leave from other employees when they have exhausted their own leave time.
See template
See template
Direct Deposit Request Alberta Seniors Benefit
PDF template
A form for seniors to set up direct deposit for government benefits through the Ministry of Seniors and Housing in Alberta.
See template
See template
Granite School District Short Term Disability Claim Form
PDF template
A form for Granite School District employees to file a claim for short-term disability benefits, documenting medical condition and work absence details.
See template
See template
Granite School District Short Term Disability Claim Form
PDF template
A form for employees of Granite School District to file a claim for short-term disability benefits, detailing medical condition and leave requirements.
See template
See template
Short Term Disability Claim Form
PDF template
A policy document detailing short-term disability benefits for employees, including eligibility, compensation, and leave requirements.
See template
See template
Short Term Disability Benefits Claim Form
PDF template
A claim form for supplemental short-term disability benefits for hospital staff, providing coverage for up to 26 weeks at 70% of basic weekly salary.
See template
See template
SHORT TERM DISABILITY BENEFITS CLAIM FORM
PDF template
Claim form for supplemental short-term disability benefits for hospital staff, providing up to 70% of weekly salary for up to 26 weeks.
See template
See template
MCEA Sick Leave Bank Cancellation Form
PDF template
A form for members to cancel participation in the MCEA Sick Leave Bank program and halt future sick leave donations.
See template
See template
Standard IncidentInjuryProperty Damage Report Form
PDF template
A comprehensive form for documenting incidents, injuries, and property damage during church activities, with special provisions for child and youth events.
See template
See template
Provider Bulletin 07 5
PDF template
Policy detailing the process for reporting significant incidents at Crisis Response Centers and Emergency Assessment Centers for the Philadelphia Department of Behavioral Health.
See template
See template
SIMON Access Request Form
PDF template
Form authorizing an individual to access employer data through Vimly's SIMON portal with specified permissions
See template
See template
SUBMERSION INCIDENT REPORT FORM (SIRF)
PDF template
A comprehensive form for documenting submersion incidents and details of drowning or near-drowning events in San Bernardino County.
See template
See template
District Employee Benefits Enrollment Form
PDF template
A comprehensive form for employees to enroll in medical, dental, vision, and life insurance benefits with detailed personal and dependent information.
See template
See template
SELF INSURED SERVICES COMPANY REIMBURSEMENT FORM
PDF template
A form for employees to submit medical expense claims for reimbursement through a self-insured employer benefit program.
See template
See template
SLTD Premium Waiver Form
PDF template
Form to terminate a Supplemental Long Term Disability premium waiver when an employee returns to work.
See template
See template
ING Corporate Card Program SmartData Reporting File Delivery Application Change Form
PDF template
Form for managing corporate card program services, including SmartData reporting and file delivery administrator settings.
See template
See template
Management Benefits Fund Superimposed Major Medical Plan (SMMP) Claim Form
PDF template
A comprehensive medical claim form for submitting healthcare expenses and patient information to the Management Benefits Fund insurance plan.
See template
See template
SNAP 103 1 Application Processing
PDF template
Guidance document detailing the process for filing and processing Supplemental Nutrition Assistance Program (SNAP) applications and eligibility determination.
See template
See template
SNAP 103 1 Application Processing
PDF template
Guidance for processing Supplemental Nutrition Assistance Program (SNAP) applications, including filing methods, initial requirements, and interview procedures.
See template
See template
SNAP 301 1 Non Financial Requirements Citizenship
PDF template
Policy document outlining citizenship and nationality requirements for SNAP (Supplemental Nutrition Assistance Program) applicants and benefits eligibility.
See template
See template
Vision Group Insurance Form
PDF template
A comprehensive form for submitting vision insurance claims, to be completed by employees and vision care providers.
See template
See template
Social Pension For Indigent Senior Citizens Application Form
PDF template
Application form for senior citizens to apply for social pension benefits for economically disadvantaged elderly individuals.
See template
See template
Standard Form 1199A Direct Deposit Sign Up Form
PDF template
A form for enrolling in direct deposit for various federal government payments such as Social Security, Veterans' Benefits, and other federal benefits.
See template
See template
Sodium Chloride Runoff Damage Report Form
PDF template
A form for reporting property damage caused by sodium chloride runoff to the Housatonic Valley Health District and State of Connecticut.
See template
See template
Special Olympics Incident Report Form
PDF template
Comprehensive form for documenting accidents and injuries during Special Olympics events, capturing details about the injured person, incident, and witnesses.
See template
See template
Provider Nomination Form
PDF template
A form for members to recommend new dental or eye care providers to be added to Solstice Benefits' network.
See template
See template
Sample Form For Facility Reported Incidents
PDF template
A standardized form for reporting suspected crimes, abuse, or mistreatment of residents in healthcare facilities.
See template
See template
Injury Data Collection Form For Supervisors
PDF template
A comprehensive form for documenting workplace injuries and incidents for North Carolina state employees.
See template
See template
School Of Origin Transportation IncidentAccident Report Form
PDF template
A form for documenting incidents or accidents involving school transportation, including details about the event, persons involved, and follow-up actions.
See template
See template
SOT Statement Proposal Form
PDF template
A form for proposing scientific statements by the Society of Toxicology, outlining objectives, target audience, and potential publication venues.
See template
See template
VISION CLAIM FORM
PDF template
A standard form for submitting vision insurance claims with patient and insurance details.
See template
See template
SPDES Permit Annual Report
PDF template
Annual reporting form for wastewater treatment systems to document facility status, maintenance, and compliance with environmental regulations.
See template
See template
Bricklayers Union No. 1 Of Kentucky Pension Trust Fund Pension Plan Summary Plan Description
PDF template
A comprehensive summary of the pension plan provisions for members of Bricklayers Union No. 1 of Kentucky, including benefits, application procedures, and recent changes.
See template
See template
CalPERS Special Power Of Attorney
PDF template
A comprehensive guide explaining how to designate an attorney-in-fact for managing CalPERS retirement and survivor benefit decisions.
See template
See template
Retiree Special EnrollmentWaiver Form
PDF template
A special enrollment form for NYC retirees to modify health benefits, Medicare plan, or prescription drug coverage for September 1, 2023.
See template
See template
Spill Or Incident Report Form
PDF template
A comprehensive form for documenting petroleum product or hazardous materials spills, including incident details and emergency contact information.
See template
See template
Travel Report Form
PDF template
A comprehensive form for documenting travel details, transportation modes, and expenses for club-related trips.
See template
See template
Spouse Disability Benefit Application Form
PDF template
Insurance claim form for spouse disability benefits, requiring comprehensive personal and medical information for claim assessment.
See template
See template
A Guide To Your Benefits From The Seafarers Pension Plan
PDF template
Comprehensive guide detailing pension benefits, eligibility, calculation, and application process for Seafarers Pension Plan participants.
See template
See template
SPS Alert 234 HR, Timekeeping, Payroll And Benefits Updates
PDF template
Update on termination process for Pre-Offer Check and details about Satellite Agency employee handling in Workday.
See template
See template
Dual Benefit Reimbursement Form
PDF template
A form for open-shop contractors to request reimbursement from Seattle Public Schools for employer-sponsored benefit plan costs for core workers on SCWA projects.
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
Alabama Department Of Public Safety Motor Vehicle Accident Report
PDF template
Official form for reporting motor vehicle accidents in Alabama involving death, injury, or property damage over $250.
