Popular forms with fine-tuned AI models

Below is a list of popular forms with fine-tuned AI models. Instafill.ai fills these forms up to 5x faster and with 2-3x greater accuracy. But we're not limited to these forms - Instafill.ai can automatically process any government or other PDF form, even if it's not listed here.

Form name Pages Completed Form Examples
1. Form CA-17, Duty Status Report (U.S. Department of Labor, Office of Workers' Compensation Programs) 3 CA-17 examples
2. W-9, Request for Taxpayer Identification Number and Certification 6 IRS Form W-9 examples
3. Form 1099-NEC, Nonemployee Compensation 6
4. Form 1095-A, Health Insurance Marketplace Statement 3
5. Form I-9, Employment Eligibility Verification 4
6. Form SSA-44, Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event 8
7. Form W-2, Wage and Tax Statement 11
8. Form 130, Taxpayer's Notice to Initiate an Appeal 3
9. Form 8582, Passive Activity Loss Limitations 3 Form 8582 examples
10. Form 2848, Power of Attorney 2
11. Form N-400, Application for Naturalization 14
12. Form I-90, Application to Replace Permanent Resident Card 7 Form I-90 examples
13. Form I-485, Application to Register Permanent Residence 20 Form I-485 examples
14. Form DS-5504, Passport Correction 6
15. Form TR-205, Request for Trial by Written Declaration 2
16. Form DS-11, APPLICATION FOR A U.S. PASSPORT 6
17. Form I-864, Affidavit of Support Under INA 10
18. Form 941-X, Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund 6
19. Form 1096, Annual Summary and Transmittal of U.S. Information Returns 3
20. Form DS-82, U.S. Passport Renewal Application 6
21. Form W-4, Employee's Withholding Certificate 4
22. Form 5329, Additional Taxes on Qualified Plans 2
23. Form 1040-X, Amended U.S. Individual Income Tax Return 2
24. REG 230, Motorized Bicycle Application 1
25. Form 9465, Installment Agreement Request 2
26. Form I-765, Application for Employment Authorization 1
27. Form SS-5, Application for a Social Security Card 5 Form SS-5 examples
28. Form WH-347, Payroll for Contractors 2
29. Form 8283, Noncash Charitable Contributions 2 Form 8283 examples
30. Form 5405, Repayment of First-Time Homebuyer Credit 1
31. Form I-539, Application to Extend/Change Nonimmigrant Status 7
32. Form SSA-1-BK, Application for Retirement Benefits 9
33. Form ETA-9089, Application for Permanent Employment Certification 7
34. Form WH-380-E, Certification of Health Care Provider 4 WH-380-E examples
35. Form OWCP-915, Claim for Medical Reimbursement 3
36. Form CMS L564, Request for Employment Info 3
37. Form SBA 1919, SBA 7(a) Borrower Info 13 SBA Form 1919 examples
38. Form 940, Employer’s Annual FUTA Tax Return 4 Form 940 examples
39. Form 720, Quarterly Federal Excise Tax Return 8
40. Form 8949, Sales and Other Dispositions of Capital Assets 2 Form 8949 examples
41. Form 2106, Employee Business Expenses 2 Form 2106 examples
42. Form 8829, Expenses for Business Use of Your Home 1 Form 8829 examples
43. Form 982, Reduction of Tax Attributes 1 Form 982 examples
44. Form OF-306, Declaration for Federal Employment 3
45. Form 3468, Investment Credit 10 Form 3468 examples
46. Form 8959, Additional Medicare Tax 1 Form 8959 examples
47. Form 1041, U.S. Income Tax Return for Estates and Trusts 3 Form 1041 examples
48. Form 1042-S, Foreign Person’s U.S. Income 7
49. Form 8801, Credit for Prior Year Minimum Tax 4 Form 8801 examples
50. Form 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships 6 Form 8865 examples
51. Form 5330, Return of Excise Taxes 6 Form 5330 examples
52. Form 540, California Resident Income Tax Return 6 Form 540 examples
53. Form 568, LLC Income Return 7 Form 568 examples
54. Form 593, Real Estate Withholding 3
55. Form FTB 3514, California Earned Income Tax Credit 4 FORM 3514 examples
56. Form 540NR, California Nonresident Tax Return 6 Form 540NR examples
