1.
W-9, Request for Taxpayer Identification Number and Certification
6
Basic 39
IRS Form W-9 examples
IRS Form W-9 instructions
2.
Form 1099-NEC, Nonemployee Compensation
6
Moderate 53
Form 1099-NEC instructions
3.
Form 1095-A, Health Insurance Marketplace Statement
3
Complex 64
Form 1095-A instructions
4.
Form I-9, Employment Eligibility Verification
4
Complex 69
Form I-9 instructions
5.
Form SSA-44, Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event
8
Moderate 54
Form SSA-44 instructions
6.
Form W-2, Wage and Tax Statement
11
Very Complex 80
Form W-2 instructions
7.
Form 130, Taxpayer's Notice to Initiate an Appeal
3
Moderate 53
Taxpayer's Notice to Initiate an Appeal instructions
8.
Form 8582, Passive Activity Loss Limitations
3
Complex 73
Form 8582 examples
Form 8582 instructions
9.
Form 2848, Power of Attorney
2
Moderate 55
Form 2848 instructions
10.
Form N-400, Application for Naturalization
14
Complex 70
N-400 instructions
11.
Form I-90, Application to Replace Permanent Resident Card
7
Complex 73
Form I-90 examples
Form I-90 instructions
12.
Form I-485, Application to Register Permanent Residence
20
Complex 79
Form I-485 examples
Form I-485 instructions
13.
Form DS-5504, Passport Correction
6
Moderate 58
DS-5504 instructions
14.
Form TR-205, Request for Trial by Written Declaration
2
Basic 39
Form TR-205 instructions
15.
Form DS-11, APPLICATION FOR A U.S. PASSPORT
6
Moderate 58
Form DS-11 instructions
16.
Form I-864, Affidavit of Support Under INA
10
Complex 71
Form I-864 instructions
17.
Form 1096, Annual Summary and Transmittal of U.S. Information Returns
3
Basic 35
Form 1096 instructions
18.
Form DS-82, U.S. Passport Renewal Application
6
Moderate 52
DS-82 instructions
19.
Form W-4, Employee's Withholding Certificate
4
Moderate 47
W-4 instructions
20.
Form 5329, Additional Taxes on Qualified Plans
2
Moderate 52
Form 5329 instructions
21.
Form 1040-X, Amended U.S. Individual Income Tax Return
2
Complex 65
Form 1040-X instructions
22.
REG 230, Motorized Bicycle Application
1
Moderate 57
REG 230 instructions
23.
Form 9465, Installment Agreement Request
2
Moderate 51
Form 9465 instructions
24.
Form I-765, Application for Employment Authorization
1
Complex 72
Form I-765 instructions
25.
Form SS-5, Application for a Social Security Card
5
Moderate 50
Form SS-5 examples
Form SS-5 instructions
26.
Form WH-347, Payroll for Contractors
2
Complex 76
WH-347 instructions
27.
Form 8283, Noncash Charitable Contributions
2
Moderate 62
Form 8283 examples
Form 8283 instructions
28.
Form 5405, Repayment of First-Time Homebuyer Credit
1
Basic 32
Form 5405 instructions
29.
Form I-539, Application to Extend/Change Nonimmigrant Status
7
Moderate 61
Form I-539 instructions
30.
Form SSA-1-BK, Application for Retirement Benefits
9
Complex 70
SSA-1-BK instructions
31.
Form ETA-9089, Application for Permanent Employment Certification
7
Moderate 62
Form ETA-9089 instructions
32.
Form WH-380-E, Certification of Health Care Provider
4
Moderate 59
WH-380-E examples
WH-380-E instructions
33.
Form OWCP-915, Claim for Medical Reimbursement
3
Moderate 58
OWCP-915 instructions
34.
Form CMS L564, Request for Employment Info
3
Moderate 46
CMS L564/R297 instructions
35.
Form SBA 1919, SBA 7(a) Borrower Info
13
Complex 72
SBA Form 1919 examples
SBA Form 1919 instructions
36.
Form 940, Employer’s Annual FUTA Tax Return
4
Moderate 54
Form 940 examples
Form 940 instructions
37.
Form 720, Quarterly Federal Excise Tax Return
8
Very Complex 80
Form 720 instructions
38.
Form 8949, Sales and Other Dispositions of Capital Assets
2
Complex 74
Form 8949 examples
Form 8949 instructions
39.
Form 2106, Employee Business Expenses
2
Moderate 57
Form 2106 examples
Form 2106 instructions
40.
Form 8829, Expenses for Business Use of Your Home
1
Complex 64
Form 8829 examples
Form 8829 instructions
41.
Form 982, Reduction of Tax Attributes
1
Basic 35
Form 982 examples
Form 982 instructions
42.
Form OF-306, Declaration for Federal Employment
3
Moderate 54
OF 306 instructions
43.
Form 3468, Investment Credit
10
Complex 71
Form 3468 examples
Form 3468 instructions
44.
Form 8959, Additional Medicare Tax
1
Basic 37
Form 8959 examples
Form 8959 instructions
45.
Form 1041, U.S. Income Tax Return for Estates and Trusts
3
Complex 65
Form 1041 examples
Form 1041 instructions
46.
Form 1042-S, Foreign Person’s U.S. Income
7
Complex 71
Form 1042-S instructions
47.
Form 8801, Credit for Prior Year Minimum Tax
4
Moderate 49
Form 8801 examples
Form 8801 instructions
48.
Form 8865, Return of U.S. Persons With Respect to Certain Foreign Partnerships
6
Complex 76
Form 8865 examples
Form 8865 instructions
49.
Form 5330, Return of Excise Taxes
6
Complex 73
Form 5330 examples
Form 5330 instructions
50.
Form 540, California Resident Income Tax Return
6
Complex 64
Form 540 examples
Form 540 instructions
51.
Form 568, LLC Income Return
7
Very Complex 84
Form 568 examples
Form 568 instructions
52.
Form 593, Real Estate Withholding
3
Complex 72
Form 593 instructions
53.
Form FTB 3514, California Earned Income Tax Credit
4
Moderate 54
FORM 3514 examples
FORM 3514 instructions
54.
Form 540NR, California Nonresident Tax Return
6
Complex 70
Form 540NR examples
Form 540NR instructions
55.
Form DE 1, Commercial Employer Account Registration
2
Very Complex 81
DE 1 examples
DE 1 instructions
56.
Form DE 4, Employee’s Withholding Allowance Certificate
4
Moderate 49
DE 4 instructions
57.
Form 8288, U.S. Withholding Tax Return
2
Basic 44
Form 8288 instructions
58.
Form 8992, U.S. Shareholder GILTI Calculation
1
Basic 31
Form 8992 instructions
59.
Form 540 2EZ, California Resident Tax Return
5
Moderate 60
Form 540 2EZ instructions
60.
Form 4506-C, IVES Request for Transcript
2
Complex 67
Form 4506-C examples
Form 4506-C instructions
61.
Form 8613, Return of Excise Tax
3
Basic 45
Form 8613 examples
Form 8613 instructions
62.
Form 8832, Entity Classification Election
8
Complex 65
Form 8832 examples
Form 8832 instructions
63.
Form I-193, Application for Waiver
2
Basic 45
DHS Form I-193 examples
DHS Form I-193 instructions
64.
Form FTB 3533, Change of Address for Individuals
1
Moderate 49
FTB 3533 instructions
65.
Form N-300, Application to File Declaration of Intention
8
Complex 63
Form N-300 instructions
66.
Form CMS-10114, NPI Application/Update
6
Complex 68
CMS-10114 examples
CMS-10114 instructions
67.
Form CMS-588, EFT Authorization Agreement
4
Basic 42
CMS-588 examples
CMS-588 instructions
68.
Form W-8BEN-E, Certificate of Status of Beneficial Owner
8
Complex 75
W-8BEN-E examples
W-8BEN-E instructions
69.
Form CMS-460, Medicare Participation Agreement
3
Basic 30
CMS-460 instructions
70.
Form CMS-4040, Request for Enrollment in Medicare Part B
3
Basic 44
Form CMS-4040 instructions
71.
Form CMS-2567, Statement of Deficiencies
5
Basic 41
CMS-2567 examples
CMS-2567 instructions
72.
Form WH-384, Military Family Leave
4
Moderate 50
Form WH-384 instructions
73.
Form LS-275, Agreement and Undertaking
2
Moderate 56
Form LS-275(IC) instructions
74.
Form WH-385-V, Certification for Serious Injury or Illness
4
Moderate 48
Form WH-385-V instructions
75.
Form CA-17, Duty Status Report
3
Complex 65
CA-17 examples
CA-17 instructions
76.
Form CA-2a, Notice of Recurrence
5
Complex 65
CA-2a examples
CA-2a instructions
77.
Form OWCP-5c, Work Capacity Evaluation
4
Moderate 59
OWCP-5c examples
OWCP-5c instructions
78.
Form 8857, Request for Innocent Spouse Relief
6
Complex 68
Form 8857 instructions
79.
Form 5884, Work Opportunity Credit
1
Basic 29
Form 5884 examples
Form 5884 instructions
80.
Form 8975, Country-by-Country Report
2
Basic 44
Form 8975 examples
Form 8975 instructions
81.
Form 8879, IRS e-file Signature Authorization
2
Basic 41
Form 8879 examples
Form 8879 instructions
82.
Form 3949-A, Information Referral
3
Moderate 57
Form 3949-A examples
Form 3949-A instructions
83.
Form 2438, Undistributed Capital Gains Tax Return
3
–
Form 2438 examples
84.
Form SSA-2-BK, Application for Spouse's Benefits
8
Complex 69
SSA-2-BK instructions
85.
Form 4852, Substitute for Form W-2 or 1099-R
2
Moderate 53
Form 4852 examples
Form 4852 instructions
86.
Form SSA-827, Authorization to Disclose Information
2
Basic 42
SSA-827 instructions
87.
Form 8809, Application for Extension of Time
2
Basic 33
Form 8809 examples
Form 8809 instructions
88.
Form SSA-3820-BK, Disability Report - Child
14
Complex 71
SSA-3820-BK instructions
89.
Form SSA-4-BK, Application for Child's Insurance Benefits
9
Complex 68
SSA-4-BK instructions
90.
Form SSA-10, Application for Widow's or Widower's Insurance Benefits
8
Complex 63
SSA-10 examples
SSA-10 instructions
91.
Form 1099-MISC, Miscellaneous Information
6
Moderate 61
Form 1099-MISC examples
Form 1099-MISC instructions
92.
Form 1415, Visitor Visa - Business Stream
14
Very Complex 89
Form 1415 examples
Form 1415 instructions
93.
Form 4506-T, Request for Transcript
2
Basic 41
4506-T instructions
94.
Form 1040-C, U.S. Departing Alien Income Tax Return
4
Complex 72
Form 1040-C instructions
95.
Form 2441, Child and Dependent Care Expenses
2
Moderate 51
Form 2441 instructions
96.
Form I-131, Application for Travel Document
5
Moderate 55
Form I-131 instructions
97.
Form N-600, Application for Certificate of Citizenship
15
Complex 72
N-600 examples
N-600 instructions
98.
Form SSA-3368-BK, Disability Report - Adult
15
Complex 79
SSA-3368-BK examples
SSA-3368-BK instructions
99.
Form 8889, Health Savings Accounts
1
Basic 35
Form 8889 examples
Form 8889 instructions
100.
Form SSA-16, Application for Disability Benefits
7
Complex 63
SSA-16 examples
101.
Form SSA-521, Request for Withdrawal
2
Basic 45
SSA-521 instructions
102.
Form WH-381, Notice of Eligibility
4
Moderate 56
Form WH-381 examples
Form WH-381 instructions
103.
Form CA-1, Federal Employee's Notice of Traumatic Injury
4
Moderate 57
Form CA-1 instructions
104.
Form CA-2, Notice of Occupational Disease
5
Moderate 59
Form CA-2 examples
Form CA-2 instructions
105.
Form 8862, Information To Claim Certain Credits
4
Moderate 55
Form 8862 examples
Form 8862 instructions
106.
Form 8880, Credit for Qualified Retirement Savings Contributions
2
Basic 34
Form 8880 instructions
107.
Form 5695, Residential Energy Credits
3
Complex 72
Form 5695 examples
Form 5695 instructions
108.
Form 4137, Social Security and Medicare Tax on Unreported Tip Income
2
Basic 43
Form 4137 examples
Form 4137 instructions
109.
Form I-821, Application for TPS
13
Very Complex 80
Form I-821 instructions
110.
Form 5, SBA Disaster Loan Application
22
Complex 74
SBA Form 5 examples
SBA Form 5 instructions
111.
Form 911, Request for Taxpayer Advocate Service Assistance
4
Moderate 48
Form 911 examples
Form 911 instructions
112.
Form 7206, Self-Employed Health Ins. Ded.
1
Basic 32
Form 7206 examples
Form 7206 instructions
113.
Form 990, Return of Organization Exempt From Income Tax
12
Very Complex 82
Form 990 instructions
114.
Form 8960, Net Investment Income Tax
1
Basic 45
Form 8960 examples
Form 8960 instructions
115.
Form SS-8, Determination of Worker Status
5
Complex 76
Form SS-8 examples
Form SS-8 instructions
116.
Form 8966, FATCA Report
2
Moderate 46
Form 8966 instructions
117.
Form 8919, Uncollected Social Security and Medicare Tax
2
Moderate 47
Form 8919 examples
Form 8919 instructions
118.
Form 990-T, Exempt Org Business Income Tax Return
2
Complex 63
Form 990-T instructions
119.
Form 945, Annual Return of Withheld Federal Income Tax
2
Moderate 51
Form 945 examples
Form 945 instructions
120.
Form 8027, Employer’s Annual Information Return
1
Basic 45
Form 8027 instructions
121.
Form 100, CA Corp Tax Return
6
Complex 76
Form 100 instructions
122.
Form DL 142, Request for Cancellation or Surrender of a Driver License or ID
1
Moderate 49
DL 142 examples
DL 142 instructions
123.
Form DE 9, Quarterly Contribution Return
2
Basic 42
DE 9 examples
DE 9 instructions
124.
Form 3911, Taxpayer Statement Regarding Refund
2
Moderate 55
Form 3911 examples
Form 3911 instructions
125.
Form 7203, S Corporation Shareholder Stock and Debt Basis Limitations
2
Complex 69
Form 7203 examples
Form 7203 instructions
126.
Form 8910, Alternative Motor Vehicle Credit
1
Basic 37
Form 8910 examples
Form 8910 instructions
127.
Form 8938, Statement of Specified Foreign Financial Assets
2
Complex 72
Form 8938 examples
Form 8938 instructions
128.
Form 8038, Information Return for Tax-Exempt Private Activity Bond Issues
3
Complex 63
Form 8038 instructions
129.
Form 540NR, California Nonresident Tax Return
5
Complex 66
Form 540NR instructions
130.
Form CMS-1763, Request for Termination of Medicare Coverage
2
Basic 40
CMS-1763 examples
CMS-1763 instructions
131.
Form CMS-1696, Appointment of Representative
2
Basic 37
CMS-1696 instructions
132.
Form CMS-116, CLIA Application
10
Very Complex 95
Form CMS-116 instructions
133.
Form CMS-855O, Medicare Enrollment Application
11
Complex 63
CMS-855O examples
CMS-855O instructions
134.
Form 8821, Tax Information Authorization
1
Moderate 59
Form 8821 examples
Form 8821 instructions
135.
Form 8858, Information Return of U.S. Persons
4
Complex 65
Form 8858 instructions
136.
Form 8885, Health Coverage Tax Credit
1
Simple 26
Form 8885 examples
Form 8885 instructions
137.
Form COD, Certificate of Disposition
2
Complex 67
COD instructions
138.
Form S-1, Surety Company Annual Report
2
Moderate 60
Form S-1 instructions
139.
Form WH-382, Designation Notice
2
Basic 37
Form WH-382 instructions
140.
Form WH-385, Certification for Serious Injury or Illness
4
Moderate 48
Form WH-385 instructions
141.
Form CA-7, Claim for Compensation
4
Complex 68
CA-7 examples
CA-7 instructions
142.
Form CA-5, Claim for Compensation
5
Complex 68
Form CA-5 instructions
143.
Form WH-380-F, Certification of Health Care Provider
4
Moderate 49
WH-380-F instructions
144.
Form OWCP-5a, Work Capacity Evaluation
2
Basic 40
OWCP-5a examples
OWCP-5a instructions
145.
Form CA-20, Attending Physician's Report
4
Moderate 47
CA-20 instructions
146.
Form 4506-F, Identity Theft Victim’s Request
2
Basic 31
Form 4506-F examples
Form 4506-F instructions
147.
Form 5884-A, Employee Retention Credit
1
Simple 27
Form 5884-A examples
Form 5884-A instructions
148.
Form 5884-C, Work Opportunity Credit
4
Moderate 51
Form 5884-C instructions
149.
Form 8994, Employer Credit for Paid Family and Medical Leave
1
Simple 22
Form 8994 instructions
150.
Form 1127, Application for Extension of Time for Payment of Tax Due to Undue Hardship
4
Basic 35
Form 1127 examples
Form 1127 instructions
151.
Form 8822, Change of Address
2
Moderate 46
Form 8822 instructions
152.
Form W-10, Dependent Care Provider’s Identification
1
Simple 23
W-10 examples
W-10 instructions
153.
Form 6198, At-Risk Limitations
1
Basic 43
Form 6198 instructions
154.
Form 8855, Election To Treat a Qualified Revocable Trust
4
Basic 41
Form 8855 examples
Form 8855 instructions
155.
Form 1300t, Application for Australian Citizenship
28
Complex 76
1300t examples
1300t instructions
156.
Form 80, Personal Particulars for Assessment
19
Very Complex 100
Form 80 examples
Form 80 instructions
157.
Form 1095-C, Employer-Provided Health Insurance Offer and Coverage
4
Very Complex 87
Form 1095-C instructions
158.
Form 1098, Mortgage Interest Statement
6
Moderate 51
Form 1098 instructions
159.
Form 1095-B, Health Coverage
-
Complex 65
Form 1095-B instructions
160.
Form 1098-T, Tuition Statement
-
Basic 40
Form 1098-T instructions
161.
Form 1099-INT, Interest Income
7
Moderate 59
Form 1099-INT instructions
162.
Form 1099-DIV, Dividends and Distributions
6
Complex 65
1099-DIV examples
1099-DIV instructions
163.
Form 1099-R, Distributions From Pensions etc.
9
Complex 66
1099-R instructions
164.
Form 1099-K, Payment Card and Third Party Network Transactions
6
Complex 65
Form 1099-K instructions
165.
Form 5498, IRA Contribution Information
4
Moderate 48
Form 5498 instructions
166.
Form 1098-E, Student Loan Interest Statement
4
Basic 35
Form 1098-E instructions
167.
Form I-360, Petition for Amerasian, Widow(er), or Special Immigrant
19
Complex 70
Form I-360 instructions
168.
Form I-134, Declaration of Financial Support
10
Complex 77
I-134 examples
I-134 instructions
169.
Form SF 1199A, Direct Deposit Sign-Up
-
Complex 74
SF 1199A examples
SF 1199A instructions
170.
Form I-589, Application for Asylum and for Withholding of Removal
12
Complex 76
Form I-589 examples
Form I-589 instructions
171.
Form DS-5507, Affidavit of Physical Presence
4
Complex 72
DS-5507 examples
DS-5507 instructions
172.
Form W-4P, Withholding Certificate
3
Basic 38
W-4P instructions
173.
Form G-28, Notice of Entry of Appearance
4
Complex 65
G-28 examples
G-28 instructions
174.
Form I-140, Immigrant Petition for Alien Workers
8
Complex 65
I-140 instructions
175.
Form 4868, Application for Automatic Extension of Time To File U.S. Individual Income Tax Return
4
Basic 35
Form 4868 instructions
176.
Form 1040-ES, Estimated Tax for Individuals
12
Complex 71
Form 1040-ES instructions
177.
Form 1120-S, U.S. Income Tax Return for an S Corporation
5
Very Complex 84
Form 1120-S instructions
178.
Form 2553, Election by a Small Business Corporation
5
Moderate 48
Form 2553 examples
Form 2553 instructions
179.
Form 4562, Depreciation and Amortization
2
Complex 67
Form 4562 instructions
180.
Form 941, Employer’s Quarterly Federal Tax Return
3
Moderate 62
Form 941 instructions
181.
Form 12.901(b)(2), Petition for Dissolution of Marriage
8
Moderate 57
Form 12.901(b)(2) instructions
182.
Form 12.901(b)(1), Petition for Dissolution of Marriage
12
Complex 65
Form 12.901(b)(1) instructions
183.
Form UCS-840A, Request for Judicial Intervention Addendum
1
Moderate 58
UCS-840A instructions
184.
Form 1, Order to Show Cause
2
Basic 43
Form 1 instructions
185.
Form E, Affidavit of Personal Service
1
Basic 31
Form E instructions
186.
Form for Motion for Poor Person Relief
6
Moderate 54
Motion for Poor Person Relief instructions
187.
Form FL-300, Request for Order
4
Very Complex 85
FL-300 instructions
188.
Form FL-100, Petition for Dissolution
3
Very Complex 80
FL-100 instructions
189.
Form UD-100, Complaint—Unlawful Detainer
4
Moderate 57
UD-100 instructions
190.
Form FL-150, Income and Expense Declaration
4
Very Complex 82
FL-150 instructions
191.
Form GC-210, Petition for Appointment of Guardian of Minor
3
Complex 72
GC-210 instructions
192.
Form DE-111, Petition for Probate
4
Complex 64
DE-111 instructions
193.
Form NC-100, Petition for Change of Name
1
Moderate 55
NC-100 instructions
194.
Form 69-001, Industrial Hemp Registration
6
Moderate 58
Form 69-001 instructions
195.
Form CMS-40B, Application for Enrollment in Medicare Part B
4
–
CMS-40B examples
196.
Form CMS-1763, Request for Termination
-
–
197.
Form SSA-455, Disability Update Report
-
–
198.
Form SSA-8, Application for Lump-Sum Death Payment
4
Complex 72
Form SSA-8 instructions
199.
Form SS-5-FS, Application for a Social Security Card
5
Moderate 51
Form SS-5 instructions
200.
Form SSA-4-BK, Application for Social Security Benefits
9
–
201.
Form SSA-454-BK, Continuing Disability Review
12
Complex 70
Form SSA-454-BK instructions
202.
Form REG 135, Bill of Sale
1
–
203.
Form INF 1125, DL/ID Request
1
–
204.
Form SR1, Report of Traffic Accident
3
–
205.
Form SSA-1-BK, Application for Retirement Benefits
-
–
206.
Form G-845, Verification Request
3
Moderate 46
207.
Form G-884, Request for Return of Original Documents
6
Moderate 61
208.
Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the US
4
Moderate 52
209.
Form I-102, Application for Replacement/Initial Nonimmigrant Arrival-Departure Document
5
Moderate 56
210.
Form I-212, Application for Permission to Reapply
10
Moderate 61
211.
Form I-361, Affidavit of Financial Support
8
Complex 63
212.
Form G-1041A, Genealogy Records Request
3
–
213.
Form I-864, Affidavit of Support
12
Complex 71
Form I-864 instructions
214.
Form 1099-NEC, Nonemployee Compensation
6
Moderate 54
215.
Form 5329, Additional Taxes on Qualified Plans
3
Moderate 49
216.
Form 1099-NEC, Nonemployee Compensation
6
Moderate 54
217.
Form 1040-NR, U.S. Nonresident Alien Income Tax Return
2
Complex 66
1040-NR instructions
218.
Form 1040-SR, U.S. Tax Return for Seniors
4
Moderate 60
1040-SR instructions
219.
Form 1099-S, Proceeds From Real Estate Transactions
6
Moderate 46
Form 1099-S instructions
220.
Form 1099-G, Certain Government Payments
6
Moderate 56
Form 1099-G instructions
221.
Form 1099-C, Cancellation of Debt
6
Moderate 48
Form 1099-C instructions
222.
Form 1099-OID, Original Issue Discount
7
Moderate 57
Form 1099-OID instructions
223.
Form 1099-PATR, Taxable Distributions from Cooperatives
6
Moderate 51
Form 1099-PATR instructions
224.
Form 1099-Q, Payments From Qualified Education Programs
5
Basic 45
Form 1099-Q instructions
225.
Form 1099-SA, Distributions from HSA/MSA
5
Moderate 46
1099-SA examples
1099-SA instructions
226.
Form 1099-B, Proceeds From Broker Transactions
7
Moderate 59
Form 1099-B instructions
227.
Form I-129, Petition for a Nonimmigrant Worker
38
Complex 70
Form I-129 instructions
228.
Form WH-226, Application for Authority to Employ Workers with Disabilities at Subminimum Wages
9
Complex 66
WH-226 instructions
229.
Form N-565, Application for Replacement Naturalization/Citizenship Document
9
Complex 65
N-565 instructions
230.
Form DS-3053, Statement of Consent
2
Basic 40
DS-3053 instructions
231.
Form SF-15, Application for 10-Point Veteran Preference
2
Moderate 48
SF-15 examples
SF-15 instructions
232.
Form OF-178, Certificate of Medical Examination
7
Complex 67
OF-178 instructions
233.
Form I-130A, Supplemental Info for Spouse Beneficiary
6
Complex 66
Form I-130A examples
Form I-130A instructions
234.
Form SSA-3373, Function Report - Adult
10
Moderate 62
Form SSA-3373 instructions
235.
Form I-130, Petition for Alien Relative
12
Very Complex 90
Form I-130 instructions
236.
Form 8962, Premium Tax Credit (PTC)
2
Complex 67
Form 8962 instructions
237.
Form 1065, U.S. Return of Partnership Income
6
Complex 75
Form 1065 instructions
238.
Form 1040, U.S. Individual Income Tax Return
2
Complex 64
Form 1040 instructions
239.
Form 8802, Application for U.S. Residency Certification
3
Complex 72
Form 8802 instructions
240.
Form 12.901(a), Petition for Simplified Dissolution of Marriage
6
Moderate 48
Form 12.901(a) instructions
241.
Form 2.420, Public Access to Judicial Branch Records
19
Moderate 50
Rule 2.420 instructions
242.
Form 12.901(b)(3), Petition for Dissolution of Marriage
7
Moderate 47
Form 12.901(b)(3) instructions
243.
Form 12.915, Designation of Current Mailing and E-mail Address
4
Moderate 46
Form 12.915 instructions
244.
