Fill and Sign United States Legal Forms

This form is used to report fishing activities and catch information.

This Form is used to report migratory bird hunts.

This form is used for requesting third party premium billing for Medicare services. It allows the individual or organization to request payment directly from a third party payer for services provided to Medicare beneficiaries.

This form is used for requesting an Administrative Law Judge (ALJ) hearing or review of dismissal for multiple claims.

This form is used for the transfer of appeal rights in the CMS-20031 form. It allows individuals to transfer their rights to appeal a decision to someone else.

This is a document developed for nursing facilities which are supposed to be filed during standard or extended health surveys.

Medicare beneficiaries may use this form to authorize individuals or organizations they trust to examine their medical records and learn their protected health information.

This form is used for evaluating the fire safety of small intermediate care facilities for individuals with intellectual disabilities based on the 2012 Life Safety Code.

This form is used for determining the evacuation capability of existing intermediate care facilities for individuals with intellectual disabilities. It is based on the 2012 Life Safety Code.

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.

Este formulario se utiliza para que los pacientes realicen una petición de pago a Medicare. (This form is used for patients to request payment from Medicare)

This form is used for requesting identification of extension locations in the CMS-381 Model Letter.

This form is used for reporting deaths in hospitals that are associated with the use of restraints or seclusion.

This form is used for conducting a fire safety survey for intermediate care facilities with intellectual disabilities that are apartment houses. It follows the 2012 Life Safety Code.

This form is used for reporting fire safety surveys in large facilities that provide intermediate care for individuals with intellectual disabilities. It follows the guidelines of the 2012 Life Safety Code.

This form is used for reporting the results of the fire safety survey conducted in ambulatory health care facilities. It follows the guidelines set by the 2012 Life Safety Code.

This Form is used for reporting the results of fire safety surveys in small intermediate care facilities for individuals with intellectual disabilities. It follows the 2012 Life Safety Code guidelines.

This form is used for applying for Medicare enrollment.

This form is used for certifying the removal of data and software as part of a process.

This Form is used for applying for continuing education program staff training in extramural programs through the NIH Step program.

This form is used for authorizing the disclosure of information by the National Institutes of Health (NIH) in the United States.

This form is used for requesting animal health data. It is a template that can be used by researchers or organizations to request specific information related to animal health.

This Form is used for acknowledging the receipt of an application and reporting the action taken on it by the National Institutes of Health (NIH).

This form is used for applying for a special exception to procure and use mercury.

This Form is used for applying to the NIDCR Voluntary Leave Transfer Program.

This Form is used for certifying that a property is free from hazards according to the National Institutes of Health (NIH) guidelines.

This form is used for agency agreements and clearance processes with the National Institutes of Health (NIH). It helps establish a partnership between the agency and the NIH and ensures proper clearance procedures are followed.

This form is used for comparing airport costs for outbound travel from areas outside the National Capital Region, as part of the National Institutes of Health.

This form is used for comparing airport costs for traveling outbound from the National Capital Region by the National Institutes of Health.

This Form is used for obtaining approval to use a foreign flag carrier for travel.

This document is used for recording the temperature of equipment. It is a form provided by the National Institutes of Health (NIH).

This form is used for applying for a permit to introduce rodents in order to ensure compliance with regulations and guidelines.