See template
See template
Incident Investigation Report Form
PDF template
A comprehensive form for documenting and investigating incidents occurring at a riding club, including details about injuries, witnesses, and treatment.
See template
See template
ACCIDENTINCIDENT REPORT
PDF template
A detailed form for documenting accidents or incidents occurring at Southern Regional Technical College, capturing injury details, treatment, and preventive recommendations.
See template
See template
SSC 001C SUPP STATEMENT OF CLAIM FORM
PDF template
A comprehensive form for filing a group disability insurance claim, to be completed by the employee, employer, and healthcare provider.
See template
See template
Outside Scholarship Form
PDF template
A form for students to report external scholarships to the Millikin University Student Service Center for financial aid processing.
See template
See template
Supplemental Salary Funds Agreement
PDF template
A document outlining the process for faculty members receiving external fellowship funds through university payroll and maintaining benefits.
See template
See template
ConditionDamage Report Forever Free Tour
PDF template
A form for documenting the condition of exhibit materials during shipping and handling by libraries.
See template
See template
Staff Child Care Benefit Plan Application Form
PDF template
Application form for staff to claim child care benefits for the prior plan year, requiring detailed documentation of child care expenses.
See template
See template
Dental EnrollmentChangeWaiver Group Insurance Form
PDF template
A form for employees to enroll, change, or waive dental group insurance coverage with details about employee and dependent information.
See template
See template
Standard Equipment Request Form
PDF template
A form for requesting computer equipment and accessories for staff, faculty, and labs at an educational institution.
See template
See template
Form SPF 6 MONTHLY PROCUREMENT REPORT
PDF template
A government procurement reporting form used to document ongoing procurement processes and signed contracts for tracking and transparency purposes.
See template
See template
Minnesota State Election Law Complaint Form
PDF template
Official form for reporting potential violations of Minnesota election laws to county authorities.
See template
See template
State Employee Tuition Waiver Instructions
PDF template
Guidelines for state employees to receive tuition waivers for up to six credit hours per semester at eligible institutions.
See template
See template
Statement Report Form
PDF template
A form for documenting and reporting a personal perspective on an incident with legal implications.
See template
See template
Statement Of Rights Disability Benefits Law
PDF template
Official document outlining employee rights for non-occupational disability benefits in New York State.
See template
See template
State Of Maryland Employee And Retiree Health And Welfare Benefits Program Health Assessment
PDF template
A comprehensive health survey for Maryland state employees and retirees to assess their current physical and mental health status.
See template
See template
STD 101C GROUP SHORT TERM DISABILITY (STD) CLAIM FORM
PDF template
A comprehensive form for employees to file a short-term disability claim, requiring detailed information about their medical condition and work status.
See template
See template
STD CASE REPORT FORM
PDF template
Official medical reporting form for documenting sexually transmitted disease cases and patient information in New Jersey.
See template
See template
Short Term Disability Claim Form Report Of Continued Disability
PDF template
A form for participants to report ongoing short-term disability and provide medical update information for continued claim processing.
See template
See template
Disability Claims Accident Sickness (AS)Short Term Disability (STD)Salary Continuance
PDF template
A comprehensive form for filing disability claims, including sections for employer, employee, and physician/provider information.
See template
See template
Guardian Life Short Term Disability (STD) Claim Form
PDF template
A comprehensive form for employees to file a short-term disability insurance claim with detailed personal and medical information.
See template
See template
Your Disability Benefit Claim
PDF template
Comprehensive guide and forms for applying for disability insurance benefits through Standard Insurance Company.
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, providing personal, employment, and medical information.
See template
See template
Granite School District Short Term Disability Claim Form
PDF template
A form for employees of Granite School District to file a claim for short-term disability benefits, detailing the nature of disability and employment information.
See template
See template
Disability Claim For Accident SicknessShort Term DisabilitySalary Continuance
PDF template
An employer-completed form for filing a disability insurance claim covering accident, sickness, and short-term disability benefits.
See template
See template
Form LM 3 Labor Organization Annual Report
PDF template
Annual financial reporting form for labor organizations required to file under specific federal labor laws.
See template
See template
Short Term Disability Claim Process
PDF template
Comprehensive guide for filing a short-term disability claim with USAble Life, detailing submission steps, claim phases, and contact information.
See template
See template
FEMA Form 90 136, Action Request Form (ARF)
PDF template
A federal emergency management form used to request and track assistance for emergency support and resource allocation.
See template
See template
STEM OPT Validation Report Form
PDF template
Form for international students on STEM OPT to report employment status and information at specific intervals during their extension period.
See template
See template
STLA Survey Form (Blank)
PDF template
A comprehensive survey form collecting identification, governance, and operational details about a State Library Agency.
See template
See template
Quarterly State Meeting Attendance Form
PDF template
A form for tracking chapter attendance at quarterly state organization meetings and recording excused and non-qualifying chapters.
See template
See template
Storm Water Complaint Form
PDF template
A form allowing individuals to report storm water-related issues by providing details about observed conditions and location.
See template
See template
Stryker Benefits Summary
PDF template
Comprehensive benefits summary for Stryker employees, including location-specific healthcare provisions and insurance options.
See template
See template
School Transportation Vehicle Accident Report Form
PDF template
A detailed form for documenting accidents involving school transportation vehicles, used to track safety trends and compile uniform incident information.
See template
See template
STUDENT ACCIDENT REPORT FORM
PDF template
A comprehensive form for documenting student accidents occurring at school or school-sponsored events.
See template
See template
STUDENT ACCIDENT REPORT FORM
PDF template
A comprehensive form documenting details of a student accident, including location, injury specifics, and immediate actions taken.
See template
See template
Kenosha Unified School District Standard Student Accident Report Form
PDF template
A comprehensive form for documenting student accidents and injuries at school or school-related activities.
See template
See template
Incident Report Form
PDF template
A form used to document incidents occurring within a student activities department, capturing details about the event, involved parties, and resolution.
See template
See template
Student Chapter Annual Report Guidelines
PDF template
Guidelines for student chapters of the Society of Economic Geologists to document their annual activities and membership information.
See template
See template
Student Code Of Conduct Complaint Form
PDF template
A form for reporting violations of student conduct policies at an educational institution.
See template
See template
Student Complaint Form
PDF template
A form for students to report experiences of discrimination or harassment at the college or university.
See template
See template
Complaint Form
PDF template
A form for reporting incidents or potential violations within Northeastern State University's student community.
See template
See template
Student Conduct Incident Report Form
PDF template
A form for reporting potential violations of a college's student code of conduct, documenting incident details and potential misconduct categories.
See template
See template
Department Paid Health Insurance Request Form
PDF template
Form for departments to request health insurance coverage for visiting researchers and students with tax reporting guidance.
See template
See template
Formal Student Complaint Form
PDF template
A document for students to formally document and report a complaint or incident within an educational institution.
See template
See template
Student Hazard Report Form
PDF template
A form for students to report safety hazards, risks, or unsafe practices at Forsythes Training facility.
See template
See template
Marywood University Accident Report Form
PDF template
A comprehensive form for documenting accidents involving university students or staff on and off campus.
See template
See template
Student Illness And Accident Report Form
PDF template
A form used to document student injuries, medical treatment, and incident details at an educational facility.
See template
See template
Student Incident And Hazard Report Form
PDF template
A comprehensive form for documenting student incidents, injuries, and potential hazards within an educational institution.
See template
See template
Student Incident Report
PDF template
A comprehensive form for documenting student incidents, including details about the event, involved parties, and actions taken.