Form 12.902(b), Family Law Financial Affidavit (Short Form)
9
Very Complex 81
Form 12.902(b) instructions
245.
Form UCS-840C, Request for Judicial Intervention Commercial Division Addendum
2
Basic 32
UCS-840C instructions
246.
Form CIV-GP-124-i, Notice of Motion
2
Basic 37
CIV-GP-124-i instructions
247.
Form UCS-840, Request for Judicial Intervention
2
Complex 69
UCS-840 instructions
248.
Form Order to Show Cause, Application in Support
3
Moderate 48
Order to Show Cause instructions
249.
Form Summons, Supreme Court of New York
1
Basic 31
Summons instructions
250.
Form SC-100, Plaintiff's Claim and ORDER to Go to Small Claims Court
6
Complex 65
SC-100 instructions
251.
Form NC-300, Petition for Recognition of Change of Gender and Sex Identifier
2
Basic 44
NC-300 instructions
252.
Form DV-100, Request for Domestic Violence Restraining Order
13
Complex 76
DV-100 instructions
253.
Form 69-006, Planting Report
2
Basic 39
69-006 instructions
254.
Form NYS DHR, Employment Complaint Form
7
Moderate 62
NYS DHR Employment Complaint instructions
255.
Form HA-510, Waiver of Timely Notice
2
Simple 28
Form HA-510 instructions
256.
Form SS-4, Application for EIN
2
Moderate 52
Form SS-4 instructions
257.
Form SSA-10, Widow's or Widower's Benefits
2
–
258.
Form SSA-5-BK, Application for Mother's or Father's Benefits
7
–
259.
Form ADM 140, Language Access Complaint
2
Moderate 46
Form ADM 140 instructions
260.
Form REG 195, Disabled Person Placard
3
–
261.
Form REG 256, Statement of Facts
-
–
262.
Form REG 343, Application for Title
2
–
263.
Form REG 156, Application for Replacement Plates
2
–
264.
Form INF 70, Request for Record Info
5
–
265.
Form REG 227, Application for Replacement or Transfer of Title
-
–
266.
Form EOIR-29, Notice of Appeal to the Board of Immigration Appeals
3
Basic 30
267.
Form I-191, Application for Relief Under INA 212(c)
18
–
268.
Form 8812, Credits for Qualifying Children
2
Basic 40
269.
Form I-864, Affidavit of Support
12
Complex 71
Form I-864 instructions
270.
Form 1099-NEC, Nonemployee Compensation
-
Moderate 54
271.
Form 5329, Additional Taxes on Qualified Plans
3
Moderate 49
272.
Form 21-526EZ, Application for Disability Compensation
15
Complex 76
273.
Form 0896A, Report of Subcontracts to Small and Veteran-Owned Business
2
Moderate 62
274.
Form AR-11, Alien's Change of Address Card
2
Basic 37
275.
Form G-325A, Biographic Information
6
Complex 65
276.
Form I-905, Application for Authorization to Issue Certification for Health Care Workers
3
Moderate 57
277.
Form DS-86, Statement of Non-Receipt of a U.S. Passport
2
Basic 36
278.
Form DS-86, Statement of Non-Receipt of a U.S. Passport
2
Basic 36
279.
Form N-648, Medical Certification for Disability Exceptions
5
Moderate 53
280.
Form 4, Complaint against a certificated bailiff
1
Simple 27
281.
Form G-1566, Request for a Certificate of Non-Existence
4
Complex 65
282.
Form G-1650, Authorization for ACH Transactions
1
Basic 30
283.
Form EX550, Affidavit (Order to attend for questioning/suspended committal order)
2
Basic 42
284.
Form 226, Record of Vessel Foreign Repair
2
Moderate 53
285.
Form I-907, Request for Premium Processing Service
7
Moderate 58
286.
Form I-485, Application to Register Permanent Residence or Adjust Status
24
Complex 79
Form I-485 examples
Form I-485 instructions
287.
Form I-485 Supp A, Adjustment of Status Under Section 245(i)
4
Basic 42
288.
Form I-751, Petition to Remove Conditions on Residence
11
Complex 71
289.
Form BHVH, Outpatient Behavioral Health – ABA Treatment Request
4
Moderate 58
290.
Form 79, Law Enforcement Officers Safety Act Application
7
Moderate 50
291.
Form 28, Request for Information
3
Basic 40
292.
Form 20-0995, Decision Review Request: Supplemental Claim
-
Complex 70
293.
Form I-566, Interagency Record of Request
-
Complex 70
294.
Form I-600, Petition to Classify Orphan
16
Very Complex 84
295.
Form GST524, GST/HST New Residential Rental Property Rebate
12
–
296.
Form GST524, GST/HST New Residential Rental Property Rebate
12
–
297.
Form GST524, GST/HST New Residential Rental Property Rebate
12
–
298.
Form GST524, GST/HST New Residential Rental Property Rebate
12
–
299.
Form GST524, GST/HST New Residential Rental Property Rebate
12
–
300.
Form G-1041, Genealogy Index Search Request
3
Moderate 55
301.
Form I-131A, Application for Carrier Documentation
6
Complex 64
302.
Form I-192, Application for Advance Permission to Enter as a Nonimmigrant
9
–
303.
Form I-129CW, Petition for a CNMI-Only Nonimmigrant Transitional Worker
12
–
304.
Form I-129CWR, Semiannual Report for CW-1 Employers
7
–
305.
Form I-129F, Petition for Alien Fiancé(e)
12
–
306.
Form I-129S, Nonimmigrant Petition Based on Blanket L
8
Complex 72
307.
Form I-356, Request for Cancellation of Public Charge Bond
9
Complex 76
308.
Form GST524, Ontario Rebate Schedule
5
–
309.
Form CJA-23, Financial Affidavit
1
–
310.
Form AO 136, Certificate of Good Standing
1
Simple 26
311.
Form OAO 154, Substitution of Attorney
1
Basic 45
312.
Form AO 458, Appearance of Counsel
1
Simple 28
313.
Form 101, Voluntary Petition for Bankruptcy
9
–
314.
Form 103A, Application for Individuals to Pay the Filing Fee in Installments
2
–
315.
Form 104, List of Creditors 20 Largest Unsecured Claims
5
–
316.
Form 106Dec, Declaration About an Individual Debtor’s Schedules
1
Basic 34
317.
Form 105, Involuntary Petition Against an Individual
5
Complex 70
318.
Form 106Sum, Summary of Assets and Liabilities
2
Basic 41
319.
Form I-290B, Notice of Appeal or Motion
-
Moderate 60
320.
Form 108, Statement of Intention
2
Moderate 57
321.
Form 107, Statement of Financial Affairs
12
–
322.
Form 121, Statement About Your SSNs
-
Moderate 46
323.
Form 119, Bankruptcy Petition Preparer’s Notice
2
Basic 44
324.
Form 122A-1, Chapter 7 Statement of Current Monthly Income
3
Moderate 57
325.
Form 122A-2, Chapter 7 Means Test
9
Complex 77
326.
Form 427, Cover Sheet for Reaffirmation Agreement
2
Moderate 53
327.
Form AO 85, Notice, Consent, and Reference of a Civil Action to a Magistrate Judge
1
Basic 34
328.
Form AO 85A, Notice, Consent, and Reference of a Dispositive Motion
1
Basic 38
329.
Form AO 88, Subpoena to Appear and Testify
3
Basic 45
330.
Form AO 88A, Subpoena to Testify at a Deposition
3
Moderate 46
331.
Form AO 88B, Subpoena to Produce Documents
3
Moderate 46
332.
Form DBQ, Knee and Lower Leg Disability Benefits
14
–
333.
Form SHA, Separation Health Assessment
16
Very Complex 89
334.
Form DBQ, Artery and Vein Conditions
10
Very Complex 84
335.
Form DBQ, Heart Conditions Disability Benefits
10
Very Complex 87
336.
Form DBQ, Hypertension Disability Benefits
4
–
337.
Form AO 240, Application to Proceed in District Court Without Prepaying Fees or Costs
2
Basic 37
338.
Form DBQ, Oral and Dental Conditions
7
Complex 75
339.
Form AO 239, Application to Proceed in District Court Without Prepaying Fees or Costs
5
Very Complex 80
340.
Form DBQ, Scars/Disfigurement Disability Benefits
12
–
341.
Form DBQ, Diabetes Mellitus Disability Benefits
6
Complex 69
342.
Form DBQ, Endocrine Diseases Disability Benefits
9
–
343.
Form DBQ, Diabetes Mellitus Disability Benefits Questionnaire
6
Complex 69
344.
Form DBQ, Thyroid and Parathyroid Conditions
10
Very Complex 88
345.
Form AO 241, Petition for Relief From a Conviction or Sentence
16
–
346.
Form AO 242, Petition for a Writ of Habeas Corpus
9
–
347.
Form AO 243, Motion to Vacate, Set Aside, or Correct a Sentence
13
–
348.
Form 1845-0163, Borrower Defense to Repayment Application
39
Complex 75
349.
Form G-1145, e-Notification of Application
1
–
350.
Form I-508, Waiver of Certain Rights
4
Moderate 58
351.
Form I-864EZ, Affidavit of Support
-
Complex 71
Form I-864EZ instructions
352.
Form 1449, Solicitation/Contract/Order for Commercial Products and Services
2
–
353.
Form AO 78, Application for Employment
5
–
354.
Arizona Form 285, General Disclosure/Representation Authorization Form
2
Complex 78
355.
Arizona Form 285-I, Individual Income Tax Disclosure/Representation Authorization Form
1
–
356.
Affidavit and Representations Regarding Next of Kin (Preference Beneficiary Affidavit) (The Hartford) – Form LC-7086-17
2
Moderate 60
357.
Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire
13
–
358.
Form CA-17, Duty Status Report (U.S. Department of Labor, Office of Workers' Compensation Programs)
3
–
CA-17 examples
CA-17 instructions
359.
Form 501A, Fantasy Contest Operator Personal Information Form (Commonwealth of Virginia, VDACS Office of Charitable & Regulatory Programs)
5
Moderate 60
VA Form 501A examples
VA Form 501A instructions
360.
DHS-6696-ENG, Minnesota Health Care Programs Application (MNsure/DHS)
13
Very Complex 95
DHS-6696-ENG examples
DHS-6696-ENG instructions
361.
U.S. Coast Guard Form CG-719K, Application for Medical Certificate
10
Very Complex 89
CG-719K examples
CG-719K instructions
362.
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
WH-380-E instructions
363.
Form W-10 (Rev. October 2020), Dependent Care Provider’s Identification and Certification
1
–
W-10 examples
W-10 instructions
364.
Ankle Conditions Disability Benefits Questionnaire
14
Very Complex 100
VA DBQ (Ankle Conditions) examples
VA DBQ (Ankle Conditions) instructions
365.
Geisinger Health Plan Behavioral Health Professional Services Questionnaire
5
Moderate 53
GHP BH Services Questionnaire (HPM50) examples
GHP BH Services Questionnaire (HPM50) instructions
366.
Center for Infertility & Reproductive Surgery – New Patient Questionnaire and Patient/Guarantor Statement (Brigham and Women’s Hospital, Department of Obstetrics and Gynecology)
4
Complex 76
CIRS New Patient Questionnaire examples
CIRS New Patient Questionnaire instructions
367.
VA Form 20-0995, Decision Review Request: Supplemental Claim
7
–
VA Form 20-0995 examples
VA Form 20-0995 instructions
368.
Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire
14
Very Complex 92
VA DBQ - Back (Thoracolumbar Spine) examples
VA DBQ - Back (Thoracolumbar Spine) instructions
369.
Elbow and Forearm Conditions Disability Benefits Questionnaire
15
Very Complex 100
VA DBQ (Elbow and Forearm Conditions) examples
VA DBQ (Elbow and Forearm Conditions) instructions
370.
Foot Conditions, Including Flatfoot (Pes Planus) Disability Benefits Questionnaire
16
Very Complex 100
VA DBQ (Foot Conditions/Flatfoot) instructions
371.
Hip and Thigh Conditions Disability Benefits Questionnaire
13
Very Complex 100
VA DBQ (Hip and Thigh) examples
VA DBQ (Hip and Thigh) instructions
372.
Form SSA-8000-BK, Application for Supplemental Security Income (SSI)
24
Very Complex 96
SSA-8000-BK examples
SSA-8000-BK instructions
373.
Knee and Lower Leg Disability Benefits Questionnaire
15
Very Complex 100
VA DBQ (Knee and Lower Leg) instructions
374.
Neck (Cervical Spine) Conditions Disability Benefits Questionnaire
14
Very Complex 84
VA DBQ - Neck (Cervical Spine) Conditions instructions
375.
Shoulder and Arm Conditions Disability Benefits Questionnaire
14
Very Complex 100
VA DBQ (Shoulder and Arm Conditions) instructions
376.
Wrist Conditions Disability Benefits Questionnaire (DBQ)
13
Very Complex 100
VA DBQ (Wrist Conditions) instructions
377.
Sol·licitud de modificació de comerç o indústria (T3-062) / Sol·licitud d’Ordre de domiciliació bancària (T3-300 bis) / Formulari d’inscripció al Cens públic de la Cambra de Comerç, Indústria i Serveis d’Andorra
5
Moderate 62
T3-062 / T3-300 bis / Cens públic CCIS instructions
378.
The Department of Medical Assistance Services Applied Behavior Analysis Preservice Service Authorization Request Form (Effective Dates of Service 09/01/2025 and after)
8
Complex 68
DMAS ABA Preservice Authorization Request examples
DMAS ABA Preservice Authorization Request instructions
379.
Adult Travel Document Application for Stateless and Protected Persons in Canada (16 years of age or over) (PPTC 190)
8
Complex 75
PPTC 190 instructions
380.
Legal Aid Queensland application form (LAQAPP) – Application for Legal Aid in Queensland
16
Very Complex 81
LAQAPP examples
LAQAPP instructions
381.
Legal Aid Queensland application form (LAQAPP)
16
Very Complex 84
LAQAPP examples
LAQAPP instructions
382.
Legal Aid Queensland application form (LAQAPP)
16
Very Complex 81
LAQAPP examples
LAQAPP instructions
383.
Form 80, Personal particulars for assessment including character assessment
19
–
Form 80 instructions
384.
Legal Aid Queensland application form (LAQAPP)
16
Very Complex 81
LAQAPP instructions
385.
WestRock Credit Application and Uniform Sales & Use Tax Exemption/Resale Certificate — Multijurisdiction
8
Moderate 61
WestRock Credit App + MTC Uniform Resale/Exemption Certificate instructions
386.
Unknown form (insufficient content provided)
4
Complex 63
Unknown instructions
387.
Lifestyle Protector – Risk New Business for Multiple Lives Assured (LPMLA 04/2024)
37
Very Complex 100
LPMLA instructions
388.
Judicial Council of California Form FL-300, Request for Order
4
Very Complex 84
FL-300 instructions
389.
Form I-130, Petition for Alien Relative
12
Very Complex 90
I-130 instructions
390.
Form W-8IMY (Rev. October 2021), Certificate of Foreign Intermediary, Foreign Flow-Through Entity, or Certain U.S. Branches for United States Tax Withholding and Reporting
8
Complex 67
W-8IMY instructions
391.
Form I-485, Application to Register Permanent Residence or Adjust Status
24
Very Complex 89
I-485 instructions
392.
Form W-2, Wage and Tax Statement (2025)
11
Very Complex 82
W-2 instructions
393.
Form 1099-NEC (Rev. April 2025), Nonemployee Compensation
6
–
1099-NEC instructions
394.
Judicial Council of California Form FL-150, Income and Expense Declaration
4
Moderate 58
FL-150 instructions
395.
Ansökan om skuldsanering
13
Complex 77
396.
Form 941-X (Rev. April 2023), Adjusted Employer’s QUARTERLY Federal Tax Return or Claim for Refund
6
Complex 76
397.
State of New Mexico Workers’ Compensation Administration — Workers' Compensation Complaint (Rev. 8/22) (11.4.4.9 NMAC)
4
Moderate 59
NM WCA Workers' Compensation Complaint examples
NM WCA Workers' Compensation Complaint instructions
398.
Uniform Residential Loan Application (Freddie Mac Form 65 / Fannie Mae Form 1003)
9
Very Complex 92
URLA (Form 1003/65) instructions
399.
Form 1776, Physician’s Statement for Disabled License Plates or Placards
2
Basic 36
MO Form 1776 instructions
400.
EEOC Form 5 (11/09), Charge of Discrimination
3
Moderate 49
EEOC Form 5 examples
EEOC Form 5 instructions
401.
Affidavit for Service by Publication/Posting (Circuit Court of Cook County, Illinois) (CCG 0013 A/B)
2
Basic 38
CCG 0013 examples
CCG 0013 instructions
402.
Form 5472 (Rev. December 2023), Information Return of a 25% Foreign-Owned U.S. Corporation or a Foreign Corporation Engaged in a U.S. Trade or Business
3
Complex 78
Form 5472 examples
Form 5472 instructions
403.
Form 2769 (Revised 08-2024), Application for Disabled Person Placard
2
Moderate 56
MO DOR Form 2769 examples
MO DOR Form 2769 instructions
404.
California Department of Social Services (CDSS) Community Care Licensing Child Care Forms Packet (LIC 9150, LIC 282, LIC 627, LIC 700, LIC 995A, CDPH 286, LIC 9227)
9
Complex 63
CA Child Care Licensing Forms (LIC/CDPH) instructions
405.
Licensing (Jersey) Law 1974 Self-declaration Form (Dec 2016)
2
Moderate 46
Licensing (Jersey) Law 1974 Self-declaration (Dec 2016) instructions
406.
Form SSA-1042S, Social Security Benefit Statement
1
Basic 31
SSA-1042S examples
SSA-1042S instructions
407.
Petition for Leave to Proceed In Forma Pauperis (Court of Common Pleas of Lehigh County, Pennsylvania, Civil Division)
5
Moderate 55
Lehigh County IFP Petition (Civil) examples
Lehigh County IFP Petition (Civil) instructions
408.
Illinois State Board of Education (ISBE) Application for Employment (ISBE 61-08)
3
Complex 75
ISBE 61-08 examples
ISBE 61-08 instructions
409.
Standard Form 15 (SF 15), Application for 10-Point Veteran Preference
2
Moderate 55
SF 15 examples
SF 15 instructions
410.
Form 1120-S (2025), U.S. Income Tax Return for an S Corporation
5
Very Complex 84
Form 1120-S examples
Form 1120-S instructions
411.
School Psychology Request for Assistance 2026
1
Basic 39
School Psychology RfA 2026 examples
School Psychology RfA 2026 instructions
412.
Form 8949 (2025), Sales and Other Dispositions of Capital Assets
2
Complex 76
Form 8949 examples
Form 8949 instructions
413.
Priority Health Small Group Renewal Decision Form
2
Moderate 59
Small Group Renewal Decision Form (Priority Health) examples
Small Group Renewal Decision Form (Priority Health) instructions
414.
REV-181 (CM), Application for Tax Clearance Certificate (Pennsylvania Department of Revenue)
4
Very Complex 89
REV-181 (CM) examples
REV-181 (CM) instructions
415.
In Forma Pauperis Affidavit/Petition (AOPC 622A) – Pennsylvania Magisterial District Court
7
Complex 78
AOPC 622A (IFP Petition) examples
AOPC 622A (IFP Petition) instructions
416.
AOC-SP-200, Petition for Adjudication of Incompetence and Application for Appointment of Guardian or Limited Guardian
4
Very Complex 83
AOC-SP-200 examples
AOC-SP-200 instructions
417.
2420 - Served by Publication/Posting Forcible Detainer - Notice by Posting (CCM 0086)
1
Basic 34
CCM 0086 (2420) examples
CCM 0086 (2420) instructions
418.
Function Report - Adult - Third Party (Form SSA-3380-BK)
10
Complex 71
SSA-3380-BK examples
SSA-3380-BK instructions
419.
Form SSA-3373-BK, Function Report - Adult
10
Complex 71
SSA-3373 examples
420.
Form 4562, Depreciation and Amortization (Including Information on Listed Property)
2
–
Form 4562 examples
Form 4562 instructions
421.
Standard Form 15 (SF-15), Application for 10-Point Veteran Preference (To Be Used by Veterans & Relatives of Veterans)
2
–
SF-15 examples
SF-15 instructions
422.
Form SSA-3373-BK, Function Report - Adult
10
Complex 72
SSA-3373 examples
SSA-3373 instructions
423.
Form SS-8 (Rev. December 2023), Determination of Worker Status for Purposes of Federal Employment Taxes and Income Tax Withholding
5
–
SS-8 examples
SS-8 instructions
424.
State of Illinois Department of Human Services (IDHS) – Bureau of Child Care and Development Child Care Application (Form IL444-3455)
17
Very Complex 81
IL444-3455 examples
IL444-3455 instructions
425.
Formulaire n° 1447-C-SD (Cerfa n° 14187*16) — Cotisation Foncière des Entreprises (CFE) 2026 — Déclaration initiale
4
Moderate 61
1447-C-SD (CFE 2026) examples
1447-C-SD (CFE 2026) instructions
426.
National Integrity Life Insurance Company Ownership Change Request Form (NI-77-0039-2505)
6
Moderate 59
NI-77-0039-2505 examples
NI-77-0039-2505 instructions
427.
Régie du logement Mandatory Form – LEASE of a Dwelling
8
Complex 71
Québec Dwelling Lease (RDL Mandatory Form) examples
Québec Dwelling Lease (RDL Mandatory Form) instructions
428.
County of Louisa Department of Community Development – New Non-Residential Building Permit Package
8
Complex 71
Louisa County New Non-Residential Building Permit Package examples
Louisa County New Non-Residential Building Permit Package instructions
429.
Application Schedule 1: Designer Information (City of Toronto Building Permit Application)
2
Basic 43
Schedule 1: Designer Information (14-0070) examples
Schedule 1: Designer Information (14-0070) instructions
430.
Inland Residential Real Estate Services LLC Application for Lease (Form 4301, Rev. 11/14)
1
Complex 72
Application for Lease 4301 examples
Application for Lease 4301 instructions
431.
UPS Supply Chain Solutions Shipper’s Letter of Instruction / Air Waybill (Air Freight Services)
2
Complex 67
UPS SLI / Air Waybill examples
UPS SLI / Air Waybill instructions
432.
C139 – Employer’s Information Questionnaire (WCB Alberta)
2
Moderate 55
C139 examples
C139 instructions
433.
Form CH-006: PA-BH-Res-PCS, Oregon Behavioral Health Support Program Plan of Care Authorization (Plan of Care Request for Behavioral Health Residential or Personal Care Services)
3
Moderate 46
CH-006 (PA-BH-Res-PCS) examples
CH-006 (PA-BH-Res-PCS) instructions
434.
QBCC Licence Application Form – Mutual Recognition (Application under section 19 of the Mutual Recognition Act 1992 (Cwlth) and section 18 of the Trans-Tasman Mutual Recognition Act 1997 (Cwlth))
11
Complex 71
QBCC 01-150 LA MR examples
QBCC 01-150 LA MR instructions
435.
QBCC Licence Application Form – Company (Application made under section 33, Queensland Building and Construction Commission Act 1991)
17
Complex 64
QBCC 01-130 LA COMP examples
QBCC 01-130 LA COMP instructions
436.
State of Illinois Department of Children and Family Services Medical Report on an Adult in a Child Care Facility (CFS 602)
2
Moderate 61
CFS 602 examples
CFS 602 instructions
437.
FedEx Freight Uniform Straight Bill of Lading (Original—Not Negotiable)
1
Complex 69
FedEx Freight BOL (FXF 100 Series) examples
FedEx Freight BOL (FXF 100 Series) instructions
438.
Affirmation of Service (New York) (January 2024)
1
Basic 41
Affirmation of Service examples
Affirmation of Service instructions
439.
Maine Uniform Application for Initial Appointment
17
Very Complex 87
Maine Uniform Application (Initial Appointment) examples
Maine Uniform Application (Initial Appointment) instructions
440.
Record of Advice and Needs Analysis (Non-Life Insurance — Personal and Commercial Lines)
2
Complex 64
Record of Advice (Bryte) May 2023 examples
Record of Advice (Bryte) May 2023 instructions
441.
Form SS-4 (Rev. December 2025), Application for Employer Identification Number
2
Moderate 61
SS-4 examples
SS-4 instructions
442.
HomePlus Loan Application (Individuals) – China Banking Corporation (CBC)
2
Complex 74
HomePlus Loan Application (CBG-003) examples
HomePlus Loan Application (CBG-003) instructions
443.
Form JS 44 (Rev. 08/18), Civil Cover Sheet
2
Moderate 60
JS 44 examples
JS 44 instructions
444.
Judicial Council of California Form DE-111, Petition for Probate (Probate—Decedents Estates)
4
–
DE-111 examples
DE-111 instructions
445.
Application and Contract for Electric Facilities Where Full Advance Payment Is Required (Temporary Service) — Southern California Edison (SCE CSD 274)
2
Complex 72
SCE CSD 274 examples
SCE CSD 274 instructions
446.
Form 7206 (2025), Self-Employed Health Insurance Deduction
1
–
Form 7206 examples
Form 7206 instructions
447.
SBA Form 413, Personal Financial Statement
6
Very Complex 83
SBA Form 413 examples
SBA Form 413 instructions
448.
Judicial Council of California Form SC-104, Proof of Service (Small Claims)
2
Moderate 51
SC-104 examples
SC-104 instructions
449.
Risk Assessment Form
2
Moderate 52
Risk Assessment examples
Risk Assessment instructions
450.
Immigration and Refugee Board of Canada (IRB) – Refugee Protection Division (RPD) Basis of Claim Form (for persons claiming refugee protection in Canada) (RPD.02.01)
12
Very Complex 80
BOC (RPD.02.01) examples
BOC (RPD.02.01) instructions
451.
Schwab One® Account Application for Personal Accounts
19
Complex 74
Schwab One Personal Account Application (APP13582-45) examples
Schwab One Personal Account Application (APP13582-45) instructions
452.
New licence application – Form 1–1 (IND), Application for an individual’s licence (Real estate agent, property auctioneer, resident letting agent, motor dealer, chattel auctioneer, field agent)
15
Complex 79
Form 1–1 (IND) examples
Form 1–1 (IND) instructions
453.