57. Form DE 1, Commercial Employer Account Registration 2 DE 1 examples
58. Form DE 4, Employee’s Withholding Allowance Certificate 4
59. Form 8288, U.S. Withholding Tax Return 2
60. Form 8992, U.S. Shareholder GILTI Calculation 1
61. Form 540 2EZ, California Resident Tax Return 5
62. Form 4506-C, IVES Request for Transcript 2 Form 4506-C examples
63. Form 8613, Return of Excise Tax 3 Form 8613 examples
64. Form 8832, Entity Classification Election 8 Form 8832 examples
65. Form I-193, Application for Waiver 2 DHS Form I-193 examples
66. Form FTB 3533, Change of Address for Individuals 1
67. Form N-300, Application to File Declaration of Intention 8
68. Form CMS-10114, NPI Application/Update 6 CMS-10114 examples
69. Form CMS-588, EFT Authorization Agreement 4 CMS-588 examples
70. Form W-8BEN-E, Certificate of Status of Beneficial Owner 8 W-8BEN-E examples
71. Form CMS-460, Medicare Participation Agreement 3
72. Form CMS-4040, Request for Enrollment in Medicare Part B 3
73. Form CMS-2567, Statement of Deficiencies 5 CMS-2567 examples
74. Form WH-384, Military Family Leave 4
75. Form LS-275, Agreement and Undertaking 2
76. Form WH-385-V, Certification for Serious Injury or Illness 4
77. Form CA-17, Duty Status Report 3 CA-17 examples
78. Form CA-2a, Notice of Recurrence 5 CA-2a examples
79. Form OWCP-5c, Work Capacity Evaluation 4 OWCP-5c examples
80. Form 8857, Request for Innocent Spouse Relief 6
81. Form 5884, Work Opportunity Credit 1 Form 5884 examples
82. Form 8975, Country-by-Country Report 2 Form 8975 examples
83. Form 8879, IRS e-file Signature Authorization 2 Form 8879 examples
84. Form 3949-A, Information Referral 3 Form 3949-A examples
85. Form 2438, Undistributed Capital Gains Tax Return 3 Form 2438 examples
86. Form SSA-2-BK, Application for Spouse's Benefits 8
87. Form 4852, Substitute for Form W-2 or 1099-R 2 Form 4852 examples
88. Form SSA-827, Authorization to Disclose Information 2
89. Form 8809, Application for Extension of Time 2 Form 8809 examples
90. Form SSA-3820-BK, Disability Report - Child 14
91. Form SSA-4-BK, Application for Child's Insurance Benefits 9
92. Form SSA-10, Application for Widow's or Widower's Insurance Benefits 8 SSA-10 examples
93. Form 1099-MISC, Miscellaneous Information 6 Form 1099-MISC examples
94. Form 1415, Visitor Visa - Business Stream 14 Form 1415 examples
95. Form 4506-T, Request for Transcript 2
96. Form 1040-C, U.S. Departing Alien Income Tax Return 4
97. Form 2441, Child and Dependent Care Expenses 2
98. Form I-131, Application for Travel Document 5
99. Form N-600, Application for Certificate of Citizenship 15 N-600 examples
100. Form SSA-3368-BK, Disability Report - Adult 15 SSA-3368-BK examples
101. Form 8889, Health Savings Accounts 1 Form 8889 examples
102. Form SSA-16, Application for Disability Benefits 7 SSA-16 examples
103. Form SSA-521, Request for Withdrawal 2
104. Form WH-381, Notice of Eligibility 4 Form WH-381 examples
105. Form CA-1, Federal Employee's Notice of Traumatic Injury 4
106. Form CA-2, Notice of Occupational Disease 5 Form CA-2 examples
107. Form 8862, Information To Claim Certain Credits 4 Form 8862 examples
108. Form 8880, Credit for Qualified Retirement Savings Contributions 2
109. Form 5695, Residential Energy Credits 3 Form 5695 examples
110. Form 4137, Social Security and Medicare Tax on Unreported Tip Income 2 Form 4137 examples
111. Form I-821, Application for TPS 13
112. Form 5, SBA Disaster Loan Application 22 SBA Form 5 examples
113. Form 911, Request for Taxpayer Advocate Service Assistance 4 Form 911 examples
114. Form 7206, Self-Employed Health Ins. Ded. 1 Form 7206 examples
115. Form 990, Return of Organization Exempt From Income Tax 12
116. Form 8960, Net Investment Income Tax 1 Form 8960 examples
117. Form SS-8, Determination of Worker Status 5 Form SS-8 examples