See template
See template
Student Incident Report Form
PDF template
A form to document student incidents, exposures, and potential infectious disease or environmental hazards in clinical settings.
See template
See template
STUDENT INJURY REPORT FORM
PDF template
A comprehensive form for documenting student injuries, including details about the incident, location, and type of injury.
See template
See template
BHDV Form 1
PDF template
A confidential form for reporting student-related bullying, harassment, teen dating violence, and abuse within Brevard Public Schools.
See template
See template
StudentVisitor AccidentIncident Report Form
PDF template
A comprehensive form for documenting non-vehicular accidents or incidents involving students or visitors on college premises.
See template
See template
Student Visitor Accident Report Form
PDF template
A form for documenting accidents involving students or visitors, used for recording incident details and medical information.
See template
See template
Student Visitor Incident Report Form
PDF template
A form for documenting incidents involving students or visitors, capturing details about an event, potential injuries, and witness information.
See template
See template
Student Visitor Incident Report Form
PDF template
A detailed form for documenting incidents involving students or visitors, capturing personal and incident information, treatment details, and witness accounts.
See template
See template
UNM Education Abroad Incident Report Form
PDF template
A form for reporting incidents and emergencies related to UNM educational activities abroad.
See template
See template
Action ResearchMasterS Report Submission Form
PDF template
Form for submitting a master's research report or action research document for academic review and approval.
See template
See template
The Elks Magazine NEWSPHOTO SUBMISSION FORM
PDF template
A form for submitting news items and photographs to The Elks Magazine with guidelines for event documentation.
See template
See template
Marketing Incident Investigation Policy
PDF template
A policy detailing the process and responsibilities for investigating marketing-related incidents at Sunoco, Inc.
See template
See template
Supervision Report Form 102
PDF template
A comprehensive guide explaining the purpose, requirements, and usage of the Supervision Report Form for professional licensing and tracking purposes.
See template
See template
SUPERVISORS INCIDENT REPORT FORM
PDF template
A comprehensive form for supervisors to document and report workplace accidents and employee injuries in detail.
See template
See template
SupervisorS Report Of Incident
PDF template
A form for documenting workplace incidents, injuries, and potential safety issues at Weber State University.
See template
See template
Supervisor InjuryIncident Checklist
PDF template
A comprehensive guide for supervisors to handle and report workplace injuries, detailing steps for critical and non-critical incidents.
See template
See template
Supervisors Incident Investigation Form
PDF template
A comprehensive form for documenting workplace incidents, injuries, and prevention strategies for Culpeper County Volunteer Fire & Rescue Association.
See template
See template
SupervisorS Incident Report Instructions
PDF template
Instructions for supervisors on documenting and reporting workplace incidents across various categories like workers' compensation and liability.
See template
See template
SupervisorS Incident Report Instructions
PDF template
Comprehensive instructions for supervisors on documenting and reporting workplace incidents across various categories of liability.
See template
See template
SupervisorS Injury And Illness Incident Report
PDF template
A form for supervisors to document workplace injuries or illnesses for workers' compensation purposes.
See template
See template
ILWU PMA Welfare Plan Supplemental CSDI Disability Claim Form
PDF template
A comprehensive disability claim form for ILWU-PMA Welfare Plan members to report disability details and seek benefits.
See template
See template
Deduction Authorization Form For EnrollmentChangeCancellation In FIDELITY INVESTMENTS 403(B) Supplem
PDF template
A form for University System of Maryland employees to authorize, change, or cancel retirement plan deductions through Fidelity Investments 403(b) Supplemental Retirement Plan.
See template
See template
Supplement In Lieu Of Pension Policy
PDF template
Policy providing a cash supplement for employees adversely affected by pension tax allowances who opt out of pension contributions.
See template
See template
SUPERVISORS INCIDENT INVESTIGATION REPORT
PDF template
A detailed form for documenting workplace accidents and injuries for Indiana Public Employers' Plan
See template
See template
Request For Proposal IT Staff Enrichment Solutions
PDF template
A request for proposal for IT staff enrichment solutions issued by SURS, seeking vendor proposals for staffing and training services.
See template
See template
SHCSA Quarterly Survey Instructions
PDF template
Instructions for healthcare personnel reporting in Missouri for facilities participating in Medicare or Medicaid
See template
See template
Statewide Volunteer Firefighter (SVF) Plan
PDF template
Detailed explanation of a defined benefit plan for volunteer firefighters with benefit levels and vesting requirements.
See template
See template
Wisconsin Supplement To Financial Report
PDF template
Form for Wisconsin charitable organizations to submit annual financial reporting to the Department of Financial Institutions' Division of Banking.
See template
See template
Incident And Accident Report Form
PDF template
A comprehensive form for documenting accidents or incidents during sports activities, including details of the injury and actions taken.
See template
See template
Travel And Business Expense Report Form
PDF template
A comprehensive form for reporting and requesting reimbursement of business travel and related expenses for employees and non-employees.
See template
See template
TANF 301 1 Citizenship
PDF template
Document detailing citizenship and nationality requirements for Temporary Assistance for Needy Families (TANF) program applicants and participants.
See template
See template
Member Agreement For Taproot Investment Cooperative (TIC)
PDF template
A membership agreement outlining the terms, rights, and responsibilities of joining the Taproot Investment Cooperative as a member-investor.
See template
See template
Temporary Amusement Ride Inspection Fees And Accident Reporting Notice
PDF template
Official notice from California's Division of Occupational Safety and Health regarding inspection fees and mandatory accident reporting for temporary amusement ride owners and operators.
See template
See template
Employee Enrollment Form Flexible Spending Account (FSA)
PDF template
A form for employees to enroll in Flexible Spending Account (FSA) benefits with pre-tax salary reduction elections.
See template
See template
Tax Credit Percentage Agreement Form
PDF template
A form for donors to agree to a reduced tax credit percentage for donations under the Neighborhood Assistance Program in Virginia.
See template
See template
Nevada Transportation Authority Taxicab Accident Report Form
PDF template
Official form for reporting taxicab accidents to the Nevada Transportation Authority within 24 business hours of occurrence.
See template
See template
Nevada Transportation Authority Taxicab Accident Report Form
PDF template
Official form for reporting taxicab accidents to the Nevada Transportation Authority within 24 business hours of occurrence.
See template
See template
Tournament Income And Expense Form
PDF template
A detailed Excel workbook for tracking tournament financial information, including budget projection and final financial statement.
See template
See template
2023 24 Final Report Instructions
PDF template
Instructions for completing the annual final report for arts and cultural organizations funded by Tacoma Creates program, detailing submission requirements and process.
See template
See template
Incident Report Form
PDF template
A form for reporting sex discrimination, sexual harassment, child abuse, or misconduct at The Campagna Center in compliance with Title IX policies.
See template
See template
TCNJ Health And Safety Incident Report Form
PDF template
A comprehensive form for reporting health and safety incidents, near misses, and potential hazards at The College of New Jersey.
See template
See template
Accident Report Form
PDF template
Comprehensive form for documenting details of a vehicle accident, including driver, vehicle, and incident information.
See template
See template
Form TDI 22
PDF template
Instructions for filing annual reports for temporary disability insurance plans in Hawaii, detailing reporting responsibilities for different types of employers and insurance carriers.
See template
See template
TechNET IT Timesheet Portal Guide
PDF template
A comprehensive guide for using TechNET's online timesheet submission and tracking portal for employees.
See template
See template
Young Technology Scholar Award Application
PDF template
Scholarship award for high school seniors in Utah demonstrating technology skills and leadership in computer information technology courses.