Form 01-339, Texas Sales and Use Tax Resale Certificate / Texas Sales and Use Tax Exemption Certification
2
Basic 38
Texas Form 01-339 instructions
454.
Form DS-82, U.S. Passport Renewal Application for Eligible Individuals
6
Moderate 62
DS-82 examples
DS-82 instructions
455.
California Form 568 (2023), Limited Liability Company Return of Income
7
–
CA Form 568 examples
CA Form 568 instructions
456.
California Form 568 (2024), Limited Liability Company Return of Income
7
Very Complex 81
CA Form 568 examples
CA Form 568 instructions
457.
Private Trust (Mod(PT).2005)
30
Very Complex 97
Mod(PT).2005 / Mod PT examples
Mod(PT).2005 / Mod PT instructions
458.
Application for Scope of Clinical Practice (SoCP) – Application Form SoCP Only (v1.00 06/2014)
12
Very Complex 83
SoCP Application Form (v1.00 06/2014) examples
SoCP Application Form (v1.00 06/2014) instructions
459.
SC-108, Request to Correct or Cancel Judgment and Answer (Small Claims)
2
Moderate 51
SC-108 examples
SC-108 instructions
460.
Judicial Council of California Form SC-105, Request for Court Order and Answer (Small Claims)
2
Moderate 46
SC-105 examples
SC-105 instructions
461.
SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court (Small Claims)
3
Complex 63
SC-120 examples
SC-120 instructions
462.
Fannie Mae Residential Broker Price Opinion (BPO) (Revised 03/99)
2
Complex 78
Residential BPO (Fannie Mae 03/99) examples
Residential BPO (Fannie Mae 03/99) instructions
463.
Judicial Council of California Form DE-111, Petition for Probate (Probate—Decedents Estates)
4
Complex 71
DE-111 examples
DE-111 instructions
464.
Judicial Council of California Form SC-104, Proof of Service (Small Claims)
2
Moderate 51
SC-104 examples
SC-104 instructions
465.
Official Form 101, Voluntary Petition for Individuals Filing for Bankruptcy
117
Very Complex 89
Official Form 101 examples
Official Form 101 instructions
466.
Continental American Insurance Company (CAIC) / Aflac Group Critical Illness Claim Form (with Attending Physician’s Statement, HIPAA Authorization to Obtain Information, and Electronic Funds Transaction Authorization)
8
Complex 67
CAIC Critical Illness Claim Form examples
CAIC Critical Illness Claim Form instructions
467.
Judicial Council of California Form SC-108, Request to Correct or Cancel Judgment and Answer (Small Claims)
2
Moderate 51
SC-108 examples
SC-108 instructions
468.
SC-105, Request for Court Order and Answer (Small Claims)
2
Basic 45
SC-105 examples
SC-105 instructions
469.
Judicial Council of California Form SC-120, Defendant’s Claim and ORDER to Go to Small Claims Court (Small Claims)
3
Complex 65
SC-120 examples
SC-120 instructions
470.
Civil Case Cover Sheet (Judicial Council of California Form CM-010)
3
Moderate 50
CM-010 examples
CM-010 instructions
471.
Motorized Bicycle (Moped) Instructions/Application (REG 230)
1
Basic 42
REG 230 examples
REG 230 instructions
472.
Prudential Group Disability Insurance – Education and Employment History Form (GL.2009.009, Ed. 06/2017)
6
Complex 75
GL.2009.009 examples
GL.2009.009 instructions
473.
Dakota County CDA New Admissions Informal Review Request Form (Housing Choice Voucher Program) and HUD Form 5382, Certification of Domestic Violence, Dating Violence, Sexual Assault, or Stalking, and Alternate Documentation
11
Moderate 56
Dakota County CDA Informal Review Request / HUD-5382 examples
Dakota County CDA Informal Review Request / HUD-5382 instructions
474.
Form 8809 (Rev. December 2025), Application for Extension of Time To File Information Returns
2
Basic 40
Form 8809 examples
Form 8809 instructions
475.
Form 1040-X (Rev. February 2024), Amended U.S. Individual Income Tax Return
2
–
476.
State of Florida Department of Highway Safety and Motor Vehicles (FLHSMV) Form HSMV 82993, Separate Odometer Disclosure Statement and Acknowledgment
1
Basic 39
HSMV 82993 examples
HSMV 82993 instructions
477.
OREA Form 200 (Revised 2025) — Listing Agreement / Seller Representation Agreement / Authority to Offer for Sale (Ontario)
4
Moderate 58
OREA Form 200 examples
OREA Form 200 instructions
478.
Certificado de Reventa y Certificado de Exención para el Impuesto sobre Ventas y Uso de Texas (Form 01-339-S)
2
Basic 39
01-339-S examples
01-339-S instructions
479.
Personal Financial Statement (REV 06/2018) – Northwest Federal Credit Union
4
Very Complex 81
Personal Financial Statement (REV 06/2018) examples
Personal Financial Statement (REV 06/2018) instructions
480.
Form VTR-60, Application for Replacement License Plate(s) and/or Registration Sticker
1
Basic 33
VTR-60 examples
VTR-60 instructions
481.
Texas Real Estate Commission (TREC) One to Four Family Residential Contract (Resale) (TREC No. 20-18)
11
Complex 73
TREC 20-18 examples
TREC 20-18 instructions
482.
Formular C1 – Antrag auf Erteilung eines Schengen-Visums (Application for Schengen Visa)
4
Moderate 58
Formular C1 examples
Formular C1 instructions
483.
Form 4562 (2025), Depreciation and Amortization (Including Information on Listed Property)
3
Very Complex 83
Form 4562 examples
Form 4562 instructions
484.
Civil Case Cover Sheet (Judicial Council of California Form CM-010)
3
Basic 42
CM-010 examples
CM-010 instructions
485.
Form W-8BEN-E (Rev. October 2021), Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities)
8
–
W-8BEN-E examples
W-8BEN-E instructions
486.
Missouri Department of Social Services, Family Support Division — Application for Supplemental Nutrition Assistance Program (SNAP) (MO 886-0460 / FS-1)
12
Very Complex 97
MO 886-0460 (FS-1) examples
MO 886-0460 (FS-1) instructions
487.
In Forma Pauperis Affidavit Petition (AOPC 622A) — Pennsylvania Magisterial District Court
7
Complex 76
AOPC 622A (IFP Petition) instructions
488.
ACORD 140 (2014/12), Property Section (Attach to ACORD 125)
3
Complex 78
ACORD 140 examples
ACORD 140 instructions
489.
U.S. Shipper’s Letter of Instruction (SLI)
3
Complex 71
SLI examples
SLI instructions
490.
Dealer’s Heavy Equipment Inventory Tax Statement (Form 50-266)
4
Complex 74
Form 50-266 examples
Form 50-266 instructions
491.
Form 1120 (2025), U.S. Corporation Income Tax Return
6
Very Complex 89
Form 1120 examples
Form 1120 instructions
492.
PS Form 3854, Registers
1
Moderate 61
PS Form 3854 examples
PS Form 3854 instructions
493.
Small Claim and Notice of Small Claim (ORS 46.425) (OJD Official) (Jan 2026)
3
Moderate 49
ORS 46.425 Small Claim and Notice of Small Claim examples
ORS 46.425 Small Claim and Notice of Small Claim instructions
494.
HIPAA Authorization Form, Authorization for the Release of Protected Health Information
4
Moderate 47
HIPAA Authorization (Release of PHI) instructions
495.
Formulaire n° 2043 – Demande de création d’un taux personnalisé et/ou d’acomptes de prélèvement à la source
4
Complex 78
2043 examples
2043 instructions
496.
Carbon Monoxide Detector Notice (C.A.R. Form CMD, 4/12)
1
Basic 38
C.A.R. CMD examples
C.A.R. CMD instructions
497.
C.A.R. Form FLD, Lead-Based Paint and Lead-Based Paint Hazards Disclosure, Acknowledgment and Addendum (Revised 11/10)
2
Moderate 51
C.A.R. FLD examples
C.A.R. FLD instructions
498.
SC ISP-2519, Medical Report for Canada Pension Plan Disability Benefits
15
Very Complex 80
ISP-2519 examples
ISP-2519 instructions
499.
Form SSA-454-BK, Continuing Disability Review Report
12
–
SSA-454-BK examples
SSA-454-BK instructions
500.
Judicial Council of California Form TR-205, Request for Trial by Written Declaration (Trial by Written Declaration—Traffic)
2
Basic 39
501.
Form SSA-3369-BK, Work History Report
14
Very Complex 82
SSA-3369-BK examples
SSA-3369-BK instructions
502.
Function Report – Adult – Third Party (Form SSA-3380-BK)
10
Moderate 59
SSA-3380-BK examples
SSA-3380-BK instructions
503.
DS 1891, Applicant/Vendor Disclosure Statement (State of California Department of Developmental Services)
4
Moderate 58
DS 1891 examples
DS 1891 instructions
504.
Form G-1450, Authorization for Credit Card Transactions
1
Basic 37
G-1450 examples
G-1450 instructions
505.
Florida Supreme Court Approved Family Law Form 12.901(b)(3), Petition for Dissolution of Marriage with No Dependent or Minor Child(ren) or Property (02/18)
7
–
Form 12.901(b)(3) examples
Form 12.901(b)(3) instructions
506.
New York State Department of State (Division of Licensing Services) Property Condition Disclosure Statement (DOS-1614-f)
7
Complex 70
DOS-1614-f examples
DOS-1614-f instructions
507.
Standard Right-to-Know Law Request Form
1
Moderate 46
RTKL Request Form examples
RTKL Request Form instructions
508.
NSFAS Consent Form (National Student Financial Aid Scheme) – APP2026
1
Moderate 62
NSFAS Consent Form (APP2026) examples
NSFAS Consent Form (APP2026) instructions
509.
International Student Application for Financial Aid 2026-2027 (International Student Application for Financial Assistance 2026-2027)
7
Complex 70
International Student Financial Aid Application 2026-2027 examples
International Student Financial Aid Application 2026-2027 instructions
510.
Carer Payment and Carer Allowance – Medical Report (SA431) for a child under 16 years
13
Basic 41
SA431 examples
SA431 instructions
511.
Model Werkgeversverklaring (NHG werkgeversverklaring 2024-1 2.0, geldig vanaf 01-03-2024)
1
Moderate 59
NHG Werkgeversverklaring 2024-1 examples
NHG Werkgeversverklaring 2024-1 instructions
512.
Food (Registration of Premises) (Jersey) Order 2001 — Schedule 1 (Article 4(1)) — Form of Application for Registration of Food Premises
1
Moderate 56
Jersey Food Premises Registration (Schedule 1) examples
Jersey Food Premises Registration (Schedule 1) instructions
513.
Oregon Practitioner Credentialing Application (including Attachment A: Professional Liability Action Detail)
16
Very Complex 100
Oregon Practitioner Credentialing Application examples
Oregon Practitioner Credentialing Application instructions
514.
HR-Pol-Rec&Res-04 Employment Application Form (Recruitment of Permanent Employees)
3
Complex 64
HR-Pol-Rec&Res-04 examples
HR-Pol-Rec&Res-04 instructions
515.
Barber & Hairdresser Student/Apprentice Quarterly Report Form (Alaska Board of Barbers and Hairdressers) – Form 08-4315
2
Complex 67
Alaska 08-4315 examples
Alaska 08-4315 instructions
516.
DBPR CILB 6-B, Application for Certified Building Contractor Who is Qualifying a Business
18
Very Complex 90
DBPR CILB 6-B examples
DBPR CILB 6-B instructions
517.
AO 243 (Rev. 09/17), Motion to Vacate, Set Aside, or Correct a Sentence by a Person in Federal Custody (Motion Under 28 U.S.C. § 2255)
13
–
AO 243 / 28 U.S.C. § 2255 Motion examples
518.
Pennsylvania Application for Subsidized Child Care (CY 868)
12
Complex 78
CY 868 examples
CY 868 instructions
519.
City of Harvey Real Estate Transfer Declaration & Application (with Certificate for Exemption)
2
Moderate 52
City of Harvey Transfer Stamp Application examples
City of Harvey Transfer Stamp Application instructions
520.
Hauptantrag Bürgergeld (HA) – Antrag auf Bürgergeld nach dem Zweiten Buch Sozialgesetzbuch (SGB II)
8
Moderate 59
Bürgergeld HA examples
Bürgergeld HA instructions
521.
Fauquier County Department of Community Development – Building Trades Permit or Amendment to Existing Permit Application (Residential or Commercial)
2
Complex 76
Fauquier County Building Trades Permit Application examples
Fauquier County Building Trades Permit Application instructions
522.
Form 2553 (Rev. December 2017), Election by a Small Business Corporation
4
–
Form 2553 examples
Form 2553 instructions
523.
Town of Horizon City Public Information Request (Texas Government Code, Chapter 552)
2
Complex 72
Horizon City Public Information Request examples
Horizon City Public Information Request instructions
524.
Prior Authorization (PA) Request Form – Adult Palliative Care (Alameda Alliance for Health)
5
Moderate 59
Alliance Adult Palliative Care PA Request Form examples
Alliance Adult Palliative Care PA Request Form instructions
525.
2023 Schedule IL-E/EIC, Illinois Exemption and Earned Income Tax Credit (Illinois Department of Revenue)
3
Complex 72
Schedule IL-E/EIC (IL-1040) examples
Schedule IL-E/EIC (IL-1040) instructions
526.
Supplemental Alternative Documentation of Income (for use when other income documentation is not available)
1
Moderate 46
Supplemental Alternative Documentation of Income examples
Supplemental Alternative Documentation of Income instructions
527.
Gesundheitsberuferegister – S 1: Antrag auf Eintragung in das GBR – PA/PFA
2
Moderate 52
GBR S 1 (PA/PFA) examples
GBR S 1 (PA/PFA) instructions
528.
Form 3520 (Rev. December 2023), Annual Return To Report Transactions With Foreign Trusts and Receipt of Certain Foreign Gifts
6
Very Complex 89
529.
VA Form 21-4138, Statement in Support of Claim
2
Basic 42
530.
DBPR ABT-6002 – Application for Transfer of Ownership of an Alcoholic Beverage License
4
Moderate 56
531.
DBPR ABT-6002, Division of Alcoholic Beverages and Tobacco Application for Transfer of Ownership of an Alcoholic Beverage License
18
Very Complex 81
DBPR ABT-6002 examples
DBPR ABT-6002 instructions
532.
Connection Dental Network – Provider Application (GEHA Connection Dental Network) and Participating Provider Agreement
14
Moderate 46
Connection Dental Provider Application (V11.2025) examples
Connection Dental Provider Application (V11.2025) instructions
533.
Form SSA-795, Statement of Claimant or Other Person
2
Basic 40
534.
DL 142, Request for Cancellation or Surrender of a Driver License or Identification Card (State of California Department of Motor Vehicles)
1
–
DL 142 examples
DL 142 instructions
535.
California DMV Form REG 230, Motorized Bicycle (Moped) Instructions/Application
1
–
REG 230 examples
REG 230 instructions
536.
State of Hawaii Department of Commerce and Consumer Affairs (DCCA) Contractors License Board – Application for Contractor's License (Sole Proprietor) (CT-36) with supporting forms (Experience Certificate CT-03, Contractors Financial Statement CT-02, and Chronological History of Projects/Project List)
26
Very Complex 81
Hawaii DCCA Contractor License (Sole Proprietor) – CT-36 instructions
537.
Medicare Enrolment Application (Australia) – Enrol in Medicare, Re-enrol/Extend Eligibility, Enrol a Newborn, and Register for My Health Record
17
Complex 69
Medicare Enrolment / My Health Record Registration Form examples
Medicare Enrolment / My Health Record Registration Form instructions
538.
NJ Department of Labor & Workforce Development Form MW-562, Payroll Certification for Public Works Projects (Contractor and Subcontractor’s Weekly and Final Certification)
2
Complex 79
MW-562 examples
MW-562 instructions
539.
Formato Solicitud de Afiliación (Persona Natural) – Cooperativa de Ahorro y Crédito Universidad Santo Tomás (USTACOOP)
2
Complex 74
FTO LA-002 (Solicitud de Afiliación USTACOOP) examples
FTO LA-002 (Solicitud de Afiliación USTACOOP) instructions
540.
SC ISP-2519, Medical Report for Canada Pension Plan Disability Benefits
15
Complex 70
ISP-2519 examples
ISP-2519 instructions
541.
Form SSA-454-BK, Continuing Disability Review Report
12
Complex 71
SSA-454-BK examples
SSA-454-BK instructions
542.
Solicitud de Crédito – Cooperativa de Ahorro y Crédito Universidad Santo Tomás (USTACOOP) (Código FTO LA-004, Versión 26/05/2025-18)
2
Complex 75
FTO LA-004 (Solicitud de Crédito USTACOOP) examples
FTO LA-004 (Solicitud de Crédito USTACOOP) instructions
543.
Form SSA-3369-BK, Work History Report (Social Security Administration)
14
Complex 70
SSA-3369-BK examples
SSA-3369-BK instructions
544.
Function Report – Adult – Third Party (Form SSA-3380-BK)
-
Complex 65
SSA-3380-BK examples
SSA-3380-BK instructions
545.
Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire
14
Very Complex 84
VA DBQ Back (Thoracolumbar Spine) Conditions instructions
546.
Belastingdienst VPB 075 – Verzoek fiscale eenheid Vennootschapsbelasting (Deel A – Gegevens moedermaatschappij)
2
Basic 42
VPB 075 examples
VPB 075 instructions
547.
Alameda Alliance for Health Prior Authorization (PA) Request Form – Adult Palliative Care
5
Moderate 58
Alliance PA Request – Adult Palliative Care examples
Alliance PA Request – Adult Palliative Care instructions
548.
Gesundheitsberuferegister S 1 – Antrag auf Eintragung in das GBR – PA/PFA (Jänner 2020)
2
Moderate 47
GBR S 1 (PA/PFA) examples
GBR S 1 (PA/PFA) instructions
549.
VA Form 21-0788, Information Regarding Apportionment of Beneficiary's Award
2
Complex 73
VA Form 21-0788 examples
VA Form 21-0788 instructions
550.
Form 5695 (2025), Residential Energy Credits
4
Very Complex 86
Form 5695 instructions
551.
Brotherhood Mutual Insurance Company Ministry Driver Screening Form (A99)
1
Basic 40
A99 examples
A99 instructions
552.
Form N-400, Application for Naturalization
14
Complex 73
N-400 examples
N-400 instructions
553.
California Department of Social Services (CDSS) Community Care Licensing Division — Administrative Organization (LIC 309)
2
Complex 76
LIC 309 examples
LIC 309 instructions
554.
Schedule E (Form 1120-S), Shareholder’s Stock and Debt Basis Limitations
2
–
Schedule E (Form 1120-S) examples
Schedule E (Form 1120-S) instructions
555.
Form 433-F (Rev. 7-2024), Collection Information Statement
2
Very Complex 84
Form 433-F examples
Form 433-F instructions
556.
2023 Form IL-1040-X, Amended Individual Income Tax Return (Illinois Department of Revenue)
2
Moderate 60
557.
Back (Thoracolumbar Spine) Conditions Disability Benefits Questionnaire
14
Complex 71
VA DBQ Back (Thoracolumbar Spine) Conditions instructions
558.
Illinois Supreme Court Approved Form E-O 3500.3, Eviction Order
2
Moderate 53
E-O 3500.3 examples
E-O 3500.3 instructions
559.
Assurity Life Insurance Company Disability Claim Form — Attending Physician’s Statement
3
Complex 64
Assurity Attending Physician’s Statement (01-014-02255F R10-22) examples
Assurity Attending Physician’s Statement (01-014-02255F R10-22) instructions
560.
Amateur Sports / Activities Accident Insurance Quote Request Form (Philadelphia Insurance Companies)
1
Complex 69
Amateur Sports/Activities Accident Insurance Quote Request examples
Amateur Sports/Activities Accident Insurance Quote Request instructions
561.
Martial Arts Studio General Liability and Property Application (Fitness and Wellness Insurance / Philadelphia Insurance Companies) (03/2011)
8
Complex 74
Martial Arts Studio GL & Property Application examples
Martial Arts Studio GL & Property Application instructions
562.
ROTC Cadet Academic Plan / Degree and Credit Hour Worksheet (Student Identification, Term-by-Term Courses, GPA Summary, and Completion Certification)
3
Very Complex 80
ROTC Academic Plan Worksheet instructions
563.
Commonwealth of Massachusetts Department of Industrial Accidents Form 110, Employee’s Claim
1
Complex 64
MA DIA Form 110 examples
MA DIA Form 110 instructions
564.
City of Carlinville Application for Employment (An Equal Opportunity Employer)
1
–
City of Carlinville Employment Application examples
565.
Fifth Census of Canada, 1911 (Canadian Census Form) — Table A1: Population (Personal Description)
1
Complex 73
Canada Census 1911 (Table A1) examples
Canada Census 1911 (Table A1) instructions
566.
California/National Apartment Association Official Form B-15, Rental Application for Residents and Occupants (May 2015) with Application Agreement
5
Moderate 57
NAA Form B-15 (CA) examples
NAA Form B-15 (CA) instructions
567.
Rental application (Form 22) — Residential Tenancies and Rooming Accommodation Act 2008 (Qld)
5
Moderate 55
Form 22 (Rental application) examples
Form 22 (Rental application) instructions
568.
Residential Rental Application (Statement of Information for Rental Applicants) — Residential Tenancies Act 1997 (Vic) s 29C; Residential Tenancies Regulations 2021 (Vic) reg 14
6
Moderate 61
Residential Rental Application (VIC) — Jellis Craig examples
Residential Rental Application (VIC) — Jellis Craig instructions
569.
Pre-tenancy Application Form
2
Basic 41
Pre-tenancy Application examples
Pre-tenancy Application instructions
570.
National Apartment Association (NAA) Rental Application for Residents and Occupants (Virginia) and Supplemental Rental Application for Units Under Government Regulated Affordable Housing Programs
5
Complex 73
NAA Rental Application (VA) + Affordable Housing Supplemental examples
NAA Rental Application (VA) + Affordable Housing Supplemental instructions
571.
USACC Form 104-R, Planned Academic Program Worksheet
3
Complex 72
USACC 104-R examples
USACC 104-R instructions
572.
Commercial Lease Agreement (C.A.R. Form CL, Revised 10/01)
6
Complex 71
C.A.R. Form CL examples
C.A.R. Form CL instructions
573.
Commonwealth of Massachusetts Department of Industrial Accidents (DIA) Form 110, Employee’s Claim
1
Moderate 57
MA DIA Form 110 examples
MA DIA Form 110 instructions
574.
California Association of REALTORS® (C.A.R.) Form LR, Residential Lease or Month-to-Month Rental Agreement (Revised 12/19)
8
Complex 72
C.A.R. Form LR (12/19) examples
C.A.R. Form LR (12/19) instructions
575.
Schedule C (Form 1040), Profit or Loss From Business (Sole Proprietorship) (2017)
2
Complex 70
Schedule C (Form 1040) examples
Schedule C (Form 1040) instructions
576.
European Public Prosecutor’s Office (EPPO) Application Form
14
Complex 71
EPPO Application Form instructions
577.
Maryland Heights Police Department Application Form (Updated 4/29/2022)
5
Complex 74
Maryland Heights PD Application Form instructions
578.
Health Assessment – Ontario Health atHome (Fixing Long-Term Care Act, 2021) (Form 4768-69E)
7
Complex 70
4768-69E examples
4768-69E instructions
579.
Arbejdernes Landsbank – Virksomhedsoplysninger og KYC/AML (kundekendskab) for erhvervskunder
9
Complex 67
ALB KYC Erhverv instructions
580.
Income Protection Claim Form (AIA New Zealand Limited)
5
Moderate 60
Income Protection Claim Form examples
Income Protection Claim Form instructions
581.
Integrated Assessment Tool (IAT) Offline Form 2506
71
Complex 72
IAT Offline Form 2506 instructions
582.
Form I-539, Application to Extend/Change Nonimmigrant Status
7
–
I-539 examples
I-539 instructions
583.
Pacific Gastroenterology Associates Referral Form
1
Moderate 52
Pacific Gastroenterology Referral Form examples
Pacific Gastroenterology Referral Form instructions
584.
Providence Health Plan Out-of-Area Dependent Enrollment Form
1
Basic 35
ENR-008B (OOA Dep Enrollment) examples
ENR-008B (OOA Dep Enrollment) instructions
585.
Income Protection Claim Form (AIA New Zealand)
6
Complex 69
Income Protection Claim Form examples
Income Protection Claim Form instructions
586.
Due Diligence Form (Australian Company) – The Perth Mint
4
Complex 72
Perth Mint Due Diligence Form (Australian Company) examples
587.
Form P3 (Rule 25-3(2)) — Affidavit of Applicant for Grant of Probate or Grant of Administration with Will Annexed (Short Form) (Supreme Court of British Columbia)
3
Moderate 46
BC Form P3 examples
BC Form P3 instructions
588.
FDA Form 1572, Statement of Investigator
2
Basic 37
FDA 1572 examples
FDA 1572 instructions
589.
Form FL-170, Declaration for Default or Uncontested Dissolution or Legal Separation
3
Moderate 57
FL-170 instructions
590.
Medically Prescribed Treatment (Non-Medication) Form — Provider Treatment Order Form | Office of School Health | School Year 2025–2026
2
Complex 69
Medically Prescribed Treatment (Non-Medication) Form (OSH 2025–2026) examples
Medically Prescribed Treatment (Non-Medication) Form (OSH 2025–2026) instructions
591.
Income-Driven Repayment (IDR) Plan Request (PAYE, IBR, and ICR) — William D. Ford Federal Direct Loan (Direct Loan) Program and Federal Family Education Loan (FFEL) Programs (OMB No. 1845-0102)
10
Moderate 56
IDR Plan Request (OMB 1845-0102) examples
IDR Plan Request (OMB 1845-0102) instructions
592.
Judicial Council of California Form DE-120, Notice of Hearing—Decedent's Estate or Trust
2
Moderate 53
DE-120 examples
DE-120 instructions
593.
Form DE-160/GC-040, Inventory and Appraisal (Declaration of Representative/Guardian/Conservator or Small Estate Claimant and Declaration of Probate Referee)
2
Basic 38
DE-160/GC-040 examples
DE-160/GC-040 instructions
594.
Inventory and Appraisal Attachment (Judicial Council of California Form DE-161, GC-041)
1
Moderate 52
DE-161/GC-041 examples
DE-161/GC-041 instructions
595.