118. Form 8966, FATCA Report 2
119. Form 8919, Uncollected Social Security and Medicare Tax 2 Form 8919 examples
120. Form 990-T, Exempt Org Business Income Tax Return 2
121. Form 945, Annual Return of Withheld Federal Income Tax 2 Form 945 examples
122. Form 8027, Employer’s Annual Information Return 1
123. Form 100, CA Corp Tax Return 6
124. Form DL 142, Request for Cancellation or Surrender of a Driver License or ID 1 DL 142 examples
125. Form DE 9, Quarterly Contribution Return 2 DE 9 examples
126. Form 3911, Taxpayer Statement Regarding Refund 2 Form 3911 examples
127. Form 7203, S Corporation Shareholder Stock and Debt Basis Limitations 2 Form 7203 examples
128. Form 8910, Alternative Motor Vehicle Credit 1 Form 8910 examples
129. Form 8938, Statement of Specified Foreign Financial Assets 2 Form 8938 examples
130. Form 8038, Information Return for Tax-Exempt Private Activity Bond Issues 3
131. Form 540NR, California Nonresident Tax Return 5
132. Form CMS-1763, Request for Termination of Medicare Coverage 2 CMS-1763 examples
133. Form CMS-1696, Appointment of Representative 2
134. Form CMS-116, CLIA Application 10
135. Form CMS-855O, Medicare Enrollment Application 11 CMS-855O examples
136. Form 8821, Tax Information Authorization 1 Form 8821 examples
137. Form 8858, Information Return of U.S. Persons 4
138. Form 8885, Health Coverage Tax Credit 1 Form 8885 examples
139. Form COD, Certificate of Disposition 2
140. Form S-1, Surety Company Annual Report 2
141. Form WH-382, Designation Notice 2
142. Form WH-385, Certification for Serious Injury or Illness 4
143. Form CA-7, Claim for Compensation 4 CA-7 examples
144. Form CA-5, Claim for Compensation 5
145. Form WH-380-F, Certification of Health Care Provider 4
146. Form OWCP-5a, Work Capacity Evaluation 2 OWCP-5a examples
147. Form CA-20, Attending Physician's Report 4
148. Form 4506-F, Identity Theft Victim’s Request 2 Form 4506-F examples
149. Form 5884-A, Employee Retention Credit 1 Form 5884-A examples
150. Form 5884-C, Work Opportunity Credit 4
151. Form 8994, Employer Credit for Paid Family and Medical Leave 1
152. Form 1127, Application for Extension of Time for Payment of Tax Due to Undue Hardship 4 Form 1127 examples
153. Form 8822, Change of Address 2
154. Form W-10, Dependent Care Provider’s Identification 1 W-10 examples
155. Form 6198, At-Risk Limitations 1
156. Form 8855, Election To Treat a Qualified Revocable Trust 4 Form 8855 examples
157. Form 1300t, Application for Australian Citizenship 28 1300t examples
158. Form 80, Personal Particulars for Assessment 19 Form 80 examples
159. Form 1095-C, Employer-Provided Health Insurance Offer and Coverage 4
160. Form 1098, Mortgage Interest Statement 6
161. Form 1095-B, Health Coverage -
162. Form 1098-T, Tuition Statement -
163. Form 1099-INT, Interest Income 7
164. Form 1099-DIV, Dividends and Distributions 6 1099-DIV examples
165. Form 1099-R, Distributions From Pensions etc. 9
166. Form 1099-K, Payment Card and Third Party Network Transactions 6
167. Form 5498, IRA Contribution Information 4
168. Form 1098-E, Student Loan Interest Statement 4
169. Form I-360, Petition for Amerasian, Widow(er), or Special Immigrant 19
170. Form I-134, Declaration of Financial Support 10 I-134 examples
171. Form SF 1199A, Direct Deposit Sign-Up - SF 1199A examples
172. Form I-589, Application for Asylum and for Withholding of Removal 12 Form I-589 examples
173. Form DS-5507, Affidavit of Physical Presence 4 DS-5507 examples
174. Form W-4P, Withholding Certificate 3
175. Form G-28, Notice of Entry of Appearance 4 G-28 examples
176. Form I-140, Immigrant Petition for Alien Workers 8
177. Form 4868, Application for Automatic Extension of Time To File U.S. Individual Income Tax Return 4
178. Form 1040-ES, Estimated Tax for Individuals 12