See template
See template
ETA Instructions For OIG 1 156 Incident Report (IR)
PDF template
Manual providing instructions for completing the OIG 1-156 Incident Report form for reporting violations and incidents within the Employment and Training Administration.
See template
See template
Telephone Change Request Form
PDF template
Form for modifying existing telephone settings or requesting changes to phone services at Bergen Community College.
See template
See template
Form 8 K
PDF template
Securities and Exchange Commission filing by Tellurian Inc. providing current report information as of December 8, 2023.
See template
See template
Short Term Temporary Disability Benefits
PDF template
Policy describing temporary disability benefits for non-union employees of the Diocese of Camden, outlining eligibility requirements and benefit calculations.
See template
See template
Inbuilt Temporary Incapacity Benefits For Defined Benefit Division Members
PDF template
Detailed guide explaining temporary incapacity benefits for Defined Benefit Division members, including eligibility requirements and claim process.
See template
See template
Guide To Completing And Submitting A Travel Expense Report (TER)
PDF template
A comprehensive guide for employees and students to complete and submit travel expense reimbursement documentation for university-related travel.
See template
See template
Term Extension Job Requisition Form
PDF template
A form for requesting an extension of an employee's current job term with details about position, salary, and benefits eligibility.
See template
See template
Termination Leave Option Form
PDF template
A form detailing leave payout options for employees separating from University of Wyoming service, including vacation and sick leave compensation.
See template
See template
Termination Of Employment Benefits Fact Sheet
PDF template
Comprehensive guide for University of California employees detailing benefits procedures and deadlines upon job separation or retirement.
See template
See template
TFFR Retirement Guide
PDF template
Comprehensive guide for North Dakota teachers to understand and apply for retirement benefits from the Teachers' Fund for Retirement (TFFR).
See template
See template
DentalOptical Benefit Application Form
PDF template
Application form for claiming dental and optical benefits through the Transport Friendly Society, requiring detailed expense and payment information.
See template
See template
Osteopathic Benefit Application Form
PDF template
Application form for claiming osteopathic treatment benefits, specifically for members of the Transport Friendly Society who joined prior to 1996.
See template
See template
ENROLLMENT FORM
PDF template
Comprehensive enrollment form for employees to select insurance and benefits options through The Hartford.
See template
See template
Payroll Deduction Authorization
PDF template
Authorization form for allowing payroll deductions for organizational membership dues and benefit programs.
See template
See template
Incident Report Form
PDF template
A form for reporting misconduct or poor behavior during soccer games by coaches, referees, players, or spectators.
See template
See template
Minnesota Common Grant Application Form
PDF template
A comprehensive guide for nonprofits seeking grants in Minnesota, providing strategies and best practices for grant applications.
See template
See template
TIAA Retirement Plan Contribution Form
PDF template
A form for employees to specify retirement plan contributions and allocate funding for their retirement annuity contract at Kenyon College.
See template
See template
Tax Incremental District (TID) Annual Report (Form PE 300)
PDF template
Instructions for municipalities to submit annual tax incremental district reports to the Wisconsin Department of Revenue detailing revenues and expenditures.
See template
See template
Tier II Inventory Form Instructions
PDF template
Instructions for completing the Tier II emergency and hazardous chemical inventory form required by the Emergency Planning and Community Right-to-Know Act (EPCRA).
See template
See template
TIME OFF REQUEST
PDF template
A form for employees to request time off using various benefit types at Karen Ann Quinlan Hospice
See template
See template
Required Reporting For Child Care Learning Centers And Family Child Care Learning Homes
PDF template
Guidelines for reporting child abuse, communicable diseases, incidents, and criminal records in child care settings in Georgia.
See template
See template
Tips For Completing The Annual Report Form
PDF template
Comprehensive instructions for faculty members to complete their annual report in the Faculty Success system, covering various required and optional information sections.
See template
See template
Title 38 United States Code Section 3679(E) School Compliance Form
PDF template
A form requiring educational institutions to certify compliance with veterans' educational benefits regulations under the Veterans Benefits and Transition Act of 2018.
See template
See template
Bryan College Title IX Complaint Form
PDF template
A form for filing discrimination or harassment complaints at Bryan College, detailing the process for reporting incidents and filing a formal complaint.
See template
See template
TITLE IXNONDISCRIMINATION COMPLAINT FORM
PDF template
Formal complaint form for filing allegations of unlawful discrimination, harassment, and Title IX violations at a college institution.
See template
See template
Title IX Formal Complaint Form
PDF template
A formal document for reporting sexual harassment, sexual violence, and sex discrimination allegations under Title IX regulations.
See template
See template
Sex Discrimination, Sexual Misconduct And Sexual Harassment Complaint Form
PDF template
A form for reporting incidents of sexual misconduct, discrimination, harassment, and related violations at La Sierra University.
See template
See template
Sexual Harassment Sex Discrimination Report Form
PDF template
A reporting form for students to document sexual harassment or sex discrimination incidents at Allegany College of Maryland.
See template
See template
Annual Compliance Certification
PDF template
A form for certifying annual compliance with permit terms and conditions for air quality regulations.
See template
See template
Institutional Equity And Title IX Formal Complaint Form
PDF template
A formal complaint form for reporting incidents of sexual misconduct, discrimination, or Title IX violations at Carnegie Mellon University.
See template
See template
Assessment Form
PDF template
A form for collecting household information to identify potential utility assistance programs for Tacoma Public Utilities (TPU) customers.
See template
See template
Direct Deposit Agreement
PDF template
A form for setting up electronic transfer of monthly benefit payments to a personal bank account for TRA members or beneficiaries.
See template
See template
OTC Office Of Workforce Liaison Weekly TRA 22 Student Compliance Form
PDF template
A weekly form documenting student attendance and academic progress for Trade Act benefit recipients.
See template
See template
In The Event Of An Accident
PDF template
Comprehensive instructions for handling vehicle accidents, including emergency response, reporting, and notification procedures for UAF vehicles.
See template
See template
Transportation Accident Report (TRA P006)
PDF template
A procedural document outlining the process for reporting and managing transportation accidents involving school buses or district vehicles.
See template
See template
T RAP OHC Payment Agreement Form
PDF template
A form for documenting housing costs and payment assistance for households affected by COVID-19
See template
See template
Expense Report Form
PDF template
Document for employees to report travel-related expenses, including lodging, transportation, and shared costs.
See template
See template
IPA TRAVEL FORM
PDF template
A form for IPA members to request travel assistance and document their travel details when visiting other sections.
See template
See template
International Travel Form
PDF template
Guidelines and form for International Police Association members traveling between sections and requesting assistance.
See template
See template
UAF Vehicle Accident Reporting Procedure
PDF template
Comprehensive guidelines for reporting and handling vehicle accidents involving University of Alaska Fairbanks (UAF) vehicles and personnel.
See template
See template
TRAVERSE REPORT FORM FOR PROCESS SERVERSAGENCIES
PDF template
Official form for process servers to report scheduled and final results of traverse hearings to the Department of Consumer Affairs in New York City.
See template
See template
TreasurerS Monthly Report Form
PDF template
Financial reporting document for tracking monthly and annual income, expenses, and balance for 4-H clubs
See template
See template
Infusion Industry Trends Report Order Form
PDF template
Order form for purchasing a report on infusion industry trends with pricing options for members and non-members.
See template
See template
Incident Report
PDF template
A form used to document and report incidents involving students at the Touro University California Student Health Center.
