Fill and Sign Legal Forms and Templates

This form is used for requesting building files from the City of Philadelphia, Pennsylvania.

This form is used for filing a complaint regarding the Long Term Care Ombudsman Program in North Dakota.

This document is a Roommate Authorization to Disclose Protected Health Information that grants permission for a roommate to access and share health information. It is specific to North Dakota and may be used in situations where electronic monitoring devices are involved.

This document is used for documenting electronic monitoring in the state of North Dakota. It provides guidelines and instructions on how to properly document the use of electronic monitoring devices for individuals under supervision.

This form is used for reporting suspected child abuse or neglect in North Dakota. It helps authorities collect information and take appropriate action to protect vulnerable children.

This form is used for requesting an appeal of the child abuse and neglect assessment decision in the state of North Dakota.

This is a legal document that any Medicare enrollee may use to terminate hospital insurance and supplementary medical insurance. This form was released by the U.S. Department of Health and Human Services.

This form is used for keeping track of attendance for child care assistance in North Dakota.

This form is used for requesting Pre-hospital Care Report (PCR) in New York City.

This form is used for agreeing to provide respite care services under the Lifespan Respite Care Grant in North Dakota.

This form is used for recording the services provided by respite care providers under the Lifespan Respite Care Grant in North Dakota.

This Form is used for requesting gap funding in the state of North Dakota. Gap funding is financial assistance provided to bridge the gap between other sources of funding and the total cost of a project or initiative.

This document is a checklist for onboarding peer support specialists in North Dakota. It outlines the necessary steps and requirements for successfully bringing new peer support specialists on board in the state.

This form is used for applying to the Ryan White Part B Program in North Dakota.

This document provides instructions for using the LCRR Lead Service Line Inventory Template in Montana. It helps utilities and agencies track and update information about lead service lines in a standardized format.

This document is a survey for the Drinking Water State Revolving Fund Project Priority List in Montana. It gathers information about the priority of projects related to the state's drinking water infrastructure.

This Form is used for reporting the average number of aircraft possessed by the USAFE-AFAFRICA Tanker Unit.

This Form is used for monitoring and reporting on the activities of Command Dangerous Goods Advisors (CDGA) and Installation Dangerous Goods Advisors (IDGA) in USAFE-AFAFRICA.

This Form is used for submitting a quarterly report on the activities of the Dangerous Goods Advisor (DGA) within the USAFE-AFAFRICA region.

This Form is used for appointing certifiers for dangerous goods and hazardous waste movements by surface mode.

This Form is used for appointing certifiers for dangerous goods and hazardous waste movements by air mode in USAFE-AFAFRICA.

This form is used for obtaining a certificate of approval for vehicles that carry certain dangerous goods in the United States Air Forces in Europe and Africa (USAFE-AFAFRICA) jurisdiction.

This document is used for requesting a tanker slip in the US Air Forces in Europe and Air Forces Africa.

This Form is used for requesting a tanker within 24/96 hours in the USAFE-AFAFRICA region.

This document is used to keep track of the immunizations received by adults in the state of Iowa. It helps to ensure that individuals are up to date with their vaccinations for various diseases.

This document is a log sheet for recording the temperature of a refrigerator in Fahrenheit units. It is specifically designed for use in Iowa.

This document is a temperature log for a Fahrenheit freezer in Iowa. It covers the first 15 days.

This document is an application for becoming a provider of prevention services under Title IV-E in North Dakota.

This document is used for collecting data on the outcomes of child and family services provided through the IV-E Prevention Services program in North Dakota. It is a survey designed to assess the impact of these services on children and families.

This document is used for screening individuals in North Dakota who may be eligible for Title IV-E Prevention Services. It helps determine if they meet the criteria for receiving these services.