179. Form 1120-S, U.S. Income Tax Return for an S Corporation 5
180. Form 2553, Election by a Small Business Corporation 5 Form 2553 examples
181. Form 4562, Depreciation and Amortization 2
182. Form 941, Employer’s Quarterly Federal Tax Return 3
183. Form 12.901(b)(2), Petition for Dissolution of Marriage 8
184. Form 12.901(b)(1), Petition for Dissolution of Marriage 12
185. Form UCS-840A, Request for Judicial Intervention Addendum 1
186. Form 1, Order to Show Cause 2
187. Form E, Affidavit of Personal Service 1
188. Form for Motion for Poor Person Relief 6
189. Form FL-300, Request for Order 4
190. Form FL-100, Petition for Dissolution 3
191. Form UD-100, Complaint—Unlawful Detainer 4
192. Form FL-150, Income and Expense Declaration 4
193. Form GC-210, Petition for Appointment of Guardian of Minor 3
194. Form DE-111, Petition for Probate 4
195. Form NC-100, Petition for Change of Name 1
196. Form 69-001, Industrial Hemp Registration 6
197. Form CMS-40B, Application for Enrollment in Medicare Part B 4 CMS-40B examples
198. Form CMS-1763, Request for Termination -
199. Form SSA-521, Request for Withdrawal 2
200. Form SSA-455, Disability Update Report -
201. Form SSA-8, Application for Lump-Sum Death Payment 4
202. Form SS-5-FS, Application for a Social Security Card 5
203. Form SSA-4-BK, Application for Social Security Benefits 9
204. Form SSA-454-BK, Continuing Disability Review 12
205. Form REG 135, Bill of Sale 1
206. Form INF 1125, DL/ID Request 1
207. Form SR1, Report of Traffic Accident 3
208. Form SSA-1-BK, Application for Retirement Benefits -
209. Form G-845, Verification Request 3
210. Form G-884, Request for Return of Original Documents 6
211. Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the US 4
212. Form I-102, Application for Replacement/Initial Nonimmigrant Arrival-Departure Document 5
213. Form I-212, Application for Permission to Reapply 10
214. Form I-361, Affidavit of Financial Support 8
215. Form G-1041A, Genealogy Records Request 3
216. Form I-864, Affidavit of Support 12
217. Form 1099-NEC, Nonemployee Compensation 6
218. Form 5329, Additional Taxes on Qualified Plans 3
219. Form 1099-NEC, Nonemployee Compensation 6
220. Form 1040-NR, U.S. Nonresident Alien Income Tax Return 2
221. Form 1040-SR, U.S. Tax Return for Seniors 4
222. Form 1099-S, Proceeds From Real Estate Transactions 6
223. Form 1099-G, Certain Government Payments 6
224. Form 1099-C, Cancellation of Debt 6
225. Form 1099-OID, Original Issue Discount 7
226. Form 1099-PATR, Taxable Distributions from Cooperatives 6
227. Form 1099-Q, Payments From Qualified Education Programs 5
228. Form 1099-SA, Distributions from HSA/MSA 5 1099-SA examples
229. Form 1099-B, Proceeds From Broker Transactions 7
230. Form I-129, Petition for a Nonimmigrant Worker 38
231. Form WH-226, Application for Authority to Employ Workers with Disabilities at Subminimum Wages 9
232. Form N-565, Application for Replacement Naturalization/Citizenship Document 9
233. Form DS-3053, Statement of Consent 2
234. Form SF-15, Application for 10-Point Veteran Preference 2 SF-15 examples
235. Form OF-178, Certificate of Medical Examination 7
236. Form I-130A, Supplemental Info for Spouse Beneficiary 6 Form I-130A examples
237. Form SSA-3373, Function Report - Adult 10
238. Form I-130, Petition for Alien Relative 12
239. Form 8962, Premium Tax Credit (PTC) 2
240. Form 1065, U.S. Return of Partnership Income 6
241. Form 1040, U.S. Individual Income Tax Return 2
242. Form 8802, Application for U.S. Residency Certification 3
243. Form 12.901(a), Petition for Simplified Dissolution of Marriage 6
244. Form 2.420, Public Access to Judicial Branch Records 19
245. Form 12.901(b)(3), Petition for Dissolution of Marriage 7
246. Form 12.915, Designation of Current Mailing and E-mail Address 4
247. Form 12.902(b), Family Law Financial Affidavit (Short Form) 9