See template
See template
Benedictine College Tuition Benefit Application Form
PDF template
Application form for Benedictine College employees seeking tuition benefits for themselves or their dependents.
See template
See template
Yeshiva University Tuition Remission Benefit Policy
PDF template
Policy detailing eligibility and terms for tuition remission benefits for Yeshiva University employees, spouses, and dependents.
See template
See template
Tuition Pool Reimbursement Form
PDF template
A form for employees to request tuition assistance funds from an organizational tuition pool, with specific guidelines for reimbursement.
See template
See template
Prior Service Credit Request Form Tuition Benefits Program
PDF template
Form for requesting prior service credit toward Carnegie Mellon University's Faculty and Staff Tuition Benefits Program waiting period
See template
See template
Faculty Staff Scholarship Waiver Application
PDF template
Application form for Bethel University employees seeking tuition scholarship benefits for academic programs
See template
See template
Fort Lewis College Tuition Waiver Request Packet
PDF template
A comprehensive guide for Fort Lewis College employees to request tuition waivers for taking courses with specific eligibility and application requirements.
See template
See template
Tuition Waiver Form
PDF template
Form for employees or retirees to request tuition waiver benefits for themselves or dependents at the University of Toledo.
See template
See template
TUS Procedures For Accidents Incident Reporting Investigation
PDF template
Comprehensive guidelines for reporting and investigating accidents and incidents at Technological University of the Shannon (TUS) to ensure workplace safety and regulatory compliance.
See template
See template
TUS Investigation Form (AccidentIncident)
PDF template
A comprehensive form for documenting and investigating workplace accidents, incidents, and near-miss events at a university or organization.
See template
See template
Accident Information Form
PDF template
A comprehensive form for documenting details of a vehicle accident, including member, vehicle, and incident information.
See template
See template
Newborn Notification Of Delivery Form
PDF template
A form for healthcare providers to report newborn information to Wellpoint within 24 hours of delivery for Medicaid members.
See template
See template
STATE OF MINNESOTA CHARITABLE ORGANIZATION ANNUAL REPORT FORM
PDF template
Annual reporting form for charitable organizations registered to solicit contributions in Minnesota, required by the Attorney General's Office.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting incidents involving U3A members, including injury or property damage details.
See template
See template
Child Abuse Or Neglect Report Form
PDF template
A formal document for reporting suspected child abuse or neglect to the University of Alabama at Birmingham Police Department.
See template
See template
UAH Staff Reference Guide
PDF template
A comprehensive guide for UAH staff covering various workplace policies, benefits, and procedures.
See template
See template
Postdoctoral Scholar Childcare Reimbursement Form For UAW Represented (PX) Employees
PDF template
A form for University of California postdoctoral scholars to request reimbursement for eligible childcare expenses under the UAW-represented program.
See template
See template
Vehicle Accident Report
PDF template
Document used to record details of a vehicle accident involving a University of California vehicle and personnel.
See template
See template
UCRP Special Durable Power Of Attorney
PDF template
A legal document that allows a UCRP member to designate a representative to manage retirement and health benefit matters.
See template
See template
Employee Enrollment Form
PDF template
A comprehensive enrollment form for employees to sign up for medical, dental, and related insurance benefits.
See template
See template
Medical Claim Form
PDF template
A form for submitting medical expense claims to UnitedHealthcare for reimbursement of eligible healthcare services.
See template
See template
Yandisa Benefit Application Form
PDF template
Application form for patients seeking medical benefits through Umvuzo Health Medical Scheme's Yandisa program, requiring comprehensive personal and medical information.
See template
See template
UI 203 Overpayment And Fraud Detection Form
PDF template
A form for employers to report wage information to investigate potential unemployment insurance claim discrepancies or overpayments.
See template
See template
LWC Certificate Of Attendance
PDF template
Guidance for unemployment benefit recipients attending approved training programs on how to maintain eligibility and document attendance.
See template
See template
Incident Report Form
PDF template
A comprehensive form for documenting and reporting unusual incidents involving individuals in a care setting.
See template
See template
Unusual IncidentMajor Unusual Incident Report Form
PDF template
A comprehensive form for documenting and reporting unusual incidents involving individuals receiving care or support services.
See template
See template
UIMUI Report Form
PDF template
A comprehensive form for reporting unusual incidents or major unusual incidents involving individuals in care settings.
See template
See template
UIMUI Report Form
PDF template
A comprehensive form for documenting unusual incidents and major unusual incidents involving individuals in a care or support setting.
See template
See template
Unemployment Compensation For Ex Servicemembers (UCX) Program Questions And Answers
PDF template
Detailed instructions for state agencies on processing unemployment claims for former military service members, including initial claim procedures and federal verification processes.
See template
See template
Unemployment Compensation For Ex Servicemembers (UCX) Program Questions And Answers
PDF template
Advisory document providing guidance to state workforce agencies about the Unemployment Compensation for Ex-servicemembers program and related claims processes.
See template
See template
A GUIDE TO YOUR BENEFITS FROM THE UNITED INDUSTRIAL WORKERS PENSION PLAN
PDF template
A comprehensive guide explaining pension benefits for workers covered by United Industrial Workers multi-employer collective bargaining agreements.
See template
See template
Damage Report Form
PDF template
A form for documenting damage to boats during a sailing race, including pre- and post-event damage assessment.
See template
See template
Record Of Employment
PDF template
A form for documenting employment status for unemployment insurance claims in New York State.
See template
See template
Initial Unemployment Insurance Benefits Claim
PDF template
Comprehensive guide for filing an initial unemployment insurance claim in New Jersey, detailing required documentation and application process.
See template
See template
University Of New Hampshire Technology Incident Investigation Form
PDF template
A comprehensive form for documenting and investigating technology security incidents at the University of New Hampshire.
See template
See template
University Of Toronto Benefit Plan Booklet CUPE Local 3907 Graduate Assistant
PDF template
A comprehensive benefit plan booklet for graduate assistants at the University of Toronto, detailing group benefits provided through Green Shield Canada.
See template
See template
DENTAL ENROLLMENT FORM
PDF template
Form for enrolling in dental insurance coverage, collecting employee and dependent information for group dental insurance.
See template
See template
American Legion Auxiliary Year End Impact Report Forms
PDF template
Comprehensive reporting form for documenting volunteer hours, service, and contributions of American Legion Auxiliary members supporting veterans and military families.
See template
See template
Universal Enrollment Form
PDF template
Comprehensive enrollment form for medical, dental, and vision insurance covering active employees, retirees, COBRA, and surviving spouse participants.
See template
See template
Child Protection Incident Report Form
PDF template
A comprehensive form for reporting child protection incidents, allegations of harm, or potential abuse within an organization.
See template
See template
Retirement Timeline And Benefits Guide
PDF template
Comprehensive guide outlining step-by-step procedures and timelines for UNM faculty preparing for retirement, including ERB and Medicare requirements.
See template
See template
UNO Employee Incident Report
PDF template
A comprehensive form for documenting workplace injuries, incidents, and related details for University of Nebraska Omaha employees.
See template
See template
IncidentAccident Report Form
PDF template
Guidelines for reporting incidents involving recombinant DNA and infectious agents at the University of North Texas Health Science Center.
See template
See template
Unum Disability Claim Form
PDF template
A comprehensive claim form for submitting disability insurance claims with Unum Group subsidiaries, covering multiple types of disability benefits.