Health Assessment - Ontario Health atHome (Fixing Long-Term Care Act, 2021) — Form 4768-69E
7
Complex 64
4768-69E examples
4768-69E instructions
596.
Ankle Conditions Disability Benefits Questionnaire (DBQ)
14
Complex 75
VA DBQ (Ankle Conditions) examples
VA DBQ (Ankle Conditions) instructions
597.
Forretningsomfang og skatteoplysninger - Ny erhvervskunde (enkeltmandsvirksomhed) (Arbejdernes Landsbank A/S) – Formular version pr. 2 oktober 2025
9
Complex 71
AL-Bank Forretningsomfang og skatteoplysninger (Ny erhvervskunde – enkeltmandsvirksomhed) examples
AL-Bank Forretningsomfang og skatteoplysninger (Ny erhvervskunde – enkeltmandsvirksomhed) instructions
598.
Integrated Assessment Tool (IAT) Offline Form 2506
71
Complex 74
IAT 2506 (Offline Form) instructions
599.
Bill of Lading (BOL) and Supplement to the Bill of Lading
2
Very Complex 82
Bill of Lading (BOL) examples
Bill of Lading (BOL) instructions
600.
Form SC-100, Plaintiff’s Claim and ORDER to Go to Small Claims Court
6
Moderate 59
SC-100 examples
SC-100 instructions
601.
Form 3111E (2018/12), Ontario Works / Ontario Disability Support Program (ODSP) Application for Special Diet Allowance
5
Complex 67
3111E examples
3111E instructions
602.
Designation of Record on Appeal (Civil) (Maricopa County Justice Courts, Arizona) (Form APP 8150-702)
1
Moderate 52
APP 8150-702 examples
603.
New Patient Information (Initial Contact) Form
1
–
New Patient Information examples
604.
Form APL-505, Taxpayer’s Earned Income Tax Credit Protest
1
–
APL-505 examples
605.
Chicago Residential Lease for Apartments, Condominiums, Single Family Homes, and Townhomes (Chicago Association of REALTORS®) (V13.0 2026)
1
Moderate 52
Chicago Residential Lease (CAR) V13.0 (2026) examples
Chicago Residential Lease (CAR) V13.0 (2026) instructions
606.
Department of Home Affairs — Appointment or cessation of a registered migration agent, legal practitioner or exempt person providing immigration assistance (Appointment notification form)
6
Complex 67
Appointment/Cessation of Immigration Assistance Provider (DHA) examples
Appointment/Cessation of Immigration Assistance Provider (DHA) instructions
607.
California Department of Motor Vehicles (DMV) Form REG 135, Bill of Sale
1
Moderate 47
REG 135 examples
REG 135 instructions
608.
CLETS-001, Confidential Information for Law Enforcement (Judicial Council of California)
2
Moderate 47
CLETS-001 examples
CLETS-001 instructions
609.
FW-003, Order on Court Fee Waiver (Superior Court)
3
Moderate 50
FW-003 examples
FW-003 instructions
610.
Judicial Council of California Form SER-001, Request for Sheriff to Serve Court Papers
5
Moderate 57
SER-001 examples
SER-001 instructions
611.
Judicial Council of California Form UD-105, Answer—Unlawful Detainer
5
Complex 64
UD-105 instructions
612.
Manulife Group Benefits Drug Prior Authorization Form – Mounjaro (Tirzepatide) (GL5197E)
4
Moderate 60
GL5197E (Mounjaro) instructions
613.
Standard Form 95 (Rev. 2/2007), Claim for Damage, Injury, or Death
2
Moderate 48
SF 95 instructions
614.
Australian Department of Home Affairs — Application for a Protection visa (subclass 866) (Form 866)
34
Complex 77
Form 866 (Protection visa) instructions
615.
Washington Single-Family Property Term Lease & Security Deposit Receipt (WA Single-Family Lease) | Revised 10/08/2025
10
Complex 69
WA Single-Family Lease (RHAWA) Revised 10/08/2025 instructions
616.
Orange County Department of Finance Certificate of Residence (Affirmation and Application) — SUNY B-80 (Rev. 06.04.2024)
2
Moderate 46
SUNY B-80 instructions
617.
Form 8919, Uncollected Social Security and Medicare Tax on Wages
1
Moderate 55
Form 8919 instructions
618.
California DMV Form REG 17 (Rev. 7/2012), Special Interest License Plate Application
1
Complex 69
REG 17 instructions
619.
Form CA-17, Duty Status Report (U.S. Department of Labor, Office of Workers' Compensation Programs)
2
–
CA-17 instructions
620.
U.S. Equal Employment Opportunity Commission (EEOC) Form 453, Recommendation for Recognition
1
Moderate 54
EEOC Form 453 instructions
621.
The Prudential Insurance Company of America Group Disability Insurance – Education and Employment History Form (GL.2009.009, Ed. 06/2017)
4
Complex 74
GL.2009.009 instructions
622.
CLETS-001, Confidential Information for Law Enforcement (Judicial Council of California)
2
Moderate 51
CLETS-001 instructions
623.
Liantis / RSVZ – Aanvraagformulier voor vrijstelling van sociale bijdragen als zelfstandige (artikel 17 van het koninklijk besluit nr. 38 van 27 juli 1967)
8
Complex 67
FI/00230/18/11/001/NL instructions
624.
Form CK2 (Close Corporations Act, 1984) — Amended Founding Statement
4
Complex 74
CK2 instructions
625.
California Participating Practitioner Application (CPPA)
17
Very Complex 82
CPPA instructions
626.
Manulife Group Benefits Drug Prior Authorization Form (Ozempic/Semaglutide) – GL5197E
4
Complex 71
GL5197E (Ozempic) instructions
627.
Form 1399 – Declaration of Service (Department of Home Affairs, Australia)
13
Very Complex 85
Form 1399 instructions
628.
VA Form 10-7959f-2, Foreign Medical Program (FMP) Claim Cover Sheet
1
Basic 33
VA 10-7959f-2 instructions
629.
Meritain Health Claim Form (Health Claim Form)
2
Complex 71
Meritain Health Claim Form instructions
630.
Judicial Council of California Form ADOPT-210, Adoption Agreement
3
Moderate 61
ADOPT-210 instructions
631.
VA Form 21-0781a, Statement in Support of Claim for Service Connection for Post-Traumatic Stress Disorder (PTSD) Secondary to Personal Assault
7
Complex 66
VA Form 21-0781a instructions
632.
Form FL-170, Declaration for Default or Uncontested Dissolution or Legal Separation (Family Law)
3
Moderate 55
FL-170 instructions
633.
Judicial Council of California Form DE-120, Notice of Hearing—Decedent's Estate or Trust
2
Moderate 51
DE-120 instructions
634.
Inventory and Appraisal (Judicial Council of California) (Form DE-160/GC-040)
2
Moderate 46
DE-160/GC-040 instructions
635.
Request for Transfer of Records (Adelaide Health Care) – AHC-0013-05-PS (Version 2)
1
Moderate 51
AHC-0013-05-PS instructions
636.
St. Paul’s Hospital Application for Employment (職位申請表) – SPHF-HRD-035
2
Complex 77
SPHF-HRD-035 instructions
637.
Judicial Council of California Form JUD-100, Judgment
7
Complex 79
JUD-100 instructions
638.
Form W-2G, Certain Gambling Winnings (Rev. January 2026)
7
Complex 66
W-2G instructions
639.
Ohio Department of Commerce Table of Heirship (Division of Unclaimed Funds)
1
–
Table of Heirship (Ohio) instructions
640.
Nationwide Retirement Solutions Participant Distribution Request Form (PNF-0875M9, TRAC Version, 01/2025)
5
Moderate 62
PNF-0875M9 instructions
641.
Out-of-Network Pre-Authorization and Exception Request Form
2
Complex 65
Out-of-Network Pre-Authorization and Exception Request (Form 030053) instructions
642.
Murrieta Police Department Citizen Complaint Form (California Penal Code § 148.6 Advisory Statement)
2
Moderate 47
Murrieta PD Citizen Complaint Form instructions
643.
Form 956, Appointment of a registered migration agent, legal practitioner or exempt person
6
Moderate 58
Form 956 instructions
644.
Discovery Health Practice Registration Form 2026 (DHHPR2001)
4
Complex 64
DHHPR2001 instructions
645.
California Schedule K-1 (541) (2025), Beneficiary’s Share of Income, Deductions, Credits, etc.
1
Complex 63
Schedule K-1 (541) instructions
646.
Judicial Council of California Form UD-150, Request/Counter-Request to Set Case for Trial—Unlawful Detainer
2
Moderate 55
UD-150 instructions
647.
FW-003, Order on Court Fee Waiver (Superior Court)
3
Basic 45
FW-003 instructions
648.
Judicial Council of California Form SER-001, Request for Sheriff to Serve Court Papers
5
Moderate 53
SER-001 instructions
649.
DV-100, Request for Domestic Violence Restraining Order (Domestic Violence Prevention)
13
Complex 69
DV-100 instructions
650.
Judicial Council of California Form UD-105, Answer—Unlawful Detainer
5
Complex 63
UD-105 instructions
651.
Form 8822-B, Change of Address or Responsible Party — Business
1
Basic 41
8822-B instructions
652.
Application for Mechanical Permit
1
–
653.
Demande de remise de dette 2025-2026 (Aide financière aux études – Ministère de l’Enseignement supérieur)
1
–
654.
Illinois Advanced Practice Nurse Delegation of Prescriptive Authority for Controlled Substances (Delegation Statement)
1
Basic 32
IL APN Prescriptive Authority Delegation instructions
655.
2026 Form 1040-ES, Estimated Tax for Individuals
15
Complex 68
Form 1040-ES (2026) instructions
656.
Pennsylvania Department of State — Certificate of Termination (Domestic Limited Liability Company) (15 Pa.C.S. § 8872(f)) (DSCB:15-8872(f))
1
Basic 36
DSCB:15-8872(f) instructions
657.
SIRA Allied health treatment request (Catalogue no. SIRA09191)
4
Complex 69
SIRA09191 (Allied health treatment request) instructions
658.
Louisiana Secretary of State – Notice of Change of Registered Office and/or Change of Registered Agent (Domestic Limited Liability Company) (R.S. 12:1308) (Form SS983, Rev. 01/24)
2
Basic 39
LA SOS SS983 instructions
659.
Application for Access to Health Care Records (Nepean Blue Mountains Local Health District) – NBMA-431
2
Moderate 58
NBMA-431 instructions
660.
Certification for Special Assessment (Office of Building, Planning, & Code Compliance, City of Knox, Indiana)
1
Basic 37
Certification for Special Assessment instructions
661.
Document Checklist for a Study Permit (IMM 5483)
2
Basic 32
IMM 5483 instructions
662.
Form F10 – Application for the Fair Work Commission to deal with a dispute in accordance with a dispute settlement procedure
12
Complex 65
FWC Form F10 instructions
663.
Authorized Representative Designation for FSD Benefits (SNAP, Temporary Assistance, and MO HealthNet)
4
Moderate 52
FSD Authorized Representative Form instructions
664.
Direct Consolidation Loan Request to Add Loans (William D. Ford Federal Direct Loan Program) (OMB No. 1845-0007)
5
Moderate 51
Direct Consolidation Loan Request to Add Loans instructions
665.
Form FL-107, Petition—Marriage/Domestic Partnership
3
–
FL-107 instructions
666.
Formulaire IMM 5476 (11-2025) F — Recours aux services d'un représentant
4
Complex 63
IMM 5476 instructions
667.
VA Form 29-357, Claim for Disability Insurance Benefits (Government Life Insurance)
3
Complex 66
VA Form 29-357 instructions
668.
Building Regulation 2021 (Queensland) – Section 143A(3) – Form 18 (Version 6, March 2023), Notice to the owner (where owner is not the client) that a private certifier has been engaged
2
Basic 45
QLD Form 18 (s143A(3)) instructions
669.
CLETS-001, Confidential Information for Law Enforcement (Judicial Council of California)
2
Basic 44
CLETS-001 instructions
670.
Certificate of Service (Civil Court Claim)
2
Moderate 46
Certificate of Service instructions
671.
CMS-1500 (02-12), Health Insurance Claim Form (NUCC Approved) (OMB 0938-1197)
1
Complex 73
CMS-1500 instructions
672.
Form I-129, Petition for a Nonimmigrant Worker
8
Complex 63
I-129 instructions
673.
Standard Form 95 (Rev. 2/2007), Claim for Damage, Injury, or Death
2
Basic 40
SF 95 instructions
674.
Form 842, Application for an Offshore Humanitarian visa (Refugee and Humanitarian (Class XB) visa)
34
Complex 79
Form 842 instructions
675.
California DMV Form REG 17 (Rev. 7/2012), Special Interest License Plate Application
1
Moderate 59
REG 17 instructions
676.
U.S. Equal Employment Opportunity Commission (EEOC) Form 453, Recommendation for Recognition
1
Moderate 52
EEOC Form 453 instructions
677.
Prudential Group Disability Insurance – Education and Employment History Form (GL.2009.009, Ed. 06/2017)
4
Complex 69
GL.2009.009 instructions
678.
Form SSA-827 (06-2024), Authorization to Disclose Information to the Social Security Administration (SSA)
2
Basic 37
SSA-827 instructions
679.
Standard Form 180 (SF 180), Request Pertaining to Military Records (REV. 3/2024)
2
Moderate 51
SF 180 instructions
680.
Meritain Health Claim Form (Health Claim Form)
2
Complex 70
Meritain Health Claim Form instructions
681.
Judicial Council of California Form ADOPT-210, Adoption Agreement
3
Moderate 47
ADOPT-210 instructions
682.
VA Form 21-0781, Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s)
7
Moderate 59
VA Form 21-0781 instructions
683.
Judicial Council of California Form JUD-100, Judgment (Code of Civil Procedure, §§ 585, 664.6)
7
Complex 71
JUD-100 instructions
684.
Form W-2G (Rev. January 2026), Certain Gambling Winnings
7
Complex 69
W-2G instructions
685.
Ohio Department of Commerce – Table of Heirship (Unclaimed Funds Claim, Claims Less Than $3,000)
3
Complex 63
Ohio Table of Heirship instructions
686.
Nationwide Retirement Solutions Participant Distribution Request Form (PNF-0875M9, TRAC Version, 01/2025)
5
Moderate 52
PNF-0875M9 instructions
687.
Out-of-Network Pre-Authorization and Exception Request Form
2
Moderate 56
Out-of-Network Pre-Auth & Exception Request (030053) instructions
688.
Judicial Council of California Form UD-150, Request/Counter-Request to Set Case for Trial—Unlawful Detainer
2
Moderate 52
UD-150 instructions
689.
Form 8822-B (Rev. December 2019), Change of Address or Responsible Party — Business
1
Basic 34
8822-B instructions
690.
Tesorería General de la Seguridad Social (TGSS) — Mandato / Orden de domiciliación de adeudos directos SEPA para el pago de cuotas de la Seguridad Social (TC 1/15-3, 06-2022)
1
Complex 63
TC 1/15-3 instructions
691.
Colorado Judicial Department Form JDF 1111SC (Form 35.2), Sworn Financial Statement
7
Complex 74
JDF 1111SC (Form 35.2) instructions
692.
Manulife Group Benefits Drug Prior Authorization Form (Wegovy/Semaglutide) – GL5197E - MLI (08/2025-WEGOV)
6
Complex 74
GL5197E (Wegovy) instructions
693.
Physician’s Statement of Disability / Functional Limitations (ICD Diagnosis Codes, Treatment, ADLs, and Return-to-Work)
2
Complex 67
Physician Statement of Disability instructions
694.
California Department of Social Services Form RFA 07 (2/18), Resource Family Approval (RFA) Health Questionnaire (Mandatory)
2
Moderate 54
RFA 07 instructions
695.
Momentum Wealth Retirement Income Option Application (WIS060E)
11
Complex 68
WIS060E instructions
696.
DBPR Form ABT-6002, Division of Alcoholic Beverages and Tobacco Application for Transfer of Ownership of an Alcoholic Beverage License
4
Moderate 56
DBPR ABT-6002 instructions
697.
New York State Department of Labor (NYSDOL) Division of Labor Standards Complaint Form (LS 223)
7
Complex 75
LS 223 instructions
698.
Claim for Special Employment Advance (SU514)
5
Moderate 55
SU514 instructions
699.
Form 1065, U.S. Return of Partnership Income
6
Very Complex 82
Form 1065 instructions
700.
Form LLC1050, Articles of Cancellation of a Virginia Limited Liability Company
2
Basic 40
LLC1050 instructions
701.
City of Raleigh Residential Permit Application (Revision 08-20-2025)
2
Complex 70
Raleigh Residential Permit Application instructions
702.
DC-138B (Rev. 2/08), Statement by Witness
1
Moderate 46
DC-138B instructions
703.
HDFC ERGO General Insurance Company Limited – Request for Cashless Hospitalisation for Health Insurance (Policy Part – C)
2
Moderate 59
704.
Applied Behavior Analysis for Autism Initial Assessment and Goals and Six Month Reassessment of Goals and Treatment Plan (MMFRM-18)
8
Complex 72
MMFRM-18 instructions
705.
ABA Authorization Request (Medi-Cal) – Initial and Concurrent Requests
2
Basic 41
ABA Authorization Request instructions
706.
MetroPlusHealth Applied Behavior Analysis (ABA) Universal ABA Request Form
2
Moderate 54
MetroPlusHealth ABA Universal Request Form (MKT 22.026) instructions
707.
Alabama Medicaid Agency ABA Therapy Assessment Form (6/20/19) — Behavior Assessment and Treatment Request (CPT 97151) for Applied Behavioral Analysis for Autism Spectrum Disorder
5
Moderate 53
Alabama Medicaid ABA Therapy Assessment (CPT 97151) instructions
708.
Applied Behavioral Analysis (ABA) Prior Authorization Request Form (Health Net Behavioral Health Autism Center)
1
Moderate 53
ABA Prior Authorization Request (Health Net) / 24-992 instructions
709.
Applied Behavior Analysis (ABA) Initial Assessment Request
1
Moderate 58
ABA Initial Assessment Request (BCBSIL) instructions
710.
Applied Behavioral Analysis (ABA) Prior Authorization Request Form (Coordinated Care)
2
Moderate 46
ABA Prior Authorization Request Form (Coordinated Care) examples
ABA Prior Authorization Request Form (Coordinated Care) instructions
711.
Applied Behavioral Analysis (ABA) Prior Authorization Form (New Hampshire)
6
Moderate 60
NH ABA Prior Authorization Form examples
NH ABA Prior Authorization Form instructions
712.
Termo de Responsabilidade (Term of Responsability) – Alojamento e Encargos de Subsistência (Visa Code Article 14(4))
3
Moderate 51
Termo de Responsabilidade examples
Termo de Responsabilidade instructions
713.
New York State Department of Labor, Division of Labor Standards Complaint Form (LS 223)
7
Complex 76
LS 223 examples
LS 223 instructions
714.
Zwangsvollstreckung – Antrag auf Erlass eines Pfändungs- und Überweisungsbeschlusses (PfüB) nach §§ 828 ff. ZPO (mit Anlagen/Modulen für Gläubiger, Schuldner, Drittschuldner und Forderungen)
9
Complex 70
PfüB-Antrag (ZPO) examples
PfüB-Antrag (ZPO) instructions
715.
Form N161, Appellant’s notice (All appeals except small claims track appeals and appeals to the Family Division of the High Court)
11
Complex 76
N161 examples
N161 instructions
716.
T-RENA Teilnahme- und Leistungsnachweis (Gruppenleistungen / Einzelleistungen) – Formular der Deutschen Rentenversicherung
3
Complex 68
T-RENA Leistungsnachweis examples
T-RENA Leistungsnachweis instructions
717.
ACT Interstate Patient Travel Assistance Scheme (ACT IPTAS) Claim Form (Reviewed: July 2023)
6
Complex 63
ACT IPTAS Claim Form examples
ACT IPTAS Claim Form instructions
718.
Davis-Bacon and Related Acts Weekly Certified Payroll Form (Form WH-347)
2
Complex 73
WH-347 examples
WH-347 instructions
719.
Formulare für das Verbraucherinsolvenzverfahren und das Restschuldbefreiungsverfahren (amtliche Fassung 1/2021, seit dem 31. Dezember 2020 geltende Fassung) – Eigenantrag Verbraucherinsolvenz (§ 305 InsO) mit Anlagen 1–7
33
Very Complex 88
720.
EzB – Erklärung zum Beschäftigungsverhältnis (02/2024)
5
Moderate 54
721.
Commercial and Lease Application (Commercial Credit Application) (Rev. 02/2023)
2
Complex 63
722.
New York State Employment Application: Part 1 – Pre-Interview (Form #S1000)
7
Complex 63
723.
Form FL-100, Petition—Marriage/Domestic Partnership (Family Law)
3
Complex 64
724.
VA Form 29-357, Claim for Disability Insurance Benefits (Government Life Insurance)
3
Moderate 60
725.
Form 941, Employer's QUARTERLY Federal Tax Return (Rev. March 2025)
3
Moderate 60
726.
Form G-1041, Genealogy Index Search Request
3
Moderate 51
727.
Form 2106, Employee Business Expenses
2
Complex 63
728.
Northwestern University Office of Undergraduate Financial Aid International Applicant Document Upload Cover Sheet
1
Basic 30
729.
New York State Employment Application Form
7
Moderate 62
730.
Form 1120-H, U.S. Income Tax Return for Homeowners Associations
1
Complex 67
731.
DBPR CILB 6-A, Application for Certified General Contractor Who is Qualifying a Business
14
–
732.
Department of Medical Assistance Services Applied Behavior Analysis (97155, Et al.) Initial Service Authorization Request Form
7
Moderate 56
733.
Applied Behavior Analysis Concurrent Service Authorization Request Form (CPT Codes 97153, 97154, 97155, 97156, 97157, 97158, 0373T) – Virginia Department of Medical Assistance Services
6
Moderate 59
734.
Department of Medical Assistance Services Enhanced Services Individual Service Plan (ISP) Template
6
Moderate 62
735.
L.A. Care Behavioral Health Treatment Applied Behavioral Analysis Authorization Request Form
1
Moderate 54
736.
Health Net Applied Behavioral Analysis (ABA) Recommendation and Referral Form (24-989)
1
Basic 31
737.
Evernorth Behavioral Health Applied Behavior Analysis Prior Authorization Form (PCOMM-2025-224)
3
Moderate 59
738.
Applied Behavior Analysis Prior Authorization Request Form
3
Moderate 54
739.
Applied Behavioral Analysis (ABA) Authorization Form, Louisiana Health Connect (BRO-DP-ABA FORM-0822)
4
Moderate 57
740.
Medicaid Managed Care Applied Behavior Analysis — Authorization Request (Healthy Blue Louisiana, BLAPEC-1989-20)
4
Moderate 53
741.
Applied Behavior Analysis (ABA) Therapy Request Form
2
Moderate 52
742.
Blue Shield of California Prior Authorization Request Form for Applied Behavioral Analysis (ABA) – Commercial Products
2
Moderate 53
743.
Form 5385BSP, Behavioral Health Utilization Management Applied Behavioral Analysis (ABA) Initial Request Form
5
Moderate 53
744.
Evernorth Applied Behavior Analysis (ABA) Prior Authorization Form
4
Moderate 55
745.
Outpatient Behavioral Health (BH) – ABA Treatment Request: Required Information for Precertification (GR-69017-4)
6
Moderate 52
746.
Arkansas Medicaid Applied Behavioral Analysis (ABA) Authorization Request
6
Moderate 59
747.
Highmark Health Options Applied Behavioral Analysis (ABA) Prior Authorization Request Form
3
Moderate 48
748.
CareSource PASSE Applied Behavior Analysis (ABA) Prior Authorization Request Form
2
Moderate 54
749.
Applied Behavior Analysis (ABA) Initial Assessment Request and Clinical Service Request Form – Blue Cross and Blue Shield of Illinois (BCBSIL)
5
Complex 74
750.
1199SEIU Benefit Funds Applied Behavior Analysis (ABA) Prior Authorization Form
3
Moderate 61
751.
Horizon Blue Cross Blue Shield of New Jersey Applied Behavior Analysis Supplemental Information Form
5
Moderate 55
752.
Applied Behavior Analysis for Autism Initial Assessment and Goals and Six Month Reassessment of Goals and Treatment Plan (MMFRM-18)
8
Complex 72
753.
Dallas Area Rapid Transit Police Department Personal History Statement (Peace Officer / Telecommunicator)
34
Complex 73
754.
Schedule C (Form 1040), Profit or Loss From Business (Sole Proprietorship)
2
Complex 66
755.
Iowa Advance Directive: Durable Power of Attorney for Health Care and Declaration (Living Will)
10
Moderate 62
756.
ACORD 84, Dwelling Fire Application (2013/09)
5
Complex 78
757.
DNA Kingston Training Enrolment and Genuine Student Form for International Students
1
–
758.
Melbourne City College Australia Education Agent Application Form
5
Complex 66
759.
Plaintiff's Claim and ORDER to Go to Small Claims Court (SC-100)
6
Moderate 56
760.
Form 3111E, Application for Special Diet Allowance (Ontario Disability Support Program / Ontario Works)
5
Moderate 56
761.
South Sydney College International Student Application Form
8
Complex 74
762.
Sidney Sussex College Cambridge, Application for Employment
6
Complex 76
763.
TC201, Income and Expense Schedule for Rent-Producing Property
2
Very Complex 80
764.
Demande de Validation des Acquis de l'Expérience (VAE) – BTS Hospitality Management
29
Complex 71
765.
Form I-134, Declaration of Financial Support
10
Complex 71
766.
Course Roster and Location Registration Form
2
Basic 41
767.
New York Rental Application Form
4
Moderate 59
768.
Z83, Application for Employment in the Republic of South Africa Government Department
2
Complex 74
769.
Form N349, Application for Third Party Debt Order
4
Moderate 51
770.
DD Form 1494, Application for Equipment Frequency Allocation
12
Complex 73
771.
Form 1040, U.S. Individual Income Tax Return (2025)
2
Complex 73
772.
PSA Form/K/II/052025 - Formulir Pembukaan Rekening / Account Opening Form
1
Very Complex 83
773.
VA Form 21-686c, Declaration of Status of Dependents
15
Very Complex 82
774.