248. Form UCS-840C, Request for Judicial Intervention Commercial Division Addendum 2
249. Form CIV-GP-124-i, Notice of Motion 2
250. Form UCS-840, Request for Judicial Intervention 2
251. Form Order to Show Cause, Application in Support 3
252. Form Summons, Supreme Court of New York 1
253. Form SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court 6
254. Form NC-300, Petition for Recognition of Change of Gender and Sex Identifier 2
255. Form DV-100, Request for Domestic Violence Restraining Order 13
256. Form 69-006, Planting Report 2
257. Form NYS DHR, Employment Complaint Form 7
258. Form SSA-521, Request for Withdrawal 2
259. Form HA-510, Waiver of Timely Notice 2
260. Form SS-4, Application for EIN 2
261. Form SSA-1-BK, Application for Retirement Benefits 9
262. Form SSA-10, Widow's or Widower's Benefits 2
263. Form SSA-455, Disability Update Report 2
264. Form SSA-455, Disability Update Report 2
265. Form SSA-5-BK, Application for Mother's or Father's Benefits 7
266. Form SSA-521, Request for Withdrawal 2
267. Form ADM 140, Language Access Complaint 2
268. Form REG 195, Disabled Person Placard 3
269. Form REG 256, Statement of Facts -
270. Form REG 256, Statement of Facts -
271. Form REG 343, Application for Title 2
272. Form REG 156, Application for Replacement Plates 2
273. Form INF 70, Request for Record Info 5
274. Form REG 227, Application for Replacement or Transfer of Title -
275. Form EOIR-29, Notice of Appeal to the Board of Immigration Appeals 3
276. Form I-191, Application for Relief Under INA 212(c) 18
277. Form 8812, Credits for Qualifying Children 2
278. Form I-864, Affidavit of Support 12
279. Form 1099-NEC, Nonemployee Compensation -
280. Form 5329, Additional Taxes on Qualified Plans 3
281. Form 21-526EZ, Application for Disability Compensation 15
282. Form 0896A, Report of Subcontracts to Small and Veteran-Owned Business 2
283. Form AR-11, Alien's Change of Address Card 2
284. Form G-325A, Biographic Information 6
285. Form I-905, Application for Authorization to Issue Certification for Health Care Workers 3
286. Form DS-86, Statement of Non-Receipt of a U.S. Passport 2
287. Form DS-86, Statement of Non-Receipt of a U.S. Passport 2
288. Form N-648, Medical Certification for Disability Exceptions 5
289. Form 4, Complaint against a certificated bailiff 1
290. Form G-1566, Request for a Certificate of Non-Existence 4
291. Form G-1650, Authorization for ACH Transactions 1
292. Form EX550, Affidavit (Order to attend for questioning/suspended committal order) 2
293. Form 226, Record of Vessel Foreign Repair 2
294. Form I-907, Request for Premium Processing Service 7
295. Form I-485, Application to Register Permanent Residence or Adjust Status 24 Form I-485 examples
296. Form I-485 Supp A, Adjustment of Status Under Section 245(i) 4
297. Form I-751, Petition to Remove Conditions on Residence 11
298. Form BHVH, Outpatient Behavioral Health – ABA Treatment Request 4
299. Form 79, Law Enforcement Officers Safety Act Application 7
300. Form 28, Request for Information 3
301. Form 20-0995, Decision Review Request: Supplemental Claim -
302. Form I-566, Interagency Record of Request -
303. Form I-600, Petition to Classify Orphan 16
304. Form GST524, GST/HST New Residential Rental Property Rebate 12
305. Form GST524, GST/HST New Residential Rental Property Rebate 12
306. Form GST524, GST/HST New Residential Rental Property Rebate 12
307. Form GST524, GST/HST New Residential Rental Property Rebate 12
308. Form GST524, GST/HST New Residential Rental Property Rebate 12
309. Form G-1041, Genealogy Index Search Request 3
310. Form I-131A, Application for Carrier Documentation 6
311. Form I-192, Application for Advance Permission to Enter as a Nonimmigrant 9
312. Form I-129CW, Petition for a CNMI-Only Nonimmigrant Transitional Worker 12