See template
See template
How To File A Voluntary Benefits Claim
PDF template
A comprehensive guide for employees on how to file claims for voluntary benefits, including wellness and health screening benefits.
See template
See template
Life Insurance Form
PDF template
A comprehensive form for employees to enroll in life insurance coverage and designate beneficiaries with multiple coverage options.
See template
See template
Follow Up Incident Report Form
PDF template
Confidential form for reporting and documenting incidents within the New Jersey Department of Human Services Division of Mental Health & Addiction Services.
See template
See template
DODD Possible Or Determined MUI Report Form
PDF template
A detailed form for reporting and documenting potentially serious incidents involving individuals receiving care or support services.
See template
See template
Unusual Incident Reporting (UIR) Form
PDF template
A comprehensive form for reporting critical incidents involving children, including details about the child, incident type, and notifications.
See template
See template
DODD Possible Or Determined MUI Report Form
PDF template
A comprehensive form for reporting and documenting incidents involving individuals, including details about the incident, injuries, and notifications.
See template
See template
LCBDD Unusual Incident Report Form
PDF template
Comprehensive guide for completing an incident report form for documenting unusual incidents involving individuals served by an organization.
See template
See template
UofM Language Fair Incident And Injury Report Policy
PDF template
Policy outlining procedures for reporting accidents, injuries, and near-miss events during the UofM Language Fair event.
See template
See template
Health And Safety Bulletin
PDF template
Comprehensive guide for reporting workplace hazards, accidents, injuries, and near misses at the University of Ontario Institute of Technology.
See template
See template
Partials Employee Consent Form
PDF template
A consent form allowing employers to file weekly unemployment claims and report employee information for partial unemployment benefits.
See template
See template
Incident Report
PDF template
A confidential form used to document and report incidents occurring in community housing locations, tracking details and potential follow-up actions.
See template
See template
LCSO Citizen Complaint Form
PDF template
A standard form for citizens to file formal complaints with the Lake County Sheriff's Office, documenting incident details and personal information.
See template
See template
IT Purchase Request Form
PDF template
A form for requesting and approving IT equipment purchases within an organization, including details about the item, purpose, and funding.
See template
See template
Memorandum And Order For Judgment Malcolm Et Al. V. Franklin Drywall, Inc. Et Al.
PDF template
Judicial document regarding personal liability of Philip J. Franklin in a union fringe benefits fund case involving Franklin Drywall and Master Drywall.
See template
See template
Maryland Statewide Medical Assistance Transport TransferDischarge Form
PDF template
A form used for documenting patient transportation needs and medical transfer details for medical assistance in Wicomico County, Maryland.
See template
See template
OFFICE OF INFORMATION TECHNOLOGY AUTHORIZATION RELEASE FORM
PDF template
Authorization form for students, faculty, staff, and guests to access SUNY College of Optometry computing resources and facilities.
See template
See template
USER ORGANIZATION INCIDENT REPORT FORM
PDF template
A form for reporting safety or criminal incidents occurring during extended use of a NYC public school building by an authorized user organization.
See template
See template
USERRA Life Insurance Form
PDF template
Form for military service members to continue life insurance coverage during active duty service under USERRA protections.
See template
See template
Life Insurance Claim Form
PDF template
A comprehensive form for filing a life insurance claim with authorization and personal information sections
See template
See template
Retirement Inquiry Form
PDF template
Form for determining retirement eligibility and healthcare benefits for University System of Georgia employees.
See template
See template
University Of Toledo Foundation Tuition Scholarship Form
PDF template
Form for University of Toledo employees to apply for tuition scholarship benefits for undergraduate or graduate education.
See template
See template
Employee Request For Course Approval And Waiver Of Fees
PDF template
A form for University of Tennessee employees to request approval for course enrollment with potential fee waiver based on employment status.
See template
See template
IMMEDIATE ACCIDENTINCIDENT REPORT FORM
PDF template
A form used to document accidents or incidents involving staff or students, reporting personal injury or property damage.
See template
See template
Catastrophic Leave Donor Authorization Form
PDF template
Form allowing employees to donate earned paid leave credits to colleagues experiencing catastrophic need within the UW System.
See template
See template
Group Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a short-term disability insurance claim with medical and employment details.
See template
See template
VA Educational Benefits Application Form
PDF template
Application form for veterans to request educational benefits through various VA programs and provide consent and understanding of responsibilities.
See template
See template
Vacation Donation Program Contribution Form
PDF template
A form allowing state employees to donate vacation or personal leave hours to colleagues experiencing medical costs or salary needs.
See template
See template
Vacation Donation Program Contribution Form
PDF template
A form allowing state employees to donate vacation or personal leave hours to colleagues facing medical costs or salary continuity needs.
See template
See template
Local 134 Vacation Savings Fund Contribution Form
PDF template
Document for tracking contractor and employee vacation fund contributions with personal and financial details.
See template
See template
Veterans Enrollment Form
PDF template
Form for veterans and dependents to enroll in education benefits and request VA educational support.
See template
See template
Veterans Benefits Enrollment Form
PDF template
Form for veterans to enroll and apply for educational benefits through various VA programs
See template
See template
Vancouver And Canadian Community Resources
PDF template
A comprehensive guide to local resources covering various aspects of community support including healthcare, employment, financial assistance, and food services.
See template
See template
Vehicle Accident Report
PDF template
Comprehensive guidelines for handling vehicle accidents involving institutions in the Iowa Board of Regents system, including reporting and notification procedures.
See template
See template
Vision Reimbursement Claim Form
PDF template
A form for employees to claim reimbursement for vision-related medical expenses under an employer's vision benefit plan.
See template
See template
Vehicle Accident Reporting Quick Guide
PDF template
Comprehensive guide for reporting vehicle accidents while driving on official state business for Louisiana State University Health Sciences Center.
See template
See template
Victims Bill Of Rights Law Enforcement Compliance Form
PDF template
A compliance reporting form for law enforcement agencies detailing their adherence to Delaware's Victims' Bill of Rights legislation.
See template
See template
DIVORCE BENEFIT APPLICATION
PDF template
A form for processing retirement fund benefits in the context of a divorce settlement, used by Alexander Forbes Financial Services.
See template
See template
HILL GROUP DRIVERS AUTO ACCIDENT REPORT FORM
PDF template
A comprehensive form for documenting details of a vehicle accident involving company vehicles and drivers.
See template
See template
Hill Group DriverS Auto Accident Report Form
PDF template
Comprehensive form for documenting details of a vehicle accident involving company vehicles and drivers.
See template
See template
Vehicle Accident Report
PDF template
Official government document for recording details of a vehicle accident involving county-owned or insured vehicles.
See template
See template
Fleet Unit Accident Incident Reporting Procedure
PDF template
Detailed procedure for reporting and handling vehicle accidents involving city fleet units, including required steps and documentation.
See template
See template
Vehicle Accident Reporting Procedure
PDF template
Comprehensive instructions for employees on how to handle and report vehicle accidents involving fleet or rental vehicles.
See template
See template
Vehicle AccidentIncident Procedures
PDF template
Guidelines for employees involved in motor vehicle accidents while conducting official state business, detailing step-by-step responsibilities at the accident scene.
See template
See template
Department Vehicles Accident Procedures
PDF template
Comprehensive procedure for handling accidents involving department vehicles, including medical care, reporting, and documentation protocols.
See template
See template
ACCIDENT REPORT
PDF template
Official form for documenting vehicle accidents involving state vehicles, to be submitted within 48 hours of incident.