Form 1099-NEC, Nonemployee Compensation
6
Moderate 58
775.
Form DV-200, Proof of Personal Service (CLETS) (Domestic Violence Prevention)
1
Basic 40
776.
Income and Expense Declaration (California Judicial Council Form FL-150)
4
–
777.
Form W-8BEN-E, Certificate of Status of Beneficial Owner for United States Tax Withholding and Reporting (Entities)
1
Moderate 46
778.
FYRST Selbstauskunft Geschäftlich – Deutsche Bank AG (Form 921 001 022 10.22)
7
Complex 79
779.
Partnership Tax Return 2019 (NAT 0659)
16
Complex 77
780.
Pfändungs- und Überweisungsbeschluss (Garnishment and Transfer Order) – German Civil Enforcement Court Form
9
Complex 77
781.
Form N161, Appellant's Notice (All appeals except small claims track appeals and appeals to the Family Division of the High Court)
11
Complex 65
782.
Form WH-347, Davis-Bacon and Related Acts Weekly Certified Payroll Form
2
Complex 68
783.
KiZ 1-AnA – Anlage Antragsteller(in) und Partner(in) zum Antrag auf Kinderzuschlag
3
Moderate 51
784.
Formulare für das Verbraucherinsolvenzverfahren und das Restschuldbefreiungsverfahren (Amtliche Fassung 1/2021)
33
Very Complex 89
785.
Leaders Institute of Training and Education (LITE) Application for Enrolment
3
Complex 69
786.
Uniform Underwriting and Transmittal Summary (Fannie Mae Form 1008 / Freddie Mac Form 1077)
1
Complex 68
787.
Form 1041, U.S. Income Tax Return for Estates and Trusts
3
Complex 68
788.
Form CC 396, Personal Protection Order (Nondomestic Sexual Assault) Ex Parte
3
Moderate 46
789.
Form CC 381, Notice of Hearing on Petition for Personal Protection Order
3
Moderate 49
790.
Form I-130A, Supplemental Information for Spouse Beneficiary
6
Complex 72
791.
Form W-9, Request for Taxpayer Identification Number and Certification
1
Basic 38
792.
Worker Report of Injury or Occupational Disease (WCB-Alberta Form C060)
5
Complex 66
793.
Corporate Application for Rental
2
Moderate 60
794.
Darwin Institute of Trade International Student Application Form
5
Moderate 58
795.
Illinois Circuit Court Eviction Summons and Proof of Service of Eviction Summons & Eviction Complaint (Form E-S 3507.3)
6
Moderate 58
796.
Fidelity Funds Account Transfer of Assets Form
1
–
Fidelity Transfer of Assets Form instructions
797.
Fidelity Stock Plan Services (SPS) Transfer Request Form
1
Basic 41
Fidelity SPS Transfer Request examples
Fidelity SPS Transfer Request instructions
798.
Fidelity Transfer of Assets Form (TOA) - Your Veolia Benefits
1
Moderate 48
Fidelity TOA Form examples
Fidelity TOA Form instructions
799.
Fidelity Investments Transfer/Rollover/Exchange Form
1
Moderate 52
Fidelity Transfer/Rollover/Exchange Form examples
Fidelity Transfer/Rollover/Exchange Form instructions
800.
Transfer Between Existing Fidelity Accounts Form
1
Basic 41
Fidelity Transfer Between Accounts examples
Fidelity Transfer Between Accounts instructions
801.
How to Transfer Assets from Morgan Stanley to Fidelity Investments (Fidelity Stock Plan Services Guide)
1
–
Morgan Stanley to Fidelity Asset Transfer Guide examples
Morgan Stanley to Fidelity Asset Transfer Guide instructions
802.
Transfer Due to Divorce — IRA/HSA/529
1
Basic 33
Fidelity Transfer Due to Divorce examples
Fidelity Transfer Due to Divorce instructions
803.
Fidelity Investments Transfer/Rollover/Exchange Form
1
–
Fidelity Transfer/Rollover/Exchange Form examples
Fidelity Transfer/Rollover/Exchange Form instructions
804.
Fidelity Investments Standing Transfer Instructions Form
1
Basic 33
Fidelity Standing Transfer Instructions examples
Fidelity Standing Transfer Instructions instructions
805.
Fidelity Investments Transfer/Rollover/Exchange Form
1
Moderate 53
Fidelity Transfer/Rollover/Exchange Form examples
Fidelity Transfer/Rollover/Exchange Form instructions
806.
Fidelity Investments Account Authority Form
1
Moderate 55
Fidelity Account Authority examples
Fidelity Account Authority instructions
807.
Fidelity Charitable 144/145 Contribution Form
1
Moderate 58
144/145 Contribution Form examples
144/145 Contribution Form instructions
808.
Fidelity Advisor Transfer Due to Divorce—IRA Form
1
Basic 42
Fidelity Advisor Transfer Due to Divorce—IRA examples
Fidelity Advisor Transfer Due to Divorce—IRA instructions
809.
One-Time Withdrawal – IRA, Fidelity Investments
1
Moderate 52
Fidelity One-Time IRA Withdrawal examples
Fidelity One-Time IRA Withdrawal instructions
810.
Fidelity NetBenefits Plan-to-Plan Direct Rollover Form
1
Basic 43
Fidelity Plan-to-Plan Direct Rollover Form examples
Fidelity Plan-to-Plan Direct Rollover Form instructions
811.
Fidelity NetBenefits Distribution—Rollover Form
1
Moderate 51
Fidelity Distribution—Rollover examples
Fidelity Distribution—Rollover instructions
812.
Rollover Request — 529 College Savings Plan
1
Moderate 48
Fidelity 529 Rollover Request examples
Fidelity 529 Rollover Request instructions
813.
Plan-to-Plan Direct Rollover Form - Fidelity NetBenefits
1
Basic 41
Fidelity Plan-to-Plan Direct Rollover Form examples
Fidelity Plan-to-Plan Direct Rollover Form instructions
814.
Fidelity ABLE Account Rollover/Transfer Request Form
1
Moderate 54
ABLE Rollover/Transfer Request examples
ABLE Rollover/Transfer Request instructions
815.
Fidelity Investments Transfer/Rollover Form
1
–
Fidelity Transfer/Rollover Form examples
Fidelity Transfer/Rollover Form instructions
816.
Fidelity Advisor 403(b) Distribution Request Form
1
Moderate 60
Fidelity Advisor 403(b) Distribution Request examples
Fidelity Advisor 403(b) Distribution Request instructions
817.
Fidelity Advisor IRA Distribution Request for Automatic Rollover Accounts
1
Basic 45
Fidelity Advisor IRA Distribution Request examples
Fidelity Advisor IRA Distribution Request instructions
818.
Special Tax Notice: Your Rollover Options - Fidelity Investments
1
–
Fidelity Special Tax Notice / Rollover Options examples
Fidelity Special Tax Notice / Rollover Options instructions
819.
Fidelity Charitable Letter of Authorization
1
Simple 15
Fidelity Charitable LOA examples
Fidelity Charitable LOA instructions
820.
Fidelity Investments Electronic Funds Transfer (EFT) Authorization Form
1
Basic 41
Fidelity EFT Authorization examples
Fidelity EFT Authorization instructions
821.
Fidelity Advisor Trading Authorization and Indemnification
1
Moderate 52
Fidelity Trading Authorization examples
Fidelity Trading Authorization instructions
822.
Fidelity Trusted Contact Authorization Form
1
Basic 41
Fidelity Trusted Contact Form examples
Fidelity Trusted Contact Form instructions
823.
Fidelity Charitable Irrevocable Contribution Form and Letter of Instruction
1
Moderate 58
Fidelity Charitable Irrevocable Contribution Form examples
Fidelity Charitable Irrevocable Contribution Form instructions
824.
Fidelity Bank Wire Authorization Form
1
Basic 39
Bank Wire Authorization examples
Bank Wire Authorization instructions
825.
Fidelity Advisor Name Change Authorization Form
1
Basic 34
Fidelity Name Change Authorization examples
Fidelity Name Change Authorization instructions
826.
Fidelity Investments Request for Transaction Letter of Instruction (LOI) for Alternative Investments
1
Basic 32
Fidelity Alternative Investment LOI examples
Fidelity Alternative Investment LOI instructions
827.
Fidelity Investment-Only (Non-Prototype) Retirement Account Application
1
Complex 73
Fidelity Non-Prototype Retirement Account Application examples
Fidelity Non-Prototype Retirement Account Application instructions
828.
Fidelity NetBenefits Send a Document Form
1
–
NetBenefits Send a Document examples
NetBenefits Send a Document instructions
829.
Fidelity NetBenefits Auditor's Guide: An Overview of Fidelity's 2024 Plan Year Reporting Package
1
–
Fidelity Auditor's Guide 2024 examples
Fidelity Auditor's Guide 2024 instructions
830.
Fidelity NetBenefits Distribution - Recurring Payments
1
–
3.TEMDISTAWP.111 examples
3.TEMDISTAWP.111 instructions
831.
Uniform Domestic Relations Form – Affidavit 1 AFFIDAVIT OF BASIC INFORMATION, INCOME, AND EXPENSES
8
Complex 78
Uniform Domestic Relations Form – Affidavit 1 examples
Uniform Domestic Relations Form – Affidavit 1 instructions
832.
Fidelity Investments® Beneficiary Distribution Form
1
–
5VFITSDDA0910 examples
5VFITSDDA0910 instructions
833.
Request for Madison County Public Records
2
Basic 33
Madison County Public Records Request examples
Madison County Public Records Request instructions
834.
Fidelity Investments Distribution Form
1
–
Fidelity Investments Distribution Form examples
Fidelity Investments Distribution Form instructions
835.
Form SSA-44, Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event
7
Moderate 48
SSA-44 examples
SSA-44 instructions
836.
One-Time Withdrawal — Defined Contribution Retirement Plan
1
Complex 64
Fidelity 1.812111.122 instructions
837.
Form SSA-754-F4, Statement of Marital Relationship (By one of the parties)
4
Complex 76
838.
Form A-0506-CF, Demande de sélection temporaire – Programme des travailleurs étrangers
14
Very Complex 84
839.
Fidelity One-Time Withdrawal Form — Nonretirement
1
Basic 42
840.
One-Time Withdrawal – Investment-Only (Non-Prototype) Retirement Account
1
Moderate 54
841.
Fidelity Investments Withdrawal — One-Time
1
Basic 41
842.
Occupational Therapy (OT) Services Initial Assessment Report
3
Moderate 54
83D488 instructions
843.
Automatic Withdrawals—Defined Contribution Retirement Plan
1
Moderate 53
844.
Fidelity Investments Withdrawals—529 College Savings Plan
1
Moderate 46
845.
Form DCA BBS 37A-638, Associate Clinical Social Worker (ASW) Weekly Log of Experience Hours
1
Complex 63
DCA BBS 37A-638 examples
DCA BBS 37A-638 instructions
846.
Fidelity Growth and Guaranteed Income Partial Withdrawal/Full Surrender Form
1
Basic 40
847.
Form A-0361-F0, Demande d’évaluation comparative des études effectuées hors du Québec
11
Complex 74
A-0361-F0 instructions
848.
Fidelity Automatic Withdrawals — Nonretirement
1
Basic 45
849.
Fidelity Investments Change of Account Ownership — Mutual Fund Only Accounts
1
Moderate 52
850.
Fidelity Change of Account Ownership — Mutual Fund Only Accounts (Changing to a Trust, Estate, Guardian, or Conservator Account)
1
Moderate 61
851.
Patient Encounter and Authorization Tracking Form
1
Complex 67
Patient Encounter Form examples
Patient Encounter Form instructions
852.
Group Transfer Form Fidelity Health Savings Account (HSA)
1
–
853.
Outgoing Foreign Currency Wire Standing Instructions
1
Basic 34
854.
Outgoing International Bank Wire — FOREX Wire
1
Basic 36
855.
Plan–to-Plan Transfer, Plan Exchange, or Service Credit Authorization Form
1
–
856.
Fidelity Beneficiaries — IRA /HSA
1
Basic 44
857.
Form 8832, Entity Classification Election
4
–
Form 8832 instructions
858.
Fidelity Investments 403(b) Beneficiary Designation
1
–
859.
Beneficiaries — Nonretirement Transfer on Death
1
Basic 43
860.
Fidelity Advisor IRA Beneficiary Designation
1
Basic 44
861.
Fidelity Investments Qualified Plan Beneficiary Designation
1
–
862.
Form 4852, Substitute for Form W-2, Wage and Tax Statement, or Form 1099-R
1
–
Form 4852 instructions
863.
Fidelity Investments 403(b)/401(a) Beneficiary Designation
1
–
864.
The Church of the Nazarene 403(b) Retirement Savings Plan Beneficiary Designation Form
1
–
865.
Form SC-100A, Other Plaintiffs or Defendants (Attachment to Plaintiff's Claim and ORDER to Go to Small Claims Court)
1
Moderate 60
SC-100A examples
SC-100A instructions
866.
Fidelity Investments Qualified Plan Beneficiary Designation
1
–
867.
Form REG 343, Application for Title or Registration
2
Complex 72
REG 343 instructions
868.
Beneficiaries – Defined Contribution Retirement Plan
1
Basic 41
869.
IRA/HSA Beneficiary Designation
1
Moderate 46
870.
Fidelity Change of Account Registration: Changing to an Individual, Joint, or Custodial Brokerage Account
1
Moderate 59
871.
Form DS-1843, Medical History and Examination for Individuals Age 12 and Older
5
Complex 77
DS-1843 instructions
872.
Fidelity Ownership Change to Trust
1
Moderate 47
873.
Fidelity Ownership/Annuitant Change Form
1
Moderate 47
874.
Form 8889, Health Savings Account (HSA)
1
–
Form 8889 examples
Form 8889 instructions
875.
Fidelity Advisor Change of Ownership
1
Complex 64
876.
Fidelity Change of Account Registration — Changing to a Trust, Estate, Guardian, or Conservator Brokerage Account
1
Moderate 62
877.
Fidelity Change of Account Registration — Cash Management Account
1
Complex 63
878.
Form HS 200, Licensure & Certification Application
23
Complex 79
HS 200 instructions
879.
Term Owner and Policy Change Form
1
–
880.
Fidelity IRA Beneficiary Distribution — Charity, Foundation, or a University
1
Moderate 53
881.
Form ST-119.2, Application for an Exempt Organization Certificate
2
Moderate 48
ST-119.2 examples
ST-119.2 instructions
882.
Form 8606, Nondeductible IRAs
1
–
883.
Fidelity Investments Earnings Automatic Withdrawal Plan — IRA
1
Basic 40
884.
Transfer Shares as a Gift — Nonretirement
1
Basic 36
885.
Caterpillar 3500 - C280 Marine Propulsion Start-up & Commissioning Checklist
18
Very Complex 80
Caterpillar 3500 - C280 Checklist instructions
886.
Move Assets from My Schwab Brokerage Account
1
Complex 64
887.
Form APP13017-29, Transfer Your Account to Schwab
1
–
888.
Transfer of Assets Out - Partial Account or Charitable Gift Transfers
1
–
889.
Charles Schwab & Co., Inc. Account Transfer Form
1
–
890.
Schwab Charitable Fund Transfer of Assets
1
–
891.
HSA Bank Investment Account Transfer Form
1
Basic 36
892.
Designated Beneficiary Plan Agreement
1
–
893.
Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative
4
Complex 71
G-28 examples
G-28 instructions
894.
Letter of Authorization (LOA) For Movement of Funds in Schwab Accounts
1
–
895.
Open a Schwab One® Brokerage Account
1
–
896.
Contribute to a Charitable Gift Account
1
Moderate 46
897.
Schwab MoneyLink® Electronic Funds Transfer Form
1
Basic 42
898.
Electronic Dividend and Interest Payment Authorization Form
1
–
899.
Schwab OpenView Workflow Library: Close Account Process
1
–
900.
Inherited IRA Application for Individual Beneficiaries
1
–
901.
SIMPLE IRA Contribution Transmittal Form
1
Basic 45
902.
IRA Distribution Form
1
–
903.
C.A.R. Form RLA, Residential Listing Agreement (Exclusive Authorization and Right to Sell)
7
Complex 64
C.A.R. Form RLA instructions
904.
Schwab MoneyLink® Electronic Funds Transfer Form
1
–
905.
Rollover Contribution Instructions & Application
1
–
906.
A Place for Mom 401(k) Plan Request for Rollover Contribution Form
1
–
907.
Charles Schwab PCRA Self-Directed Brokerage Account
1
–
908.
DSHS 14-438, Stop Work
1
Moderate 61
DSHS 14-438 examples
DSHS 14-438 instructions
909.
401(k) Program Rollover Certification
1
–
910.
New York State Deferred Compensation Plan Outgoing Rollover
1
–
911.
The William Blair 401(k) and Profit Sharing Plan
1
–
912.
ENVIRONMENTAL MONITORING LABORATORY, LLC Employment Application
2
Complex 75
Employment Application examples
Employment Application instructions
913.
Rollover Valet™ Request Form
1
Simple 27
914.
New York State Deferred Compensation Plan Benefit Distribution Request
1
–
915.
Formulaire M2 - Déclaration de modification d'une personne morale (Cerfa 11682*07)
2
Complex 75
M2 (Cerfa 11682*07) examples
M2 (Cerfa 11682*07) instructions
916.
Individual 401(k) Distribution Request Form
1
Moderate 53
917.
Open a Schwab IRA
1
–
918.
Special Tax Notice: Your Rollover Options
1
–
919.
New York State Deferred Compensation Plan Direct Rollover to a Roth IRA
1
–
920.
WTIA 401(k) Plan Rollover Contribution Employee Certification
1
–
921.
Fidelity Plan-to-Plan Direct Rollover Form
2
–
Fidelity 577770.4.0 examples
Fidelity 577770.4.0 instructions
922.
Fischer Homes Request for In-Service Distribution
1
Basic 40
923.
CBRS Letter of Authorization (LOA) Address Change Request
1
Simple 28
924.
Alternative Investment Letter of Authorization
1
Basic 45
925.
Fidelity Distribution—Rollover
4
–
3.TEMDISTRO.110 examples
3.TEMDISTRO.110 instructions
926.
Statement Bundling Letter of Authorization Form
1
–
927.
Letter of Authorization to Broker
1
Basic 32
928.
Charles Schwab Electronic Approvals FAQs
1
–
929.
Charles Schwab Charitable Gift Donation - Letter Of Authorization for DTC Transfer
1
–
930.
Charles Schwab Wire Transfer Letter of Authorization
1
–
931.
Plan-to-Plan Direct Rollover Form
2
–
577776.5.0 examples
577776.5.0 instructions
932.
Fulfill Client Service Requests Series: Move Money Process
1
–
933.
Move Assets from My Schwab Brokerage Account
1
–
934.
Rollover/Transfer Request — ABLE Account
6
–
Fidelity ABLE Rollover/Transfer Request examples
Fidelity ABLE Rollover/Transfer Request instructions
935.
Electronic approvals for forms FAQs
1
–
936.
Charles Schwab IRA Distribution Form
1
–
937.
Fidelity Advisor 403(b) Distribution Request Form
6
–
Fidelity Advisor 403(b) examples
Fidelity Advisor 403(b) instructions
938.
Check and Journal Request Form
1
Moderate 49
939.
Sample IRA Distribution Letter for a Qualified Charitable Distribution (QCD)
1
–
940.
Schwab MoneyLink® Electronic Funds Transfer Form
1
Basic 45
941.
Schwab Health Savings Brokerage Account (HSBA) to HSA Invest Choice Account Transfer Form
1
–
942.
Irrevocable Stock, Bond, or Mutual Fund Power and Authorization to Remove All Stops
1
Basic 33
943.
Fidelity Advisor IRA Distribution Request for Automatic Rollover Accounts
4
–
Fidelity IRA Distribution Request examples
Fidelity IRA Distribution Request instructions
944.
Designated Beneficiary Plan Agreement
1
–
945.
Beneficiary Designation Form For IRA and 403(b)(7) Accounts
1
–
946.
Form 8-K, Current Report
1
–
947.
Fidelity Charitable Letter of Authorization
1
–
559239.7.0 examples
559239.7.0 instructions
948.
Designated Beneficiary Plan Agreement
1
–
949.
Electronic Funds Transfer (EFT) Authorization
4
–
Fidelity EFT Authorization examples
Fidelity EFT Authorization instructions
950.
IRA Beneficiary Designation Form
1
–
951.
Schwab IRA Account Application
1
–
952.
Fidelity Advisor Trading Authorization and Indemnification
5
–
Fidelity Trading Authorization examples
Fidelity Trading Authorization instructions
953.
Schwab Personal Choice Retirement Account® (PCRA) Limited Power of Attorney (LPOA) Form For a Participant
1
–
954.
Individual 401(k) Account Application
1
–
955.
401(k) Program Request for Transfer
1
–
956.
Trusted Contact Authorization Form
2
–
Fidelity 802990.4.0 examples
Fidelity 802990.4.0 instructions
957.
Rollover Valet™ Request Form
1
–
958.
Stock Power Form For transferring shares, changing names, or adding a beneficiary
1
Moderate 50
959.
Intra-Brokerage Securities Transfer
1
Basic 29
960.
Irrevocable Contribution Form and Letter of Instruction
5
–
Fidelity Charitable Irrevocable Contribution Form examples
Fidelity Charitable Irrevocable Contribution Form instructions
961.
Charles Schwab Charitable Gift Transfer Letter of Authorization
1
–
962.
Vanguard VRPA Transfer Request Form
1
Basic 31
963.
Vanguard Personal Investor – Transfer form
1
Moderate 50
964.
Vanguard Asset Transfer Authorization Form for the Emory University Retirement Plan
1
–
965.
Fidelity Bank Wire Authorization
3
–
Fidelity Form 732215.8.0 examples
Fidelity Form 732215.8.0 instructions
966.
Retirement Transfer Between Existing Vanguard Accounts
1
Moderate 50
967.
Gift of Nonretirement Assets to Existing Vanguard Account Form
1
Basic 44
968.
Vanguard Personal Investor – Transfer initiation form – Transfer out
1
Moderate 50
969.
Fidelity Advisor Name Change Authorization
2
–
Fidelity Name Change Authorization examples
Fidelity Name Change Authorization instructions
970.
Vanguard Asset Transfer Authorization
1
Simple 25
971.
Moving your Vanguard funds to a Vanguard Brokerage Account Disclosure statement
1
–
972.
Alternative Investment Request for Transaction Letter of Instruction (LOI)
2
–
Alternative Investment LOI examples
Alternative Investment LOI instructions
973.
Make a contribution - Vanguard Charitable
1
Moderate 58
974.
Vanguard Transfer Form
1
–
975.
Vanguard Full Agent Authorization
1
Moderate 56
976.
Fidelity Investment-Only (Non-Prototype) Retirement Account Application
9
–
NP-BKAPP-1022 examples
NP-BKAPP-1022 instructions
977.
Vanguard Transfer on Death Plan Form
1
Complex 64
978.
The Vanguard 529 College Savings Plan: Power of Attorney
1
Basic 41
979.
Vanguard Direct Rollover IRA Adoption Agreement
1
–
980.
Vanguard Limited Agent Authorization
1
Moderate 54
981.
MS(R) 21A, Application for the Registration of a Ship under the (Malta) Merchant Shipping Act, 1973
1
Moderate 57
MS(R) 21A examples
MS(R) 21A instructions
982.
The Vanguard 529 College Savings Plan Agent Authorization/Limited Power of Attorney
1
Basic 41
983.
The Vanguard 529 College Savings Plan Direct Rollover Out to Roth IRA Form
1
Basic 39
984.
The Vanguard 529 College Savings Plan Transfer Due to Death of Account Owner Form
1
Basic 36
985.
Proposal Form 3, Attestation Regarding County Contract
1
Simple 25
Sonoma County Proposal Form 3 examples
Sonoma County Proposal Form 3 instructions
986.
Your guide to completing a rollover - Vanguard
1
–
987.
Vanguard IRA Distribution Kit (including IRA Distribution Form RRDFT and Form W-4R)
1
Moderate 58
988.
Form 1045, Corporate Occupant Questionnaire
1
Moderate 55
Form 1045 examples
Form 1045 instructions
989.
I.B.E.W. & Electrical Industry Local 697 Money Purchase Plan and Trust Direct Rollover Request Form Due to Qualified Domestic Relations Order
1
–
990.
The Vanguard 529 College Savings Plan Incoming Direct Rollover Form
1
Basic 39
991.
Contra Costa Environmental Health Division Body Arts Practitioner Application
3
Basic 45
Body Arts Practitioner Application (Rev. 1/2022) examples
Body Arts Practitioner Application (Rev. 1/2022) instructions
992.
Vanguard Rollover Contribution Request form for the U.S. Anesthesia Partners, Inc. 401(k) Plan
1
–
993.
Vanguard Phillips 66 Savings Plan Rollover Contribution Request
1
–
994.
Change of Vendor Form
1
Basic 29
HGC302 examples
HGC302 instructions
995.
Vanguard Rollover Contribution Request
1
–
996.
Vanguard Personal Investor authorisation to provide account information form
1
Basic 39
997.
Institutional Website Access Authorization Form
1
Moderate 50
998.
Form 911AL, Request for Taxpayer Assistance
1
Moderate 48
Form 911AL examples
Form 911AL instructions
999.
Organization Resolution
1
Moderate 57
1000.
Vanguard Personal Investor – Authorised representative form
1
Basic 36
1001.
Form I-751, Petition to Remove Conditions on Residence
11
–
I-751 examples
I-751 instructions
1002.
Institutional Investors Organization Resolution Form
1
Moderate 62
1003.
Vanguard 403(b)(7) New Account Form
1
–
1004.
Irrevocable Stock or Bond Power Form
1
Basic 45
1005.
Leave of Absence Application (LOA)
1
Basic 30
1006.
Vanguard Super Apply for a financial hardship payment
1
Moderate 60
1007.
American Express Business Travel Account Set-Up Form Hong Kong
3
Complex 67
HK_BTA_12/25 examples
HK_BTA_12/25 instructions
1008.
Vanguard University Leave of Absence Form
1
–
1009.
Vanguard Taking a Loan from Your Retirement Plan
1
–
1010.
CVS Health Future Fund 401(k) Plan Summary Plan Description
1
–
1011.
Michaels Leave of Absence (LOA) Request Form
1
–
1012.
