235709
This Form is used for submitting hospital claims to Medicare and Medicaid. It includes information on the services provided and the charges associated with them.
This form is used for petitioning a real property tax assessment in the state of Minnesota.
This Form is used for providing eligibility data for ETA programs and services.
This form is used for staff to provide health information in New York City.
This form is used to request a Government-provided medallion for a deceased veteran. This form should be completed by an authorized person or a next of kin of the deceased.
This form is used to identify individuals requesting access to the U.S. Coast Guard (USCG) information technology and systems.
The procuring data from this form is used by the Social Security Administration (SSA) to allow a third party to establish a link between a person's name and a social security number. This requirement is mandatory.
This form is used for obtaining an immunization certificate in the state of Maryland. It is required for certain vaccinations and can be obtained from healthcare providers or health departments.
This form is filed by veterans to authorize the release of their medical records and personal information to the Department of Veterans Affairs (VA).
This Form is used for CDL self-certification in the state of Massachusetts.
This document is used to get the veterans' written and signed authorization to release their medical data according to the Health Insurance Portability and Accountability Act.
This Form is used for filing Oklahoma Sales Tax Return in the state of Oklahoma.
This form is used for filing the Articles of Organization for a Professional Limited Liability Company (PLLC) in the state of North Carolina.
This form is used for reporting and declaring quarterly franchise and excise taxes in the state of Tennessee.
This form is used for requesting certified records in the state of Indiana.
This form is used for requesting an agreed divorce in Tennessee when there are children involved.
This Form is used for requesting account changes or closures with the City and County of Denver, Colorado.
This Form is used for reporting confidential HIV cases for adults.
This document is used for verifying experience for the Permanent/Professional School Administrator Supervisor/School Building Leader Certificate in the state of New York.
Download this form if you wish to make an online appeal of a Social Security Administration (SSA) decision regarding your benefit request.
This form is used for making changes to the State Employees' Deferred Compensation Plan in Illinois.
Download this official Nebraska document that outlines the details of the sale and purchase of a vehicle from the seller to the buyer. You can also use this form as a Watercraft Bill of Sale for motorboats.
This document is used for verifying a person's immunization records in the state of Iowa. It certifies that the individual has received the required vaccinations.
This is a formal statement used by companies to tell tax organizations about the salaries and tips their employees have received over the course of the previous quarter and the tax already subtracted from the workers' salaries.
This is a formal instrument used by taxpayers to explain to fiscal authorities why certain debts should not be taken into account as a part of their income.
This is a fiscal form that lets individual taxpayers pay taxes based on their own calculations before the government provides them with the request to pay.
This form is used for reporting special franchise activity in municipalities in New York.
This form is used for operators in Minnesota to certify compliance with state regulations. It is required for certain professions such as plumbing and electrical work.
Use this form if you do not possess your original birth certificate or documentation that confirms naturalization, have no access to your birth records for any reason, or the birth records are insufficient, but you have to apply for a U.S. passport.