See template
See template
Stetson Vehicle Accident Report
PDF template
Comprehensive form for documenting details of a vehicle accident involving Stetson employees or vehicles.
See template
See template
SCSU Vehicle Accident Report Form
PDF template
A comprehensive form for documenting details of a vehicle accident involving an SCSU Sport Club driver.
See template
See template
Vehicle Accident Report
PDF template
Comprehensive form for reporting vehicular accidents involving district staff or district vehicles with damage to property or persons.
See template
See template
Vehicle Accident Reporting Form (STD 270)
PDF template
Instructions for reporting vehicle accidents involving state-owned or rental vehicles, including form completion and distribution requirements.
See template
See template
Accident Report Kit
PDF template
A comprehensive guide and form for reporting various types of accidents, including vehicle incidents, property damage, and personal injuries.
See template
See template
Vehicle Accident Report
PDF template
Comprehensive guide for reporting vehicle accidents involving Iowa state university vehicles and personnel, including step-by-step procedures for handling accidents.
See template
See template
Vehicle Accident Report Form
PDF template
A comprehensive form for collecting details and information following a vehicle accident, designed to assist in insurance claims and documentation.
See template
See template
Vehicle Entry Permit Form
PDF template
A permit form for vehicles entering the Chennai Port Trust and PSA Chennai terminal, specifying rules and requirements for entry and movement within the facility.
See template
See template
Vehicle Purchase Information MDHHS 5946
PDF template
Guidelines for obtaining vehicle purchase assistance through Michigan Department of Health and Human Services for eligible program recipients.
See template
See template
Vehicle Accident Reporting Procedures
PDF template
Policy outlining procedures for reporting and managing vehicle accidents involving university-owned or personal vehicles used for university business.
See template
See template
ACCIDENTINCIDENT INVESTIGATION FORM
PDF template
A comprehensive form for documenting workplace accidents, incidents, and related details for investigation and prevention purposes.
See template
See template
VESSEL BOOKING FORM
PDF template
A comprehensive form for booking and documenting vessel arrival, departure, and cargo details for maritime logistics operations.
See template
See template
Veterans Contact Form
PDF template
Form for veterans to apply for educational benefits and provide personal and academic information for VA support.
See template
See template
Veterans Contact Form
PDF template
A comprehensive form for veterans to apply for educational benefits and provide academic background information at Umpqua Community College.
See template
See template
Military Certification Enrollment Form
PDF template
Form for military veterans to certify and enroll in courses for educational benefits at Marywood University
See template
See template
Non Resident Waiver Form For Veterans, Spouse, And Dependents
PDF template
Form for veterans, spouses, and dependents to request in-state tuition rates at Texas A&M University-Corpus Christi based on federal educational benefits.
See template
See template
Young Reporters For The Environment National Competition Entry Form 2015 2016
PDF template
Official entry form for students participating in the National Wildlife Federation's Young Reporters for the Environment competition
See template
See template
My Benefit Plan Booklet
PDF template
Comprehensive benefit plan booklet for post-doctoral fellows at the University of Toronto, detailing group benefits through Green Shield Canada.
See template
See template
Smoke Free Campus Policy Violation Report Form
PDF template
A form for reporting violations of the university's smoke-free campus policy by students, employees, or visitors.
See template
See template
Violent Incident Report Form
PDF template
A comprehensive form for documenting and reporting incidents of assault or violence in an organizational setting.
See template
See template
Out Of Network Reimbursement Instructions
PDF template
Detailed instructions for submitting out-of-network healthcare reimbursement claims to VBA, including required documentation and submission methods.
See template
See template
Member Reimbursement Claim Form
PDF template
Form for members to request reimbursement for vision services from out-of-network providers or in-store promotions.
See template
See template
Delta Dental Of Wisconsin EnrollmentChangeWaiver Form DeltaVision
PDF template
Insurance enrollment form for Delta Dental of Wisconsin's vision benefits, allowing employees to accept, change, or waive coverage.
See template
See template
Supplemental Vision Active Employee Enrollment Form
PDF template
Employee enrollment form for supplemental vision insurance coverage through Delta Dental of Wisconsin.
See template
See template
Vision Claim Form
PDF template
A form for submitting vision care expenses for reimbursement through a health benefits plan.
See template
See template
Visitor Accident Report Form
PDF template
A comprehensive form for documenting details of visitor accidents, injuries, and incidents at a school or institutional setting.
See template
See template
VitalityLife Discretionary Trust
PDF template
A legal document outlining the terms of a discretionary trust related to life insurance benefits, allowing flexibility in benefit allocation and ownership.
See template
See template
VLSC Software Assurance Guide
PDF template
A comprehensive guide for organizations to understand and manage their Software Assurance benefits through Volume Licensing.
See template
See template
Voluntary Deduction Cancellation Form
PDF template
A form for employees to request cancellation of a voluntary payroll deduction at Santa Monica College.
See template
See template
BOA Volunteer Firefighter Disability Claim Form
PDF template
Official claim form for Alabama volunteer firefighters seeking disability benefits due to service-related injury.
See template
See template
Visitor, Volunteer, Or Other Non Employee Incident Report Form
PDF template
A form for documenting incidents involving visitors, volunteers, or non-employees, including details about the incident, injuries, and witnesses.
See template
See template
Enrollment Form With Dependent Data
PDF template
A form for employees to enroll in health insurance coverage and provide dependent information.
See template
See template
Volunteer Time Off (VTO) Policy
PDF template
A policy that allows Johnson County employees to earn up to 8 hours of paid volunteer time per calendar year by converting sick leave, promoting community engagement.
See template
See template
Accident Report Form
PDF template
A comprehensive form documenting details of an accident involving a student at Ventura Vocational College (VVC)
See template
See template
Incident Checklist For Supervisors
PDF template
A comprehensive checklist for supervisors to follow when documenting and reporting workplace incidents and employee injuries.
See template
See template
Form W 9
PDF template
IRS form used by U.S. persons to provide taxpayer identification information for income reporting purposes.
See template
See template
Critical Incident Report Form (UnitedHealthcare Community Plan Members)
PDF template
A mandatory reporting form for critical incidents involving UnitedHealthcare Community Plan members in Washington State, to be submitted to the Health Care Authority.
See template
See template
Waiver Of Health, Dental AndOr Vision Coverage
PDF template
A form allowing employees to decline health, dental, and vision insurance coverage offered by their employer.
See template
See template
Waiver Of Medical Insurance Coverage
PDF template
A form for employees to waive medical insurance coverage while certifying alternative group medical insurance and applying premium sharing to optional coverage.
See template
See template
Waiver Of Pre Tax Insurance Form
PDF template
A form allowing employees to opt out of pre-tax deductions for employer-sponsored insurance premiums at UND.
See template
See template
NPD Form 95 Walk In Accident Report
PDF template
Official police form for documenting vehicle accidents within the city limits of Nixa, Missouri
See template
See template
Critical Incident Report Form
PDF template
A form for reporting critical incidents involving healthcare enrollees, including death, injury, abuse, or violent acts.
See template
See template
ELIGIBILITY EVALUATION CHECKLIST
PDF template
A form used by rehabilitation specialists to evaluate workers' compensation reemployment benefits eligibility for injured workers in Alaska.
See template
See template
WCC10 Alabama Assessment Form
PDF template
Annual reporting form for documenting workers' compensation claim expenses and settlements in Alabama.
See template
See template
Limited Power Of Attorney For Purpose Of Regulatory Filings
PDF template
A legal document authorizing Minnesota Workers' Compensation Insurers Association to file rating plans with the Department of Commerce on behalf of multiple insurers.