313. Form I-129CWR, Semiannual Report for CW-1 Employers 7
314. Form I-129F, Petition for Alien Fiancé(e) 12
315. Form I-129S, Nonimmigrant Petition Based on Blanket L 8
316. Form I-356, Request for Cancellation of Public Charge Bond 9
317. Form GST524, Ontario Rebate Schedule 5
318. Form CJA-23, Financial Affidavit 1
319. Form AO 136, Certificate of Good Standing 1
320. Form OAO 154, Substitution of Attorney 1
321. Form AO 458, Appearance of Counsel 1
322. Form 101, Voluntary Petition for Bankruptcy 9
323. Form 103A, Application for Individuals to Pay the Filing Fee in Installments 2
324. Form 104, List of Creditors 20 Largest Unsecured Claims 5
325. Form 106Dec, Declaration About an Individual Debtor’s Schedules 1
326. Form 105, Involuntary Petition Against an Individual 5
327. Form 106Sum, Summary of Assets and Liabilities 2
328. Form I-290B, Notice of Appeal or Motion -
329. Form 108, Statement of Intention 2
330. Form 107, Statement of Financial Affairs 12
331. Form 121, Statement About Your SSNs -
332. Form 119, Bankruptcy Petition Preparer’s Notice 2
333. Form 122A-1, Chapter 7 Statement of Current Monthly Income 3
334. Form 122A-2, Chapter 7 Means Test 9
335. Form 427, Cover Sheet for Reaffirmation Agreement 2
336. Form AO 85, Notice, Consent, and Reference of a Civil Action to a Magistrate Judge 1
337. Form AO 85A, Notice, Consent, and Reference of a Dispositive Motion 1
338. Form AO 88, Subpoena to Appear and Testify 3
339. Form AO 88A, Subpoena to Testify at a Deposition 3
340. Form AO 88B, Subpoena to Produce Documents 3
341. Form DBQ, Knee and Lower Leg Disability Benefits 14
342. Form SHA, Separation Health Assessment 16
343. Form DBQ, Artery and Vein Conditions 10
344. Form DBQ, Heart Conditions Disability Benefits 10
345. Form DBQ, Hypertension Disability Benefits 4
346. Form AO 240, Application to Proceed in District Court Without Prepaying Fees or Costs 2
347. Form DBQ, Oral and Dental Conditions 7
348. Form AO 239, Application to Proceed in District Court Without Prepaying Fees or Costs 5
349. Form DBQ, Scars/Disfigurement Disability Benefits 12
350. Form DBQ, Diabetes Mellitus Disability Benefits 6
351. Form DBQ, Endocrine Diseases Disability Benefits 9
352. Form DBQ, Diabetes Mellitus Disability Benefits Questionnaire 6
353. Form DBQ, Thyroid and Parathyroid Conditions 10
354. Form AO 241, Petition for Relief From a Conviction or Sentence 16
355. Form AO 242, Petition for a Writ of Habeas Corpus 9
356. Form AO 243, Motion to Vacate, Set Aside, or Correct a Sentence 13
357. Form 1845-0163, Borrower Defense to Repayment Application 39
358. Form G-1145, e-Notification of Application 1
359. Form I-508, Waiver of Certain Rights 4
360. Form I-864EZ, Affidavit of Support -
361. Form 1449, Solicitation/Contract/Order for Commercial Products and Services 2
362. Form AO 78, Application for Employment 5
363. Arizona Form 285, General Disclosure/Representation Authorization Form 2
364. Arizona Form 285-I, Individual Income Tax Disclosure/Representation Authorization Form 1
365. Affidavit and Representations Regarding Next of Kin (Preference Beneficiary Affidavit) (The Hartford) – Form LC-7086-17 2
366. Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire 13
367. Form 501A, Fantasy Contest Operator Personal Information Form (Commonwealth of Virginia, VDACS Office of Charitable & Regulatory Programs) 5 VA Form 501A examples
368. DHS-6696-ENG, Minnesota Health Care Programs Application (MNsure/DHS) 13
369. U.S. Coast Guard Form CG-719K, Application for Medical Certificate 10
370. Form WH-380-E, Certification of Health Care Provider for Employee’s Serious Health Condition under the Family and Medical Leave Act 4 WH-380-E examples
371. Form W-10 (Rev. October 2020), Dependent Care Provider’s Identification and Certification 1 W-10 examples