Form RX1: Application to enter a restriction
3
Basic 40
RX1 examples
RX1 instructions
1013.
Scheduled Medical Leave of Absence (MLOA) - BLET 13
1
–
1014.
Vanguard Required Minimum Distribution Service Form
1
–
1015.
Vanguard Required Minimum Distribution Service Form
1
–
1016.
Distribution Due to Death for Spouse Beneficiary - Elevator Constructors Union Local No. 1 Annuity and 401(k) Fund
1
–
1017.
IRA Distribution to Charitable Beneficiary
1
–
1018.
The Vanguard 529 College Savings Plan: Withdrawal Request Form
1
Basic 38
1019.
Vanguard 403(b)(7) ERISA Retirement Plan Distribution Request (Retirement / Severance from Employment / Disability)
1
–
1020.
Vanguard Personal Investor Withdrawal form
1
–
1021.
Vanguard Termination Request Form - Officer, SS, SSA Retirement Plan
1
–
1022.
Three-Day Notice to Pay Rent or Quit
1
–
1023.
Vanguard Institutional Investor Group Redemption Form
1
Basic 43
1024.
Vanguard Electronic Bank Transfer Form
1
Moderate 49
1025.
Institutional Bank Transfer Form - Vanguard Workplace Solutions
1
Moderate 52
1026.
Vanguard Brokerage Account CREST Transfer Form
1
Simple 20
1027.
Inherited Retirement Account Beneficiary Identification Form
1
Moderate 53
1028.
Vanguard Retirement Plan Beneficiary Designation
1
Moderate 46
1029.
Vanguard Retirement Plan Beneficiary Designation - Phillips 66 Savings Plan
1
–
1030.
Instructions for Changing Your Beneficiary on your Emory Retirement Plan
1
–
1031.
Valuing Your Estate Worksheet (from Vanguard's 'Understanding the basics of estate planning' guide)
1
–
1032.
Vanguard Retirement Plan Beneficiary Designation
1
Moderate 52
1033.
BNSF Investment and Retirement Plan [401(k) Plan for Salaried Employees]
1
–
1034.
Elevator Constructors Union Local No.1 Annuity and 401(k) Fund Distribution Request Due to Qualified Domestic Relations Order
1
–
1035.
Giving Fund Shares to Organizations Form
1
–
1036.
IRA Distribution to Charitable Beneficiary
1
–
1037.
Vanguard Rollover Form for Retirement Plans
1
–
1038.
Moving your Vanguard funds to a Vanguard Brokerage Account Disclosure statement
1
–
1039.
Account Transfer Authorization (ACATS) Form
1
Moderate 47
1040.
Incoming Rollover/Transfer Form
1
–
1041.
Bechtel Trust & Thrift Plan Rollover Process
1
–
1042.
Empower Incoming Rollover Form
1
–
1043.
Incoming Rollover Election for Elevator Constructors Annuity and 401(k) Retirement Plan
1
–
1044.
Incoming Rollover Election for The Heritage Group Retirement Savings Plan
1
–
1045.
Incoming Transfer/Direct Rollover Governmental 457(b) Plan
1
–
1046.
Mandatory Distribution Processing Authorization
1
–
1047.
Incoming Transfer/Direct Rollover Governmental 457(b) Plan, City of Torrance Deferred Compensation Plan
1
–
1048.
AbbVie Savings Plan 401(k) Account Transfer Notice
1
–
1049.
Oklahoma Pathfinder 457 Plan Incoming Transfer/Rollover Request Governmental 457(b) Plan
1
–
1050.
Incoming Rollover Request 401(k) Plan
1
–
1051.
Incoming Direct Rollover Election
1
–
1052.
Empower Retirement Plan Withdrawal Request Form
1
–
1053.
Hardship Withdrawal Request - Empower
1
–
1054.
Empower Hardship Distribution Request Form
1
–
1055.
Hardship Withdrawal Request 401(a) Plan
1
–
1056.
Form GEN 853, Declaration
1
Moderate 56
GEN 853 examples
GEN 853 instructions
1057.
Fidelity Transfer of Assets
3
–
Fidelity TOA examples
Fidelity TOA instructions
1058.
Fidelity Transfer/Rollover/Exchange Form
6
–
1059.
Transfer Between Existing Fidelity Accounts
3
–
1060.
Transfer Due to Divorce — IRA/HSA/529
1
–
1061.
Fidelity Transfer/Rollover/Exchange Form
6
–
1062.
Fidelity Account Authority
6
–
1063.
Fidelity Charitable Contribution Form
5
–
1064.
Fidelity Advisor Transfer Due to Divorce—IRA
4
–
1065.
T2 Corporation Income Tax Return
9
Complex 72
1066.
Form 1065, U.S. Return of Partnership Income
9
Very Complex 91
1067.
Alberta Precision Laboratories General Laboratory Requisition (Form 21302)
1
Complex 69
1068.
Form N294, Claimant’s application for a variation order (without hearing)
1
Basic 29
1069.
Form N245, Application for suspension of a warrant and/or variation of an order
2
Very Complex 80
1070.
Form H1504, Commodity Supplemental Food Program Participant Application
3
Moderate 53
1071.
Admissions Application, School of Diagnostic Imaging, Mills-Peninsula Medical Center
6
Complex 71
1072.
Form 130-U, Application for Texas Title and/or Registration
1
Moderate 60
1073.
Northland Application for Rental – New Mexico
2
Complex 64
1074.
Form DC-002, Motion
1
Moderate 61
1075.
Stadtsparkasse Schwedt Selbstauskunft / Vermögensaufstellung
6
Moderate 60
1076.
Selbstauskunft - vertraulich -
7
Very Complex 98
1077.
Selbstauskunft/ Vermögensaufstellung (Financial Self-Disclosure/Statement of Assets)
9
Very Complex 92
1078.
Vermögensaufstellung / Selbstauskunft (Statement of Assets / Self-Disclosure)
3
Very Complex 81
1079.
Selbstauskunft (Form D65602)
5
Very Complex 85
1080.
Selbstauskunft zur steuerlichen Ansässigkeit (Natürliche Person) / Self-declaration of Tax Residency (Natural Person)
2
Basic 45
1081.
Selbstauskunft - vertraulich - (Financial Self-Disclosure)
7
Very Complex 99
1082.
Selbstauskunft (Form 194 252.001 D0)
5
Very Complex 81
1083.
Finanzierungsantrag und Selbstauskunft
11
Very Complex 82
1084.
Selbstauskunft Geschäftlich (FYRST - Deutsche Bank AG)
7
Complex 70
1085.
OREA Form 410, Rental Application Residential
2
Complex 76
1086.
Anmeldung zum R+V-Firmenportal Vorsorge (Registration for the R+V Company Portal for Pensions)
4
Complex 67
1087.
California Department of Social Services, Sworn Statement
1
Basic 33
1088.
One-Time Withdrawal — Defined Contribution Retirement Plan
7
–
1089.
Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative
4
Complex 73
1090.
Form ID 988A, Visa/Extension of Stay Application Form for Domestic Helper from Abroad (to be completed by the helper)
4
Moderate 54
1091.
Fidelity Distribution—Rollover Request Form
4
Moderate 52
1092.
Rollover/Transfer Request — ABLE Account
6
Moderate 53
1093.
Fidelity Advisor 403(b) Distribution Request Form
6
Moderate 60
1094.
Fidelity Charitable Irrevocable Contribution Form and Letter of Instruction
5
Moderate 58
1095.
Fidelity Bank Wire Authorization
3
Basic 39
1096.
Fidelity Investment-Only (Non-Prototype) Retirement Account Application
9
Complex 73
1097.
Form I-751, Petition to Remove Conditions on Residence
11
Complex 71
1098.
American Express Business Travel Account Set-Up Form Hong Kong
3
Complex 66
1099.
Wohngeldantrag für den Mietzuschuss
11
Complex 77
1100.
Empower Corrective Distribution Request Form
1
–
1101.
Separation from Employment Withdrawal Form
1
–
1102.
Alternate Payee QDRO Distribution Request form
1
–
1103.
MassMutual Application for Hardship Withdrawal
1
–
1104.
Empower Disability Withdrawal Request Form
1
–
1105.
Explanation of Hardship and Supporting Documentation
1
–
1106.
Beneficiary Account Withdrawal Request Governmental 457(b) Plan
1
–
1107.
Incoming Rollover Election Form for International Dairy Queen, Inc. Retirement Savings Plan
1
–
1108.
Special Tax Notice Regarding Plan Payments
1
–
1109.
Empower Financial Services, Inc. (EFSI) and Empower Advisory Group, LLC (EAG) Form CRS Customer Relationship Summary
1
–
1110.
Empower Plan Service Center Authorization Form (PSC Plan Sponsor Username Request Form)
1
Basic 45
1111.
Signature authorization form - Empower
1
Basic 37
1112.
ACH Funding Authorization Form
1
–
1113.
Empower Loan Payment Change Request Form
1
–
1114.
Empower Enrollment Form
1
–
1115.
Empower Loan Administration Form
1
–
1116.
Order Instituting Administrative and Cease-and-Desist Proceedings, Pursuant to Sections 15(b) and 21C of the Securities Exchange Act of 1934 and Sections 203(e) and 203(k) of the Investment Advisers Act of 1940, Making Findings, and Imposing Remedial Sanctions and a Cease-and-Desist Order
1
–
1117.
Account Reduction Loan Application 401(a) Plan, Electrical Workers Local Union No. 369 Retirement Plan
1
–
1118.
Empower Retirement Payment Request Form
1
Moderate 48
1119.
General Purpose Loan Application Packet, IW DC of SOV Annuity Trust
1
–
1120.
Account Reduction Loan Application 403(b) Plan
1
–
1121.
Empower 401(k) Loan Prepayment Request Form
1
–
1122.
Account Reduction Loan Application 401(a) Plan
1
–
1123.
TE Connectivity Retirement Savings and Investment Plan (RSIP) Transition Frequently Asked Questions
1
–
1124.
Empower Required Minimum Distribution Request Form
1
–
1125.
Separation from Employment Withdrawal Form for East Bay Regional Park District 457(b) Deferred Compensation Plan
1
–
1126.
Separation from Employment Withdrawal Kit
1
–
1127.
In-Service Withdrawal Request 401(a) Plan
1
–
1128.
Form 5500, Annual Return/Report of Employee Benefit Plan
1
Basic 43
1129.
Personal Information Change Request (401K Plan)
1
–
1130.
401(k) Retirement Account Conversion to Empower Frequently Asked Questions
1
–
1131.
Frequently Asked Questions: Transferring to an Empower Premier IRA
1
–
1132.
Empower Beneficiary Designation Governmental 457(b) Plan
1
–
1133.
Empower Death Benefit Claim Request Form
1
–
1134.
Beneficiary Designation 401(a) Plan
1
–
1135.
Form RS115, Beneficiary Designation
1
–
1136.
Empower Beneficiary Recordkeeping Form
1
–
1137.
Beneficiary Designation for Seafarers International Union AGLIW 401(k) Plan
1
–
1138.
Beneficiary Designation 401(k) Plan
1
–
1139.
Empower Beneficiary Designation Form for WoodmenLife 401(k) Plan
1
–
1140.
Empower SRIP II Beneficiary Designation Form
1
–
1141.
Empower Enrollment Form
1
–
1142.
Principal Financial Group Rollover Form
1
Basic 37
1143.
Ironbark Asset Management Withdrawal Form
1
Moderate 53
1144.
Beneficiary Designation/Change - Principal Life Insurance Company
1
Moderate 61
1145.
Rollover Form (Principal Financial Group)
1
–
1146.
Form 5500, Annual Return/Report of Employee Benefit Plan
1
–
1147.
Additional Investment Form - Principal Brand Asset System
1
Basic 35
1148.
Principal Life Insurance Company UCTIE INTERNATIONAL UNION 401(K) SAVINGS PLAN Enrollment Form
1
–
1149.
NYPD Superior Officers Council Annuity Trust Fund Plan Rollover Form
1
Basic 37
1150.
Inotiv, Inc. Retirement Plan Rollover Investment Direction Form
1
–
1151.
Principal Rollover Form
1
–
1152.
Retirement Benefit Choices Guide
1
–
1153.
IRA Distribution Form
1
–
1154.
Retirement Benefit Choices Guide
1
–
1155.
Understanding your withdrawal options (PT719-02)
1
–
1156.
The Principal Pension Plan Summary Plan Description: Cash Balance Formula for Employees and Individual Field
1
–
1157.
Principal Pre-Migration Guide Defined Benefit
1
–
1158.
The Principal Pension Plan Summary Plan Description: Traditional and Cash Balance Formulas for Employees and Individual Field
1
–
1159.
Principal Life Insurance Company Death Notification Form
1
–
1160.
Form DD 688-25, Pre-Authorized Monthly Premium Withdrawals
1
Basic 32
1161.
Sensus USA Inc. 401(k) Plan Summary Plan Description (For Non-Union Employees)
1
–
1162.
Principal Financial 401(k) Withdrawal Form
1
–
1163.
Group Life Conversion FAQ Sheet
1
–
1164.
Equitable Hardship Withdrawal Request (Form E13770)
1
Moderate 55
1165.
Principal Life Insurance Company Form PG4701, In-Plan Roth Conversion – No Spousal Consent Needed
1
–
1166.
Long-Term Leave of Absence (LOA) Request for an Extended Unpaid Leave
1
–
1167.
Principal Life Insurance Company Administration Guide
1
–
1168.
Loan Rehabilitation: Income and Expense Information, William D. Ford Federal Direct Loan (Direct Loan) Program/Federal Family Education Loan (FFEL) Program
1
–
1169.
Streamlined Hardship Withdrawal Service Letter of Instruction
1
Moderate 59
1170.
Principal Group Disability Insurance Options (Forms GC 3000-2, GC 4000-2, GP53705-05)
1
–
1171.
Principal Financial Group Pre-Approved Basic Savings Plan - Plus
1
–
1172.
DoD 7000.14-R, Department of Defense Financial Management Regulation, Volume 12: Special Accounts, Funds and Programs
1
–
1173.
Principal Financial Group Notice of Data Breach
1
–
1174.
Principal Life Insurance Company Small Amounts Benefit Election
1
–
1175.
UTMA Beneficiary Designation (Uniform Transfers to Minor Act)
1
–
1176.
Principal Retirement Plan Beneficiary Designation
1
–
1177.
Principal Financial Group Beneficiary Designation Form
1
–
1178.
Form DD 638-28, Beneficiary Change
1
–
1179.
Principal Life Insurance Company Beneficiary Designation/Change Form (GP34795-14)
1
–
1180.
Principal Beneficiary Designation Form (PT383B-06)
1
–
1181.
Beneficiary Designation Form
1
Basic 42
1182.
Transamerica Transfer of Ownership Request Form (OWN-CCC 12/13)
1
–
1183.
1035 Exchange, Rollover or Transfer Request Form - Transamerica
1
–
1184.
Transamerica Incoming Rollover Request
1
Moderate 49
1185.
Transamerica Survivor Benefits Request
1
–
1186.
Transamerica Premier Funds Direct Rollover IRA Application (704-TRS Investor Class)
1
–
1187.
Enrollment Application
1
Basic 41
1188.
SEC Application for an Order under Section 17(b) of the Investment Company Act of 1940 (File No. 812-11000)
1
Simple 24
1189.
Transamerica Retirement Plan Rollover Form
1
–
1190.
Direct Rollover Request (Form 2214)
1
–
1191.
Incoming Rollover Request
1
Basic 32
1192.
403(b)(7) Distribution Form
1
–
1193.
Distribution Request Form - ISC MEP
1
–
1194.
Incoming Rollover Request
1
–
1195.
Transamerica Retirement Solutions Distribution Request Form
1
Moderate 60
1196.
Transamerica Distribution Request (Distribution of Traditional 401(k) to Roth IRA)
1
–
1197.
Transamerica Annuity Distribution Form
1
–
1198.
Minimum Distribution Request
1
Basic 33
1199.
Transamerica Retirement Distribution Request Form and Special Tax Notice
1
–
1200.
Tax Sheltered Annuity (TSA) IRC Section 403(b) Distribution Request
1
–
1201.
In-Service Withdrawal Request, City of Toledo Savings and Protection Plan
1
–
1202.
Transamerica Form DT084, Pre-Authorized Check/Withdrawal Plan (PAC)
1
–
1203.
Form 2938, Hardship Withdrawal Request
1
Moderate 59
1204.
Transamerica Policy Service Request (Form MPS61008T)
1
–
1205.
Special Tax Notice Regarding Plan Payments
1
–
1206.
TRS Rollover Form
1
–
1207.
HIPAA Authorization for Release of Health-Related Information
1
–
1208.
JPMorgan Chase As You Leave Guide
1
Basic 40
1209.
Albany Medical Center 2024 Benefits Guide
1
–
1210.
Northwell Residents Open Enrollment Benefits Guide 2026
1
–
1211.
Transamerica Online Loan and Distribution Request
1
–
1212.
Health & Welfare and Retirement Benefits 2018 Benefits Overview
1
–
1213.
WCBOE Request for Approved Leave of Absence
1
–
1214.
Third Party Authorization Form - Transamerica
1
–
1215.
Authorization Agreement for Direct Deposit
1
–
1216.
Transamerica Automatic Payment Authorization
1
–
1217.
Transamerica Life Insurance Company - New Business Cover Sheet
1
–
1218.
Transamerica Change of Servicing Agent Authorization Form
1
–
1219.
Trust Certification and Trustee Powers
1
–
1220.
Transamerica Life Insurance Company Individual Whole Life Insurance Application
1
Moderate 61
1221.
Annual Credit Report Request Form
1
–
1222.
Transamerica Annuity Policy Change Form
1
–
1223.
Direct Rollover Request for Appalachian Regional Healthcare, Inc. Voluntary Plan
1
Complex 64
1224.
Transamerica Life Insurance Company Beneficiary Designation Form (TOB 306M-0809)
1
–
1225.
Transamerica Beneficiary Change Form
1
–
1226.
Transamerica Beneficiary Designation Form
1
–
1227.
Form 2227, Beneficiary Designation
1
–
1228.
Transamerica Beneficiary Designation Form - The Hopi Tribe
1
–
1229.
Beneficiary Designation Form For Life Insurance Policies
1
–
1230.
Transamerica Life Insurance Company Beneficiary Designation Form
1
–
1231.
Beneficiary Designation Form (TLB 1314SGE BDF 0325)
1
–
1232.
Retirement Beneficiary Form
1
–
1233.
ADP Compensation and Fee Disclosure Statement
1
–
1234.
IRA Direct Rollover to QRP - American Century Investments
1
Basic 38
1235.
Instructions for Forms 1099-R and 5498
1
–
1236.
Housing Agency Retirement Trust Form #190, Request to Withdraw a Rollover Account
1
Basic 38
1237.
Paychex Retirement Services Employee Rollover Form
1
–
1238.
Rollover Form - 280
1
Basic 35
1239.
The Housing Agency Retirement Trust 457(b) Deferred Compensation Plan Request For Distribution Form
1
–
1240.
University of Colorado 403(b) Plan – DSW Scudder Enrollment and Beneficiary Designation Form
1
–
1241.
Form #170, Voluntary Account Withdrawal Request Form
1
Basic 39
1242.
AeroVironment Profit Sharing and Salary Deferral 401(k) Plan In-Service Withdrawal Form
1
–
1243.
Excess Withdrawal Request and Form W-4R, Withholding Certificate for Nonperiodic Payments and Eligible Rollover Distributions
1
–
1244.
ADP Retirement Services: Your retirement account and the C.A.R.E.S. Act
1
–
1245.
ADP IMPORTANT INFORMATION: Your retirement account and the C.A.R.E.S. Act
1
–
1246.
Housing Agency Retirement Trust Transfer/Rollover Form
1
Basic 45
1247.
Special Tax Notice Regarding Rollovers
1
Simple 9
1248.
Employee’s Frequently Asked Questions: Leave of Absence
1
–
1249.
ADP Leave Management Application for Leave of Absence
1
–
1250.
Merakey Personal Leave of Absence Request Form
1
–
1251.
Qualified Retirement Plan and Trust Summary Plan Description
1
–
1252.
Sodexo Leave of Absence Request Packet
1
–
1253.
Earnings and Deductions Quick Reference
1
–
1254.
Client Account Agreement and Authorization to Debit/Credit
1
Moderate 59
1255.
Employee Direct Deposit Banking Authorization Form (RUN Powered by ADP®)
1
Basic 33
1256.
Schedule R (Form 5500), Retirement Plan Information
1
Moderate 59
1257.
ADP Year-End Seminar Handout Manual
1
–
1258.
Form I-9, Employment Eligibility Verification
1
–
1259.
Merrill Direct Rollover Delivery Instructions for Individuals
1
–
1260.
ADP 401(k) Plan Beneficiary Designation Form
1
–
1261.
ADP Retirement Services Beneficiary Designation Form
1
–
1262.
Beneficiary Designation Form (205)
1
Simple 23
1263.
The Housing Agency Retirement Trust 457b Deferred Compensation Plan Change of Beneficiary Designation Form
1
Moderate 56
1264.
ADP Retirement Services Beneficiary Designation Form
1
–
1265.
TIAA Brokerage Incoming Account Transfer Form
1
–
1266.
Transfer Initiation Form (TIF)
1
–
1267.
Easy Transfer Form: Moving Funds to an Employer-Sponsored Retirement Plan at TIAA
1
–
1268.
TIAA IRA Transfer or Rollover Authorization
1
–
1269.
TIAA Trust, N.A. Private Asset Management, Request for a Direct Transfer From IRA Contracts
1
–
1270.
Form F10462, Moving Funds to an Employer-Sponsored Retirement Plan at TIAA
1
–
1271.
TIAA-CREF Transfer or Rollover Authorization
1
–
1272.
TIAA Brokerage Joint Transfer on Death Account Agreement
1
–
1273.
Moving Funds to an Employer-Sponsored Retirement Plan at TIAA
1
–
1274.
TIAA Trust Rollover From Your Retirement Plan (ERISA)
1
–
1275.
Form F11260, TIAA IRA 60-Day Rollover Request
1
–
1276.
TIAA-CREF Funds IRA 60-Day Rollover Request (Retail Class Only)
1
–
1277.
Form F10794, Cash Withdrawal or Rollover Transfer Payout Annuity for Private Employer Plans
1
–
1278.
Form F10983, Request For A Direct Transfer
1
–
1279.
TIAA-CREF Rollover from your Retirement Investments
1
Moderate 59
1280.
TIAA Brokerage IRA Distribution Request (Form F11025)
1
–
1281.
TIAA-CREF Funds IRA Distribution Form (Retail Class Only)
1
–
1282.
Request for Recurring Required Minimum Distributions From Your Retirement Investments (Non-ERISA)
1
–
1283.
Request for a Qualified Charitable Distribution (QCD) from a Brokerage Individual Retirement Account (IRA)
1
–
1284.
Request for Distribution from Your 457(b) Governmental Plan
1
–
1285.
Request for qualified charitable distribution from individual retirement account
1
–
1286.
Form F11645, Public Safety Officer Distribution Request
1
–
1287.
Form F11489, Request for Recurring Required Minimum Distributions From Your Retirement Investments
1
–
1288.
Request for a Charitable Distribution from an Individual Retirement Account (IRA)
1
–
1289.
Form F11323, Cash Withdrawal From Your Retirement Investments
1
–
1290.
TIAA Form F11270, Request for Hardship Withdrawal
1
–
1291.
Form F11610, Cash Withdrawal from your Retirement Investments for Plans Not Subject to QJSA
1
–
1292.
Form F10110, Cash Withdrawal From Your Keogh Plans
1
–
1293.
State of New Jersey Alternate Benefit Program Withdrawal Request Acknowledgement Receipt
1
–
1294.
Request for Hardship Withdrawal
1
–
1295.
John Hancock Independent Care Provider Service Reimbursement
2
Complex 70
LTCC-IC P S B examples
LTCC-IC P S B instructions
1296.
Form 21, Residential Purchase and Sale Agreement
13
Complex 73
1297.
Form 1040-X, Amended U.S. Individual Income Tax Return
18
Very Complex 87
1298.
Form N461: Claim for judicial review
17
Moderate 62
1299.
SOL·LICITUD DE PARTICIPACIÓ AL MERCAT ARTESANAL DE LA FIRA ANDRATX (Application to Participate in the Andratx Fair Artisan Market)
2
Moderate 46
1300.
Döhle Marine Services Europe Ltd Seafarer Application
2
Very Complex 81
1301.
Brighton Police Department Police Officer Employment Application
28
Complex 75
1302.
VA Form 21-0781, Statement in Support of Claimed Mental Health Disorder(s) Due to an In-Service Traumatic Event(s)
5
Complex 65
1303.
Biopsychosocial Assessment and ABA Treatment Plan
15
Very Complex 83
1304.
Georgia Department of Revenue Form T-7, Bill of Sale
1
Moderate 57
1305.
KC Water Industrial User Wastewater Discharge Permit Application
11
Complex 70
1306.
Credit by Documented Learning Form
1
Moderate 57
1307.
Application for Prior Learning Assessment
1
Moderate 54
1308.
Domanda di visto Nazionale (D), National Visa Application (D)
4
Complex 72
1309.
Form REG 343, Application for Title or Registration
2
Complex 76
1310.
Diocese of Raleigh Information For Automated Marriage Forms and Application for Dispensations/Permissions
4
Moderate 62
1311.
Form 204B, Statement of Self-Employment Income
2
Complex 72
1312.
ICPC 100B, Interstate Compact on the Placement of Children Report on Child’s Placement Status
1
Complex 66
1313.
Application for Visit Visa (Sri Lanka)
5
Complex 67
1314.
Form OL 75, Auto Broker Log
1
Moderate 61
1315.
Form 911, Request for Taxpayer Advocate Service Assistance (And Application for Taxpayer Assistance Order)
4
Moderate 48
1316.
Form SC ISP-1300, Canada Pension Plan Survivor's Pension and Surviving Child's Benefit Application
15
Complex 76
1317.
R+V Krankenversicherung AG Antrag Krankenversicherung und Pflegepflichtversicherung
15
Complex 74
1318.
Argonaut Insurance Company, AEIG Instructors and Trainers Liability Application
4
Complex 72
1319.
Form PTO/AIA/14, Application Data Sheet (ADS)
7
Complex 65
1320.
Central Registry Reporting Form
1
Basic 38
1321.
Colorado OBH Critical Incident Report
1
Basic 33
1322.