See template
See template
WDA Checklist Form
PDF template
Guide for employment service providers to collect mandatory data categories for federal and provincial employment funding reporting requirements.
See template
See template
Employee Handbook
PDF template
Comprehensive guide outlining employment policies, benefits, and conduct for employees of the Workforce Development Board serving Herkimer, Madison, and Oneida Counties.
See template
See template
Alameda County Incident Report Form (Non Vehicle Related)
PDF template
A confidential form for documenting non-vehicle related incidents, injuries, and property damage within Alameda County.
See template
See template
To Help You Understand Informal Probate
PDF template
An overview of informal probate process, explaining the procedural steps and responsibilities of a personal representative in settling a deceased person's estate.
See template
See template
Weekly Disability Benefit Claim Form
PDF template
A form for filing a weekly disability benefit claim for Teamsters Health and Welfare Fund members seeking disability benefits.
See template
See template
Weekly Disability Claim Form
PDF template
A comprehensive form for reporting employee disability claims, including sections for employee, employer, and physician statements.
See template
See template
Premium Continual Reimbursement Form
PDF template
Form for employees to request continual reimbursement of health care premium expenses through their benefit plan.
See template
See template
Accident Procedures Form
PDF template
Comprehensive guide for handling vehicle accidents, including reporting procedures and documentation requirements.
See template
See template
Wellness Benefit Claim Form
PDF template
A claim form for submitting wellness-related medical tests and screenings for potential insurance benefits.
See template
See template
Routine Physical Exam Affidavit
PDF template
A form for employees to qualify for 8-hour wellness leave by completing a health assessment and routine physical exam.
See template
See template
Motor Vehicle Accident Report
PDF template
Official state form for reporting motor vehicle accidents involving death, injury, or property damage over $1,000 within 15 days.
See template
See template
WERC Ad Hoc 07 AMASA Fee
PDF template
A form for arbitrators to report fees, expenses, and details of a grievance arbitration hearing.
See template
See template
WERC Ad Hoc 25 INTARB Fee
PDF template
A document for reporting fees and expenses related to interest arbitration proceedings in Wisconsin.
See template
See template
WEST HILLS NEIGHBORHOOD INCIDENT REPORT FORM
PDF template
A form for documenting and reporting incidents within a neighborhood setting, including details about the event and potential follow-up actions.
See template
See template
Hazard And Incident Report Form
PDF template
A comprehensive form for reporting workplace hazards, incidents, and injuries with detailed categorization of incident types and injury nature.
See template
See template
WIC 383 Affidavit Form
PDF template
A form for WIC program participants who are exempt from standard documentation requirements for identity, residency, and income verification.
See template
See template
Hirer Collision Or Damage Report Form
PDF template
A comprehensive form for documenting details of a vehicle rental accident, including driver, witness, vehicle, and incident information.
See template
See template
APPLICATION FOR WIDOWS ANDOR CHILDRENS PENSION
PDF template
Official form for widows to apply for pension benefits under the Papua New Guinea Defence Force Pensions Act
See template
See template
Incident Report Form
PDF template
A form for students to report incidents involving harm or conflict at school, documenting details of the event and actions taken.
See template
See template
Witness Accident Report Form
PDF template
A form for collecting detailed information from witnesses of an accident, including personal contact details and incident description.
See template
See template
Marymount University Incident Report
PDF template
A comprehensive form for documenting various types of incidents occurring on campus, capturing details about the event, location, and involved parties.
See template
See template
WorkFirst Weekly Attendance
PDF template
Form for tracking student attendance and study hours for Workforce Education Services program.
See template
See template
Working Spouse Premium Waiver Form
PDF template
Form for Purdue employees to certify spouse's medical insurance eligibility and waive working spouse premium
See template
See template
Workplace Incident Report Form
PDF template
A comprehensive form for documenting workplace incidents, injuries, near misses, and safety observations.
See template
See template
Work Related Accident Report Form
PDF template
Official document for documenting workplace injuries and accident details by supervisors.
See template
See template
Household Checklist Form
PDF template
A detailed form for collecting comprehensive demographic and household information about individual household members.
See template
See template
My Benefit Plan Booklet
PDF template
Group benefits booklet for professional firefighters in the City of Windsor, provided through Green Shield Canada.
See template
See template
MY BENEFIT PL AN BOOKLET
PDF template
A benefit plan booklet for retired firefighters and their surviving spouses from the City of Windsor, providing group benefits through Green Shield Canada.
See template
See template
Accident Report Form
PDF template
A comprehensive form for documenting workplace or campus incidents involving faculty, staff, and students, to be submitted to Human Resources within 24 hours of an incident.
See template
See template
Accident Report Form
PDF template
Comprehensive form documenting details of a workplace accident, including personal information, accident circumstances, injuries, and witness details.
See template
See template
WRRS Prior Non Membership Service Purchase Form
PDF template
Form for purchasing prior non-membership service credits in the Worcester Regional Retirement System
See template
See template
Mountaineer Flexible Benefits Enrollment Form
PDF template
A comprehensive form for employees to enroll, modify, or cancel flexible benefits during open enrollment period.
See template
See template
PATIENT AUTHORIZATION FOR XTANDI SUPPORT SOLUTIONS
PDF template
Comprehensive patient information and authorization form for Xtandi patient assistance program and support services.
See template
See template
5.3S Hazard Report Form
PDF template
A form for documenting and reporting potential workplace hazards, risks, and safety concerns for employees, contractors, and visitors.
See template
See template
YUBA COMMUNITY COLLEGE DISTRICT STUDENTACCIDENT REPORT
PDF template
A detailed form for reporting accidents involving students, staff, or visitors at Yuba Community College District.
See template
See template
Youth Camp Incident Report Form
PDF template
A form used to document incidents involving injury or health concerns for youth camp participants within 24 hours of occurrence.
See template
See template
Phase II (Small) MS4 Annual Report Form
PDF template
Annual reporting document for Texas State University's storm water management program compliance with TPDES General Permit TXR040000.
See template
See template
A Bill For An Act Relating To Education
PDF template
Legislative bill modifying Minnesota statutes regarding postsecondary enrollment options for high school students.
See template
See template
Youth Camp Incident Report Form
PDF template
A form for documenting incidents involving injury or health concerns for youth camp participants within 24 hours of occurrence.
See template
See template
Youth Activity Incident Reporting Form
PDF template
A form used to document and report incidents involving youth during UNO-sponsored events or activities.
See template
See template
Area VII Young Riders Silent Auction Procurement Form
PDF template
A form for collecting item donations for a young riders benefit silent auction fundraising event.
See template
See template
ZERO INCOME MONTHLY REPORT
PDF template
A form used to report monthly household income status for housing authority participants with potential zero income sources.
See template
See template
Employee Flexible Spending Account (FSA) Enrollment Form
PDF template
A comprehensive form for employees to enroll in and select flexible spending account options for healthcare and dependent care expenses.
See template
See template
Start filling Household Report Form for free
Why product teams love Anvil
Vouch logo
Travis Hedge
Co-Founder
Anvil plays a really important role for us in being able to translate the unique risks and needs of our client base into the models of how traditional insurance companies operate.
See the full case study
Easy to implement
Pre-built components, clear
documentation
, and AI tools make Anvil a time-saver.
Launch in days
Don't reinvent the wheel building software in-house.
Make it fully yours
Style
components to be on brand, then embed them into your application.