Form SC ISP-1300, Application for CPP Survivor's Pension and Surviving Child's Benefit
15
Complex 73
1323.
Form TC-40, Utah Individual Income Tax Return
7
Complex 73
1324.
Agreement of Financial Responsibility - Medicaid
1
Basic 32
1325.
Utah Department of Health Provider Agreement for Medicaid
8
Basic 43
1326.
2026 High School Senior Scholarship Application Form
3
Basic 33
1327.
Utah Medicaid Doula Provider Attestation
3
Moderate 51
1328.
State of Connecticut Form R-229, Application for a Non-Commercial Learner Permit and/or Driver License
1
Basic 44
1329.
Colorado Form DR 0026, Tax Statement for Leased Motor Vehicle
1
Moderate 52
1330.
Form DR 0024, Standard Sales Tax Receipt for Vehicle Sales
1
Moderate 56
1331.
Form DR 2020SP, Exception Processing Application
1
Basic 38
1332.
Form 40-5122, Travel License / Identification Application
1
Moderate 51
1333.
Form D1, Driver License, Permit or Identification Card Transaction Application
2
Moderate 50
1334.
Application for Renewal or Duplicate of Alabama Driver License or ID card
2
Basic 43
1335.
Radiology Prior Authorization Request Form
2
Basic 40
1336.
Prior Authorization Request Form for Prescription Drugs
1
Moderate 48
1337.
Blue Shield of California Prior Authorization Request Form
3
Moderate 56
1338.
Blue Shield of California Urgent Request for Prior Authorization
1
Basic 44
1339.
Molina Healthcare Prior Authorization Request Form
2
Complex 67
1340.
Kaiser Permanente Washington Request for Authorization
2
Basic 39
1341.
Uniform Pharmacy Prior Authorization Request Form
2
Moderate 48
1342.
Cigna Prior Authorization Form
2
Basic 45
1343.
UnitedHealthcare Prior Authorization Request Form
1
Complex 63
1344.
Optum Rx / UnitedHealthcare Prior Authorization Request Form
1
Moderate 55
1345.
Express Scripts Prior Authorization Form - General Request Form
1
Basic 39
1346.
Form HFS 3082, Drug Prior Authorization Request Form
1
Moderate 47
1347.
Cigna Out-of-Network Referral Disclosure Form
2
Basic 34
1348.
TIAA Brokerage Authorization To Gift Securities
1
–
1349.
Application for Special Leave of Absence without Pay
1
–
1350.
TOMORROW'S SCHOLAR® Account Maintenance Form
1
Moderate 50
1351.
Notice of Transfer Forms Packet
1
–
1352.
Form F10352, Authorization to Access TIAA Accounts
1
–
1353.
Form F11014, TIAA Brokerage Power of Attorney (POA) Form
1
–
1354.
TIAA Trust, N.A. Authorization to receive client account information
1
–
1355.
TIAA Brokerage Durable Power Of Attorney Affidavit Of Full Force And Effect
1
–
1356.
TIAA 1035 Exchange Authorization to Alternate Investment Company Transfer Payout Annuity for ATRA
1
–
1357.
Form F6776, Authorization of Interest-Only Payments (ERISA)
1
–
1358.
Form F11182, Direct Deposit Authorization
1
–
1359.
TIAA Brokerage Incoming Managed Account Transfer Form (F11319)
1
–
1360.
TIAA Beneficiary Designation Form
1
–
1361.
TIAA Life Insurance Beneficiary Designation Form
1
–
1362.
TIAA-CREF Funds Beneficiary Designation Form (Retail Class Only)
1
–
1363.
Beneficiary Designation Form for Plans Subject to QJSA (Form F11607)
1
–
1364.
Form F11015, TIAA Brokerage Designation of Beneficiary
1
–
1365.
Form F1387, Designating Beneficiaries for Your TIAA-CREF Accounts
1
–
1366.
TIAA Non-Qualified Annuity Beneficiary Designation Form
1
–
1367.
TIAA Trust, N.A. IRA Beneficiary Designation
1
–
1368.
Health Savings Account (HSA) Transfer Request
1
Basic 33
1369.
Inherited IRA Transfer of Assets/ Direct Rollover Form
1
Basic 40
1370.
Form A - 403(b) Participant's Request For Distribution
1
Moderate 61
1371.
Voya Investment Management Traditional, Roth, Rollover, and SEP Individual Retirement Account (IRA) Application and Adoption Agreement
1
Complex 69
1372.
Individual Retirement Account (IRA) Distribution Request Form
1
Moderate 46
1373.
SIMPLE Individual Retirement Account (IRA) Distribution Request Form
1
Moderate 47
1374.
ABA Retirement Funds Program Distribution Request Form
1
Moderate 58
1375.
Voya Form 83516, Withdrawal Request 401 Corporate ERISA
1
Moderate 59
1376.
Tomorrow's Scholar® Withdrawal Request Form
1
Basic 45
1377.
United Kingdom (UK) State Pension claim form
14
Complex 76
1378.
Form SOC 295, Application for In-Home Supportive Services
8
Moderate 60
1379.
VA Form 28-10286, Request for Retroactive Induction for a Period Previously Completed Under Chapter 33
1
–
1380.
Cigna Medication Prior Authorization Form
2
Moderate 51
1381.
2026–27 FAFSA® Form, Free Application for Federal Student Aid
20
Complex 71
1382.
Form POS-040, Proof of Service—Civil
3
Moderate 48
1383.
John Hancock Independent Care Provider Service Reimbursement
2
Complex 66
1384.
Form T101, Statement of Resource Expenses
4
Complex 68
1385.
Retrospective Review Request Form
1
Basic 44
1386.
Retrospective Review Authorization Form
1
Basic 39
1387.
Provider Pre-Service Organization Determination Request Form
1
Moderate 59
1388.
Form SSA-3379-BK, Function Report - Child Age 12 to 18th Birthday
11
Moderate 58
1389.
Texas Standard Prior Authorization Request Form for Prescription Drug Benefits
3
Complex 65
1390.
Texas Standard Prior Authorization Request Form for Health Care Services
2
Moderate 60
1391.
DWC002, Employer’s report for reimbursement of voluntary payment
2
Basic 39
1392.
DWC001S, Employer’s first report of injury or illness
2
Moderate 58
1393.
DWC Form-001, Employer’s first report of injury or illness
2
Moderate 59
1394.
Habitational Risks Supplement Application Form
7
Complex 74
1395.
Form SSA-1694, Entity Registration and Taxpayer Information
3
Basic 35
1396.
Form SSA-769, Request for Change in Time/Place of Disability Hearing
2
Basic 40
1397.
Blue Shield of California Network Participation Letter of Intent
2
Moderate 62
1398.
Ameritas Dental Network Application (Form AM 202)
4
Complex 76
1399.
Standard Health Insurance Claim Form - Part B
8
Complex 77
1400.
Mid America Pet Food Settlement Claim Form, Filardi v. Mid-America Pet Food, LLC, Case No. 23-cv-11170-NSR
6
Moderate 60
1401.
Universidad Nacional de Asunción FACSO Curriculum Vitae Normalizado
5
Very Complex 86
1402.
Provider Group/Facility Application (RA-02)
1
Moderate 59
1403.
Radiological Services Request (RSR)
2
Basic 44
1404.
Form GR-68831, Precertification Information Request Form
8
Moderate 57
1405.
Precertification request form: Advanced Radiology and Cardiology Services
1
Basic 37
1406.
Outpatient Imaging Prior Authorization Request Form
1
Moderate 51
1407.
Advanced Imaging Prior Authorization Request Form
1
Moderate 52
1408.
Massachusetts Collaborative — CT/CTA/MRI/MRA Prior Authorization Form
2
Complex 64
1409.
Kaiser Permanente Authorization for Use or Disclosure of Patient Health Information
1
Basic 41
1410.
Wellpoint Florida Retrospective Review Request Form
1
Basic 38
1411.
California HIPAA Authorization Form, Authorization for the Release of Protected Health Information
4
Moderate 48
1412.
Indiana Health Coverage Programs Prior Authorization Request Form
2
Moderate 58
1413.
UCLA Form #30910, Authorization for Release of Health Information
4
Moderate 47
1414.
Form DE 4, Employee’s Withholding Allowance Certificate
4
Moderate 46
1415.
ETA Form 9061, Work Opportunity Tax Credit Individual Characteristics Form (ICF)
4
Basic 45
1416.
Form 8850, Pre-Screening Notice and Certification Request for the Work Opportunity Credit
2
Basic 36
1417.
Application for Specific Project Insurance Coverage
5
Moderate 54
1418.
The E-Verify Memorandum of Understanding for Employers
13
Moderate 55
1419.
Form N463, Judicial Review Application for urgent consideration
8
Moderate 50
1420.
Solicitud de visado Schengen, Schengen Visa Application Form
4
Moderate 54
1421.
Form 2-01, Application for a licence to provide betting and/or online casino
10
Complex 77
1422.
AO 440, Summons in a Civil Action
2
Basic 45
1423.
California Participating Practitioner Application
15
Very Complex 85
1424.
California Participating Physician Application
10
Very Complex 85
1425.
Reklamačný Protokol - Servis na mobil s.r.o.
1
Simple 10
1426.
Petition for Letters of Administration (New York Surrogate's Court)
4
Moderate 60
1427.
Form REG 227, Application for Replacement or Transfer of Title
2
Complex 75
1428.
Form AI-346, Gastos Médicos Mayores Informe Médico
5
Complex 66
1429.
Maryland Department of Public Safety and Correctional Services Application for Pardon
27
Complex 70
1430.
Form OF-612, Optional Application for Federal Employment
4
Complex 69
1431.
Uniform Mitigation Verification Inspection Form
6
Complex 73
1432.
Bidder Declaration GSPD-05-105
2
Basic 44
1433.
Form F1C, Account Application Supplemental
4
Moderate 56
1434.
Form L-4260, Property Transfer Affidavit
1
Moderate 60
1435.
Texas Out-of-Hospital Do-Not-Resuscitate (OOH-DNR) Order
1
Complex 67
1436.
Wniosek o wydanie dowodu osobistego (DO/W/1)
2
Basic 41
1437.
Affidavit for Collection of Personal Property California Probate Code Section 13100
2
Basic 37
1438.
Application for Sabbatical Leave
1
Moderate 53
1439.
Professoriate Checklist for Referee Grid, Trainee Grid, and Comparison Peers
1
Simple 22
1440.
Confirmation of Teaching Evidence
1
Basic 38
1441.
AOPC 308A, Civil Complaint
1
Moderate 51
1442.
Form BWC-1141, Request for Medical Information
1
Moderate 48
1443.
VM AutoFinance Pte Ltd Auto Financing Application Form
2
Complex 66
1444.
Form 3115, Application for Change in Accounting Method
8
Complex 72
1445.
Application for Electricity (New South Wales / Victoria / South Australia / Queensland)
4
Complex 67
1446.
Contrato de Trabajo Indefinido
19
Complex 68
1447.
Contrato de Trabajo en Prácticas (Código 420), Professional Practice Employment Contract
9
Complex 65
1448.
Form W-9, Request for Taxpayer Identification Number and Certification
6
Basic 34
1449.
Form DA1, Disability Allowance Application form
24
Complex 67
1450.
Form 14, Application for Visit Pass
4
Moderate 60
1451.
Alaska Residential Real Estate Purchase Agreement
9
Complex 64
1452.
Form DOT ADM-1416, Bid/Bidder/Proposer Certification Sheet
3
Moderate 50
1453.
Form W-2, Wage and Tax Statement
11
Very Complex 82
1454.
Form OCFS-6001, Child Care Provider, Staff, Volunteer and Household Member Information
2
Complex 74
1455.
State of California Department of Transportation California Civil Rights Laws Certification
2
Simple 26
1456.
State of California Department of Transportation Darfur Contracting Act Certification, Form DOT ADM-0077
2
Basic 33
1457.
Form DOT ADM-1509, Price Quote Proposal for Unit Items
2
Basic 37
1458.
State of California Department of Transportation, Contract Requirements
2
Basic 33
1459.
State of California Department of Transportation Subcontractor List
1
Moderate 62
1460.
California Company Preference, DOT DES-OE-0102.9
1
Basic 41
1461.
State of California Department of Transportation, Certified DVBE Summary
2
Basic 35
1462.
Form DOT DES-OE-0102.14, IN-USE OFF-ROAD DIESEL-FUELED VEHICLE LIST
1
Complex 78
1463.
Form SSA-632-BK, Request for Waiver of Overpayment Recovery
10
Complex 68
1464.
Oscar Grievance and Appeal Form - Florida
4
Basic 44
1465.
VA Form 21P-8416, Medical Expense Report
10
Very Complex 83
1466.
Form SSA-820-BK, Work Activity Report - Self-Employment
10
Complex 68
1467.
FARM LIABILITY / LIMITED PROPERTY - APPLICATION
8
Very Complex 80
1468.
Form 12.995(c), Safety-Focused Parenting Plan
14
Complex 67
1469.
Memòria Tècnica d’Instal·lació de Producció/Generació d’Energia Elèctrica (per a la sol·licitud del permís d’accés i connexió i la tramitació davant la DGECC)
3
Complex 79
1470.
IAdvisor 529 Plan Certification of Authorized Individual(s)
1
Basic 33
1471.
Voya Investment Management Account Maintenance Form (Includes Substitute Form W-9)
1
–
1472.
Voya Beneficiary Designation Request Form
1
Moderate 48
1473.
403(b) Custodial Account Beneficiary Designation Change Form
1
Basic 40
1474.
Client Account Transfer Form to Merrill Lynch, Pierce, Fenner & Smith Incorporated
1
Moderate 55
1475.
Outgoing Partial Asset/Gifting Transfer Authorization Letter
1
Moderate 47
1476.
Merrill Funds Transfer Service Enrollment Form
1
Basic 30
1477.
Funds Transfer Service Enrollment Form
1
Basic 37
1478.
Merrill Inherited IRA Transfer Instruction Form
1
Complex 68
1479.
NextGen 529 Series Change Form
1
Basic 37
1480.
Client Direct Series Change of Participant Form
1
Basic 33
1481.
Standing Letter of Authorization / Instruction Enrollment Form
1
Moderate 51
1482.
Standing Letter of Authorization/Instruction Enrollment Form and Agreement
1
–
1483.
Authorization to transfer funds from a bank retirement account
1
Simple 24
1484.
NextGen 529 Client Direct Series Incoming Rollover Form
1
Basic 36
1485.
Merrill Lynch 529 College Savings Plan Withdrawal Request Form
1
Moderate 48
1486.
Merrill IRA/IRRA®/Roth IRA/SEP/SRA One Time Distribution Form
1
Moderate 62
1487.
XL America, Inc. Employee Savings Plan Rollover Contribution Form
1
Basic 34
1488.
Merrill Lynch Client Select Series Withdrawal Request Form
1
Complex 64
1489.
Distribution Request Form Local No. 1 Retirement Savings Plan #241805
1
Moderate 51
1490.
IRA/IRRA®/Roth IRA/SEP/SRA Distribution Form For Standing Letters
1
Basic 45
1491.
Merrill Lynch One-Time Non-Retirement Distribution Form
1
Basic 43
1492.
IRA/IRRA®/ROTH IRA/SEP/SRA Beneficiary Distribution Form
1
Moderate 54
1493.
Merrill Lynch One-Time Qualified Charitable Distribution
1
Basic 43
1494.
Merrill RMD Service Enrollment and Authorization Form
1
Moderate 48
1495.
Merrill IRA/IRRA®/SEP/SRA Substantially Equal Periodic Payment (72(t)) Distribution Form
1
Moderate 47
1496.
Action Required Letter of Authorization - Merrill Lynch
1
Basic 30
1497.
Merrill Lynch Account upgrade Letter of Authorization
1
Simple 15
1498.
Merrill Letter of authorization — Read Only and Trading or Ownership
1
Simple 25
1499.
Relinquishment of control over assets to minor form
1
Simple 25
1500.
Letter of Authorization to Change Account Title to a Grantor Revocable Trust
1
Basic 30
1501.
Transfer on Death Letter of Authorization
1
Simple 28
1502.
Merrill Lynch Information Change/Update Form
1
Basic 31
1503.
Merrill Lynch Account downgrade Letter of Authorization
1
Simple 17
1504.
Address Verification Letter of Authorization
1
Basic 34
1505.
Letter of Authorization for Name Mismatch
1
Simple 21
1506.
IRA/IRRA®/Roth IRA/SEP/SRA Divorce Transfer Instruction Form
1
Basic 33
1507.
Merrill Lynch IRA/IRRA® to Roth IRA Conversion Form
1
Basic 39
1508.
Merrill Beneficiary Designation Form
1
Complex 66
1509.
Beneficiary Designation Form - Merrill Lynch
1
Moderate 54
1510.
Pershing LLC Account Transfer Form
1
Moderate 51
1511.
529 Plan Account Transfer Form
1
Basic 34
1512.
ACH and Electronic Funds Transfer Instructions and Agreement
1
Basic 44
1513.
Individual Transfer on Death Account Agreement
1
Moderate 59
1514.
Disposal of Security with Insignificant Value
1
–
1515.
Securities Transfer Request and Notification Form
1
Simple 28
1516.
IRA/ESA Distribution Request
1
Moderate 59
1517.
IRA/ESA Distribution Request
1
–
1518.
Beneficiary Distribution Request
1
Basic 44
1519.
IRA Distribution Request
1
–
1520.
Qualified Retirement Plan and 403(b)(7) Custodial Account Distribution Request Form
1
Moderate 59
1521.
ACH Authorization Agreement (FRM-ACH-02-20)
1
–
1522.
Bolton Global Capital Journal Request (Form AS0020)
1
–
1523.
Pershing Advisor Solutions LLC ACH Authorization Agreement
1
–
1524.
ACH Authorization Agreement
1
Basic 38
1525.
IRA/ESA Distribution Request
1
Complex 63
1526.
U.S. Bancorp Investments Account Transfer Form
1
Moderate 59
1527.
Designation of Customized Beneficiary
1
Complex 65
1528.
Pershing LLC IRA Designation of Beneficiary
1
Moderate 61
1529.
Designation of Customized Beneficiary
1
–
1530.
Form F11004, TIAA Brokerage Individual Transfer on Death Account Agreement
1
–
1531.
Qualified Retirement Plan Designation of Beneficiary
1
Moderate 47
1532.
Individual Transfer on Death Account Agreement
1
Moderate 57
1533.
RL360 Asset Transfer Form
1
–
1534.
Thrivent Funds Transfer of Assets, Form MF11502
1
Moderate 50
1535.
FS Form 5511, TreasuryDirect® Transfer Request
1
Moderate 47
1536.
REQUEST FOR OWNERSHIP INFORMATION—ERM-14 FORM
1
–
1537.
Minnesota Standard Consent Form to Release Health Information
1
Basic 41
1538.
Form 735-501, Vehicle Bill of Sale
1
Simple 27
1539.
Form CMS-588, Electronic Funds Transfer (EFT) Authorization Agreement
1
Basic 39
1540.
BlackRock IRA Rollover Certification Form
1
Basic 29
1541.
Form 5498, IRA Contribution Information
4
–
1542.
Inherited IRA Transfer of Assets/Direct Rollover
1
Basic 45
1543.
Form W-2, Wage and Tax Statement
11
–
1544.
Distribution Request Form
1
–
1545.
RL360 Withdrawal Request
1
–
1546.
Friedman, Framme & Thrush, P.A. General Authorization Letter and Request for Letter or Telephone Call
1
Basic 39
1547.
Letter of Authorization - County of Kauai Department of Finance, Division of Motor Vehicles & Licensing
1
Basic 34
1548.
Leave of Absence Request Form - ESI PEO
1
Basic 33
1549.
OPM Form 71, Request for Leave or Approved Absence
1
Moderate 51
1550.
Electronic Funds Transfer (EFT) Form
1
Basic 30
1551.
Navy Federal Voluntary Removal of Joint Owner Request
1
Moderate 58
1552.
DCMA Guidebook for Government Contract Property Administration
1
–
1553.
New York State Comptroller Form RS 5127, Designation of Beneficiary with Contingent Beneficiaries
1
–
1554.
Change of Beneficiary Form
1
–
1555.
Beneficiary Designation Form, F11468
1
–
1556.
Custodial Account – Transfer of Ownership Form
1
Basic 30
1557.
Computershare Alternative Investment Product Transfer Request
1
Complex 65
1558.
Manning & Napier Fund, Inc. UGMA/UTMA Successor Custodian Designation Form
1
Basic 31
1559.
Form 1099-R, Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc.
9
–
1560.
403(b) Distribution Form - Davis Funds
1
Moderate 52
1561.
Individual Retirement Account (IRA) — Qualified Charitable Distribution Form
1
Basic 41
1562.
St. Jude Children’s Research Hospital IRA Sample Letter of Instruction
1
–
1563.
ACORD 36, Agent/Broker of Record Change
1
Moderate 60
1564.
FS Form 5179, Legacy Treasury Direct Security Transfer Request
1
Moderate 46
1565.
TD Ameritrade Institutional Account Transfer Form
1
Moderate 52
1566.
J.P. Morgan Securities LLC Account Transfer Request
1
Complex 64
1567.
New Fidelity Account Application — SIMPLE IRA
1
Moderate 51
1568.
Fidelity Advisor IRA Application for Automatic Rollover Accounts
1
Complex 69
1569.
New Fidelity Account — Retirement Plan Account
1
Moderate 55
1570.
New Fidelity Account® — SIMPLE IRA
1
–
1571.
Fidelity Advisor IRA Application for Automatic Rollover Accounts
1
–
1572.
New Fidelity Account® — SIMPLE IRA
1
–
1573.
Fidelity Advisor Investment-Only Retirement Plan Master Application
1
Complex 65
1574.
New Fidelity Account® — Trust — Brokerage
1
Complex 65
1575.
Fidelity Advisor Entity New Account Application
1
Complex 64
1576.
Fidelity Mutual Fund Account Application
1
Moderate 62
1577.
Fidelity® Brokerage Business Account Certification
1
Moderate 57
1578.
Options Application - Fidelity Investments
1
Moderate 56
1579.
Fidelity Institutional CHET Advisor 529 Plan New Account Application
1
Complex 65
1580.
Fidelity Investments Account Application/Enrollment Form and Beneficiary Designation
1
Moderate 53
1581.
Fidelity Advisor Entity New Account Application
1
–
1582.
Organizational Giving Account® Application
1
Complex 63
1583.
Fidelity Investments Householding Form
1
Basic 33
1584.
Fidelity Certification of Trust
1
Simple 28
1585.
Fidelity Trustee Certification — Adding or Removing Trustees
1
Moderate 58
1586.
Fidelity Investments 403(b) Custodial Account Application
1
Moderate 48
1587.
Fidelity Roth Individual Retirement Account Custodial Agreement and Disclosure Statement
1
–
1588.
Fidelity Roth IRA Conversion Form
1
Basic 39
1589.
New Fidelity Account® — Inherited IRA for a Non-Spouse Individual
1
Moderate 57
1590.
Fidelity Charitable Investment Advisor Program Application
1
Complex 64
1591.
Charles Schwab IRA Account Application
1
Complex 68
1592.
Schwab One® Account Application for Incorporated Organizations
1
–
1593.
Schwab One® Account Application for Personal Accounts
1
–
1594.
Update Your Schwab or Schwab One® Account
1
Moderate 61
1595.
Charles Schwab IRA Account Application
1
–
1596.
Form IIGAREG, Institutional Account Registration Form
1
Complex 63
1597.
Vanguard Account Opening Form for Individual Investors
1
Complex 66
1598.
Vanguard Wholesale Funds - Application Form – Associations
1
Complex 64
1599.
Vanguard Charitable Open a Philanthropic Account
1
Complex 64
1600.
Account Opening Form for Professional Clients (Institutions, Companies, Intermediaries and Eligible Counterparties)
1
Complex 63
1601.
Vanguard Wholesale Funds - Application Form – Companies
1
Complex 63
1602.
Vanguard Wholesale Funds – Application Form – Trusts
1
Complex 65
1603.
Form 529TCF, The Vanguard 529 College Savings Plan, Trustee Certification
1
Moderate 46
1604.
Legal Entity Beneficial Ownership/Trust Certification Form
1
Moderate 58
1605.
Regulated Trusts – Change of trustee form
1
Moderate 61
1606.
Vanguard Personal Investor – Unregulated Trust details – Account information update
1
Complex 64
1607.
Merrill Edge® Self-Directed SIMPLE IRA Retirement Account Application
1
Complex 64
1608.
Merrill Edge® Self-Directed SIMPLE IRA Retirement Account Application
1
–
1609.
Merrill Edge® Self-Directed BASIC™ Retirement Account Application
1
Complex 67
1610.
Merrill Edge Self-Directed SIMPLE IRA Plan/Account Establishment Checklists
1
Simple 10
1611.
Merrill Edge® Self-Directed Retirement Cash Management Account (RCMA Account) Account Application Booklet and Agreements
1
Complex 66
1612.
SIMPLE Retirement Account (SRA) Program Employer Notice and Salary-Reduction Agreement
1
Basic 38
1613.
IRA/IRRA®/Roth IRA/SEP/SRA Beneficiary Distribution Form
1
–
1614.
Merrill Edge® Self‑Directed Business Investor Account (BIA Account) Account Application Booklet and Agreements
1
Complex 69
1615.
Merrill Lynch Option Account Application and Agreement
1
Basic 44
1616.
AwardChoice Limited Individual Investor Account Form
1
Moderate 48
1617.
Merrill Business Investor Account (BIA) and Working Capital Management Account (WCMA) Account Application Booklet and Agreements
1
–
1618.
Merrill Lynch Margin Account Application and Agreement
1
Basic 43
1619.
Option Information — Corporate and Institutional Accounts; Sole Proprietorship Accounts; Merrill Lynch Trust Accounts
1
Moderate 56
1620.
Merrill Edge Self-Directed Trust and Estate Cash Management Account (CMA Account) Account Application Booklet and Agreements
1
Complex 66
1621.
Merrill AwardChoice® Individual Investor Account Application Form for U.S. Persons
1
–
1622.
Merrill Edge® Self-Directed Trust Cash Management Account® (CMA® Account) Account Application Booklet and Agreements
1
Complex 70
1623.
Option Information — Individual, Joint and Trust Accounts
1
Moderate 56
1624.
Account Application for Merrill West Virginia Residents - The Hartford SMART529
1
–
1625.
Joint Account Agreement - Merrill Lynch
1
Simple 20
1626.
Merrill Edge® Self-Directed (CMA) Additional Account Owner Booklet and Agreement (Form 00-66-0610NSB)
1
Complex 64
1627.
Merrill Lynch Client Relationship Agreement and Summary (Form CRS)
1
Complex 69
1628.
MyMerrill® Client Order Entry Enrollment Form
1
Simple 23
1629.
New Account Agreement
1
Complex 69
1630.
New Account Agreement - Trading Direct
1
Moderate 56
1631.
Pershing NetXInvestor Online Account Set-Up Form
1
Simple 28
1632.
First Republic Securities Company, LLC Entity Account Application (FRSC 778 E 7/19)
1
Complex 63
1633.
529 Plan Account Application
1
Moderate 48
1634.
Corestone® Electronic Only Account Application
1
Basic 40
1635.
Brokerage Corestone Account Application
1
Basic 35
1636.
Inherited IRA Application
1
Complex 69
1637.
New Account Agreement
1
–
1638.
Application form for Trust investment
1
Moderate 60
1639.
Fidelity Institutional 529 College Savings Plan Beneficiary Change
1
Basic 40
1640.
529 College Savings Plan Beneficiary Change Form
1
–
1641.
American Fidelity Change of Beneficiary Form
1
–
1642.
Fidelity Investments Beneficiaries — Term Life Insurance
1
–
1643.
Fidelity Beneficiaries – Annuities
1
Basic 40
1644.
Fidelity Advisor 403(b) Beneficiary Distribution Request
1
–
1645.
Designated Beneficiary Plan Agreement
1
–
1646.
Designated Beneficiary Plan Agreement
1
–
1647.
Vanguard Super Nominate or cancel a beneficiary
1
Moderate 60
1648.
Bright Directions 529 Beneficiary Change Form
1
Moderate 47
1649.
CollegeAdvantage Direct 529 Savings Plan Beneficiary Change Form
1
Moderate 52
1650.
Nest 529 Beneficiary Change Form
1
Basic 40
1651.
TIAA-CREF Form F1387, Designating Your Beneficiaries
1
–
1652.
TIAA-CREF Form F1387, Designation of Beneficiary
1
–
1653.
TIAA Beneficiary Designation Form (F11468)
1
–
1654.
Distribution — RMD Annual One-Time Payment
1
Basic 40
1655.
Fidelity Automatic Withdrawals — RMD/Life Expectancy
1
Moderate 47
1656.
Fidelity Advisor IRA Minimum Required Distribution
1
Moderate 49
1657.
Lincoln Financial Group Requesting a distribution
1
Moderate 57
1658.
Request for Required Minimum Distribution (RMD) - IRA Owner/Plan Participant
1
Basic 36
1659.
Automatic Withdrawals — Inherited IRA - Fidelity Investments
1
Moderate 55
1660.
Fidelity & Guaranty Life Required Minimum Distribution (RMD) Form for IRA Owner/Plan Participant
1
Basic 36
1661.
IRA Periodic Distribution Request Form
1
Moderate 60
1662.
Charles Schwab IRA Distribution Form (APP12179-23)
1
–
1663.
Charles Schwab IRA Account Application
1
–
1664.
Form W-4P (2026), Withholding Certificate for Periodic Pension or Annuity Payments
1
Basic 41
1665.
Form F11489, Request for Recurring Required Minimum Distributions From Your Retirement Investments
1
–
1666.
Form F7381, Authorization of Interest-Only Payments (Non ERISA)
1
–
1667.
Form ORP-RMD-1, State University System Optional Retirement Program (SUSORP) Application for a Required Minimum Distribution
1
–
1668.
Fidelity Advisor IRA Roth Conversion
1
Moderate 49
1669.
Conversion Request Form – Traditional IRA to Roth IRA
1
Basic 31
1670.
Form 8606, Nondeductible IRAs
2
Basic 45
1671.
Premiere Select Roth IRA Conversion
1
Complex 71
1672.
Premiere Select Roth IRA Conversion
1
Basic 39
1673.
IRA Account Application
1
–
1674.
Merrill Lynch IRA Contribution Recharacterization Election Form
1
Basic 35
1675.
NextGen 529 Client Direct Series Withdrawal Request Form
1
Moderate 49
1676.
ONTARIO Form 8: Application (General)
6
Moderate 57
1677.
Form 8606, Nondeductible IRAs
2
–
1678.
City of Manchester Application for Plan Review and Building Permit
2
Complex 70
1679.
National Fire & Marine Insurance Company Physicians Professional Liability Application
10
Very Complex 95
1680.
Form A, Claim Form, European Small Claims Procedure
9
Complex 66
1681.
Consumer Complaint Form - Office of the Arizona Attorney General
2
Moderate 50
1682.
Memorandum of Contract
2
Basic 43
1683.
Mileage Reimbursement Request for FMS
1
Complex 73
1684.
Form SSA-821-BK, Work Activity Report - Employee
12
Complex 66
1685.
Form MV-82TON, Application for Title
2
Complex 75
1686.
NCR Form 29, Complaint Initiation Form
3
Moderate 54
1687.
Minimum Wage Ordinance (MWO) Complaint Intake Form
3
Complex 75
1688.
Debtor’s(s’) Chapter 13 Plan (Containing a Motion for Valuation)
14
Complex 64
1689.
Bakery and Confectionery Pension Fund Pension Application
4
Complex 65
1690.
ACORD 147 (2001/02), Installation/Builders Risk Section
2
Complex 76
1691.
Form VR-005, Application for Certificate of Title
1
Complex 68
1692.
Identificación Estado Sanitario Poblacional, Anexo II, Res. 83/2007 (Superintendencia de Servicios de Salud)
1
Complex 74
1693.
Form TC201, Income and Expense Schedule for Rent Producing Properties
6
Very Complex 80
1694.
Form 2848, Power of Attorney and Declaration of Representative
2
–
1695.
Investor Application and Subscription Agreement for The Wyoming Reserve Opportunity Zone Fund Corporation
1
Moderate 62
1696.
Pomona Investment Fund Investor Initial Application (Class A & Class I Shares)
1
Complex 63
1697.
BlackRock Private Investments Fund Subscription Agreement and Application
1
Complex 65
1698.
Alpine SPRIM™ Private Markets Fund Subscription Agreement and Power of Attorney
1
Moderate 61
1699.
Alpine Spring Private Venture & Growth Fund Subscription Agreement and Power of Attorney
1
Moderate 61
1700.
PruLife Private Placement VUL and Private Placement Variable Annuity Purchaser Questionnaire and Agreement
1
Moderate 57
1701.
Macquarie Asset Management AML/KYC Form
1
Moderate 61
1702.
Vanguard Wholesale Funds – Know Your Customer (KYC) Refresh Form – Company
1
Complex 65
1703.
IsDB Group AML & KYC Questionnaire (Financial Institutions)
1
Moderate 54
1704.
AML/CTF Investor Identification Information Form
1
–
1705.
Vanguard Wholesale Funds – Know Your Customer (KYC) Refresh Form – Trusts
1
Complex 65
1706.
COMPLIANCE & AML DUE DILIGENCE FORM - CDP
1
Moderate 62
1707.
Template 1-1, Beneficial Ownership Declaration (PIC)
1
Basic 34
1708.
Compliance & AML Due Diligence Form
1
–
1709.
Know Your Client - Foreign Company
1
–
1710.
IRA-5054 Private Equity Investment Authorization
1
–
1711.
The Entrust Group - Private Equity Buy Direction Letter
1
Basic 43
1712.
Form AOB-03, Private Equity Investment Authorization
1
–
1713.
The Entrust Group Private Equity Buy Direction Letter
1
–
1714.
Application Form: Legal Entities | Qualified Investor Hedge Fund
1
Moderate 62
1715.
Application Form: JPMorgan Liquidity Funds
1
Complex 63
1716.
CUR8 CAPITAL INVESTMENT & PLATFORM AGREEMENT
1
–
1717.
WestPark Capital Account Application and Agreement
1
Complex 74
1718.
EDAWN Investor Application
1
Moderate 52
1719.
Investor Application and Subscription Agreement for Shares of Common Stock in Oxford Park Income Fund, Inc.
1
–
1720.
FundRock Additional Subscription Form
1
Moderate 57
1721.
Triple Point Venture VCT plc | Investor Application Form
1
Complex 63
1722.
Pomona Investment Fund Investor Subsequent Application (Class A & Class I Shares)
1
Basic 41
1723.
Application Form: Individual Investor | Monthly Liquidity – Retail Hedge Fund
1
Complex 63
1724.
Additional Subscription Form - Protea Capital Management
1
–
1725.
Corporate Investor Application and Agreement - SEI
1
Complex 66
1726.
FSC Industrial 6, DST Investor Questionnaire, Including Qualification Certifications and Privacy Notice
1
Complex 65
1727.
Investment Funds Distributor Due Diligence Questionnaire
1
–
1728.
IsDB Group AML & KYC Questionnaire (Non-Financial Institutions)
1
Moderate 50
1729.
AMP Know Your Client Individual, Joint Investors and Sole Trader
1
Moderate 50
1730.
CMS-855I, Medicare Enrollment Application for Physicians and Non-Physician Practitioners
25
Very Complex 89
CMS-855I examples
CMS-855I instructions
1731.
Form CMS-855R, Medicare Enrollment Application - Reassignment of Medicare Benefits
6
Moderate 55
CMS-855R examples
CMS-855R instructions
1732.
Form T-3, Children with Special Health Care Needs (CSHCN) Services Program Application
9
Complex 74
T-3 examples
T-3 instructions
1733.
Fundrock Qualified Investor Hedge Fund - Application Form for Individual Investor
1
Complex 64
1734.
Fundrock Application Form: Individual Investor | Qualified Investor Hedge Fund
1
Complex 64
1735.
Huntington Beach Chamber of Commerce New Investor Packet and Application
1
Moderate 47
1736.
Congressional Record - Proceedings and Debates of the Sixty-sixth Congress, First Session
1
–
1737.
Application Form: Individual Investor | Qualified Investor Hedge Fund
1
–
1738.
Hedge Fund Portfolios Additional Investment Form
1
Moderate 51
1739.
Protea International Hedge Fund Subscription Form (Individual)
1
Moderate 57
1740.
Fundrock Application Form: Individual Investor | Monthly Liquidity – Qualified Investor Hedge Fund
1
Complex 63
1741.
Fundrock Application Form: Legal Entities | Monthly Liquidity – Qualified Investor Hedge Fund
1
Complex 63
1742.
Dividend and/or Capital Gain Distributions Authorization Form (G27569-13)
1
–
1743.
Fundrock Qualified Investor Hedge Fund Application Form for Individual Investors
1
–
1744.
Application Form: Legal Entities | Retail Hedge Fund - Fundrock
1
Complex 70
1745.
Fundrock Qualified Investor Hedge Fund Application Form for Individual Investors
1
–
1746.
Forms I-526/I-526E, Immigrant Petition by Standalone Investor / Regional Center Investor
1
Simple 23
1747.
Eagle Point Credit Company Inc. Convertible Preferred Stock Investor Application
1
Moderate 52
1748.
Northern Trust Institutional Investor Application
1
Moderate 51
1749.
BlackRock New Account Application For Non-Retirement Accounts
1
Moderate 60
1750.
Confidential Purchaser Questionnaire
1
Basic 43
1751.
Maryland General Assembly Capital Funding Request Form
1
–
1752.
Application Form: Individual Investor | Retail Hedge Fund
1
Complex 64
1753.
Fundrock Application Form: Legal Entities | Monthly Liquidity – Retail Hedge Fund
1
Complex 70
1754.
EDAWN Investor Application
1
–
1755.
Guinness Sustainable Infrastructure Service Application Form for Individuals
1
Moderate 54
1756.
Application Form: Individual Investor | Monthly Liquidity – Retail Hedge Fund
1
–
1757.
Application Form Franklin Templeton Investment Funds
1
–
1758.
BlackRock Fund Application Pack
1
Complex 69
1759.
New York Life Investments Funds Individual Retirement Account Application and NYLIFE Securities LLC Investor Profile
1
–
1760.
Mackenzie Northleaf Private Infrastructure Fund Subscription Agreement
1
Complex 65
1761.
Aviation Infrastructure, DST — Investor Questionnaire & Subscription Agreement
1
Very Complex 90
1762.
Mackenzie Northleaf Private Infrastructure Fund Subscription Agreement (Wire Order/Fundserv Version) [2024]
1
Complex 64
1763.
CMS-855R, Medicare Enrollment Application: Reassignment of Medicare Benefits
1
–
1764.
CMS-855R, Medicare Enrollment Application: Reassignment of Medicare Benefits
1
–
1765.
Form CMS-855O, Medicare Enrollment Application for Eligible Ordering, Certifying and Prescribing Physicians and Other Eligible Professionals
1
–
1766.
Medicare Enrollment Application for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers, CMS-855S
1
Complex 65
1767.
Form CMS-855I, Medicare Enrollment Application for Physicians and Non-Physician Practitioners
1
–
1768.
Form CMS-855I, Medicare Enrollment Application for Physicians and Non-Physician Practitioners
1
–
1769.
eMedNY Electronic Funds Transfer Authorization Form (EMEDNY-701101)
1
Basic 36
1770.
Form CMS-1561, Health Insurance Benefit Agreement (Agreement with Provider Pursuant to Section 1866 of the Social Security Act)
1
Basic 36
1771.
42 CFR Part 489 - Provider Agreements and Supplier Approval (Centers for Medicare & Medicaid Services)
1
–
1772.
Form CMS-855I, Medicare Enrollment Application for Physicians and Non-Physician Practitioners
1
–
1773.
CMS-855B, Medicare Enrollment Application for Clinics/Group Practices and Other Suppliers
1
Complex 65
1774.
Medicare Enrollment Application, Clinics/Group Practices and Certain Other Suppliers, CMS-855B
1
–
1775.
CMS-855A, Medicare Enrollment Application for Institutional Providers
1
Complex 63
1776.
Form CMS-855A, Medicare Enrollment Application for Institutional Providers
1
Complex 63
1777.
Medicare Enrollment Application for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers, Form CMS-855S
1
–
1778.
Medicare Enrollment Application - Enrollment for Eligible Ordering/Certifying Physicians and Other Eligible Professionals, Form CMS-855O
1
–
1779.
CMS-588 Electronic Funds Transfer (EFT) Authorization Agreement Checklist
1
–
1780.
Form CMS-588, Electronic Funds Transfer (EFT) Authorization Agreement for Accountable Care Organizations
1
–
1781.
Form CMS-460, Medicare Participating Physician or Supplier Agreement
1
–
1782.
Form CMS-460, Medicare Participating Physician or Supplier Agreement
1
–
1783.
Medicare Enrollment Application - Medicare Diabetes Prevention Program (MDPP) Suppliers, Form CMS-20134
1
Complex 64
1784.
Medicaid of Alaska Provider Electronic Remittance (835) Authorization and Claims Enrollment Form
1
Basic 35
1785.
Medicaid Alaska EDI Enrollment - Provider Information Submission Agreement
1
–
1786.
Arkansas Medicaid Provider Application Packet (DMS-652)
1
–
1787.
Form HFS 2243, Provider Enrollment Application Illinois Medical Assistance Program
1
Moderate 55
1788.
Addendum for Maryland Medical Assistance Program Application School Based Health Center
1
Simple 25
1789.
Medicaid of Minnesota (Administered by HealthPartners of Minnesota) EDI Trading Partner Enrollment Form
1
Simple 27
1790.
New York State Medicaid Enrollment Form (EMEDNY-436701)
1
Complex 68
1791.
New York State Medicaid Enrollment Form
1
Complex 69
1792.
Provider Enrollment Agreement (OHA 3975), Oregon Medicaid ID Application Form
1
Basic 34
1793.
Form VSA 14, Vehicle Registration Application
2
Complex 72
VSA 14 examples
VSA 14 instructions
1794.
Unidentified Document
14
Very Complex 87
N/A examples
N/A instructions
1795.
Antrag auf Mitgliedschaft als Fördermitglied im Verein zur Förderung der mittelständischen Wirtschaft e.V. (VFMW e. V.)
2
Moderate 55
AA 10/2019 examples
AA 10/2019 instructions
1796.
Bajaj Allianz Overseas Travel Insurance Claim Form
3
Very Complex 82
Overseas Travel Insurance Claim Form examples
Overseas Travel Insurance Claim Form instructions
1797.
Form CMS-855I, Medicare Enrollment Application for Physicians and Non-Physician Practitioners
25
Very Complex 87
CMS-855I examples
CMS-855I instructions
1798.
Form T-3, Children with Special Health Care Needs (CSHCN) Services Program Application
9
Complex 74
Form T-3 examples
Form T-3 instructions
1799.
Gallatin City-County Health Department Wastewater Treatment System Application
3
Complex 72
GCCHD Wastewater Application examples
GCCHD Wastewater Application instructions
1800.
Maricopa County Justice Courts, Motion to Set Aside / Vacate Judgment
2
Moderate 47
CV 8150-134 examples
CV 8150-134 instructions
1801.
Affidavit - Supporting Documents Not Attached to Eviction Complaint
1
Basic 40
E-SD 3515.2 examples
E-SD 3515.2 instructions
1802.
Illinois Eviction Complaint
2
Basic 44
E-C 3502.3 examples
E-C 3502.3 instructions
1803.
Form 433-A (OIC), Collection Information Statement for Wage Earners and Self-Employed Individuals
8
Very Complex 94
Form 433-A (OIC) examples
Form 433-A (OIC) instructions
1804.
Official Form 106J, Schedule J: Your Expenses
3
Complex 65
Official Form 106J examples
Official Form 106J instructions
1805.
Official Form 206Sum, Summary of Assets and Liabilities for Non-Individuals
1
Basic 29
Official Form 206Sum examples
Official Form 206Sum instructions
1806.
Official Form 106I, Schedule I: Your Income
2
Complex 72
Official Form 106I examples
Official Form 106I instructions
1807.
Official Form 106H, Schedule H: Your Codebtors
2
Very Complex 85
Official Form 106H examples
Official Form 106H instructions
1808.
Official Form 106G, Schedule G: Executory Contracts and Unexpired Leases
2
Very Complex 80
Official Form 106G examples
Official Form 106G instructions
1809.
Official Form 106E/F, Schedule E/F: Creditors Who Have Unsecured Claims
6
Very Complex 96
Official Form 106E/F examples
Official Form 106E/F instructions
1810.
Official Form 106D, Schedule D: Creditors Who Have Claims Secured by Property
3
Very Complex 89
Official Form 106D examples
Official Form 106D instructions
1811.
Official Form 106Dec, Declaration About an Individual Debtor's Schedules
1
–
Form 106Dec examples
Form 106Dec instructions
1812.
Official Form 206A/B, Schedule A/B: Assets — Real and Personal Property
8
Very Complex 100
Official Form 206A/B examples
Official Form 206A/B instructions
1813.
Official Form 122A-1, Chapter 7 Statement of Your Current Monthly Income
3
–
Form 122A-1 examples
Form 122A-1 instructions
1814.
Selbstauskunft für Unternehmen und Organisationen U.S. Foreign Account Tax Compliance Act (FATCA) und Common Reporting Standard (CRS) der OECD
8
Complex 76
CRS/US FATCA – 01/2018 examples
CRS/US FATCA – 01/2018 instructions
1815.
Healthcare Professional Credentialing Application
20
Very Complex 100
Credentialing Application examples
Credentialing Application instructions
1816.
Form DEP 4015, Application for Construction Permit, Onsite Sewage Treatment and Disposal System (OSTDS)
7
Very Complex 80
DEP 4015 examples
DEP 4015 instructions
1817.
Farm and Ranch Owners Application
8
Very Complex 83
Berkley Southwest Farm and Ranch Application examples
Berkley Southwest Farm and Ranch Application instructions
1818.
ACORD 25, Certificate of Liability Insurance
1
Complex 68
ACORD 25 examples
ACORD 25 instructions
1819.
Circuit Court of Cook County, Illinois, Form CCM 0346, Order/Trial Call
1
Complex 64
CCM 0346 examples
CCM 0346 instructions
1820.
California Schedule K-1 (565), Partner's Share of Income, Deductions, Credits, etc.
4
Complex 78
1821.
Form CMS-1561, Health Insurance Benefit Agreement
2
–
1822.
Form HW027, Online Claiming Provider Agreement
4
Moderate 51
1823.
Form K-908-2085-E, Designation of Education Decision-Maker
4
Moderate 53
1824.
ACORD 131, Umbrella / Excess Liability Section
5
Very Complex 80
1825.
Application for business rates for self-catering properties in England
4
Moderate 47
1826.
VA Form 10-320, Veteran Reimbursement Claim Form
2
Simple 27
1827.
Missouri Motion and Affidavit in Support of Request to Proceed As a Poor Person
1
Complex 68
1828.
Medical Baseline Allowance Application (Used for Medical Baseline Enrollment and Re-Certification)
2
Moderate 60
1829.
Form CV-005, Application for Permission for Electronic Filing
1
Basic 30
1830.
Form 1310 | 13-d, Proof of Sponsorship and/or private accommodation
4
Moderate 50
1831.
Form 3911, Taxpayer Statement Regarding Refund
2
Complex 65
1832.
Form 8288, U.S. Withholding Tax Return for Certain Dispositions by Foreign Persons
2
Moderate 52
1833.
Form DEP 4015, Application for Construction Permit for an Onsite Sewage Treatment and Disposal System (OSTDS)
1
Complex 64
1834.
Schedule K-1 (Form 1120-S), Shareholder’s Share of Income, Deductions, Credits, etc.
1
Complex 63
1835.
DHCD PRA 811 Program Rental Application and Member Information
5
Very Complex 87
1836.
HIPAA Authorization Form for Release of Protected Health Information
1
Moderate 50
1837.
Arizona Department of Transportation Rental Application (Residential Lease)
2
Complex 76
1838.
Los Angeles County Department of Consumer and Business Affairs Tenant Application for Adjustment
4
Basic 44
1839.
Oklahoma Real Estate Commission Tenancy Guidelines (01-01-2026)
2
Moderate 46
1840.
Oklahoma Real Estate Commission Residential Property Condition Disclosure Exemption Form (RPCD EXEMPTION FORM)
1
Basic 38
1841.
Oklahoma Real Estate Commission Residential Lease
7
Complex 68
1842.
Oklahoma Real Estate Commission Tenant Flood Notice (01-01-2026)
1
Basic 39
1843.
Oklahoma Real Estate Commission Property Data Form (Residential)
3
Moderate 60
1844.
Oklahoma Real Estate Commission Pet Addendum
2
Moderate 55
1845.
Oklahoma Real Estate Commission Lease Application
6
Very Complex 80
1846.
Oklahoma Real Estate Commission Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards
1
Moderate 47
1847.
Oklahoma Real Estate Commission Disclosure of Information on Lead-Based Paint and/or Lead-Based Paint Hazards
1
Moderate 49
1848.
Oklahoma Real Estate Commission Keys and Re-Keying Addendum
1
Basic 34
1849.
Oklahoma Real Estate Commission, Disclosure of Broker Duties & Responsibilities
1
Basic 29
1850.
Oklahoma Appendix A, Residential Property Condition Disclosure Statement
5
Complex 76
1851.
Oklahoma Real Estate Commission Residential Lease Supplement (01-01-2026)
1
Basic 34
1852.
ACORD 126 (2009/08), Commercial General Liability Section
4
Very Complex 84
1853.
ACORD 125, Commercial Insurance Application and ACORD 143, Transportation Section
5
Very Complex 82
1854.
Truckers/Warehouse Supplemental Application
2
Complex 63
1855.
ACORD 25 (2010/05), Certificate of Liability Insurance
1
Complex 68
1856.
Aetna Dental Provider Network Application (CAQH)
2
Basic 33
1857.
Connection Dental Network – Provider Application
7
Very Complex 92
1858.
California Form 568, Limited Liability Company Return of Income
6
Complex 79
1859.
Form REV-1220, Pennsylvania Exemption Certificate
2
Moderate 47
1860.
Form FO-3323, Brokers Price Opinion Report, CalVet Repossessed Property
9
Very Complex 86
1861.
AXIS MEDIA/PROFESSIONAL INSURANCE® PRODUCERS LIABILITY NEW BUSINESS APPLICATION
9
Complex 73
1862.
Form DEP 4015, Onsite Sewage Treatment and Disposal System Site Evaluation and System Specifications
1
Complex 69
1863.
Form DFS-F2-DWC-1a, Wage Statement
1
Complex 70
1864.
Form CMS-40B, Request for Enrollment in Medicare Part B (Medical Insurance)
3
Moderate 52
1865.
Form FL Parentage 300, Summons: Notice about Parentage
2
Basic 39
1866.
Motion to Permit Proceeding (by a person not included in Acknowledgment or Court Decision)
3
Moderate 51
1867.
FL Parentage 331, Petition for a Parenting Plan and/or Child Support
10
Very Complex 81
1868.
Schedule D (Form 1040), Capital Gains and Losses
2
Moderate 55
1869.
Form H1200, Application for Benefits
24
Complex 72
1870.
Form FW-001, Request to Waive Court Fees
2
Complex 76
1871.
Nova Poshta Claim Form for Legal Entities and Individual Entrepreneurs (Form F-1.5.35-1)
1
Moderate 46
1872.
AEIG Instructors and Trainers Liability Application
4
Complex 72
1873.
Form PC 625, Petition for Appointment of Guardian of Incapacitated Individual
4
Complex 67
1874.
Florida Supreme Court Approved Family Law Form 12.915, Designation of Current Mailing and E-mail Address
4
–
1875.
Standard Form 1187, Request for Payroll Deductions for Labor Organization Dues
1
Basic 29
1876.
King Faisal Specialist Hospital and Research Centre (General Organization) Employment Application Form
2
Complex 77
1877.
Form HA-510, Waiver of Timely Written Notice of Hearing
2
–
1878.
City of Lakewood, Colorado, Certificate of Water Service Availability
1
Basic 39
1879.
Schedule E (Form 5471), Income, War Profits, and Excess Profits Taxes Paid or Accrued
3
Complex 79
1880.
Form ETA-9089, Application for Permanent Employment Certification
7
–
1881.
Official Form 106E/F, Schedule E/F: Creditors Who Have Unsecured Claims
3
Complex 72
1882.
Official Form 106E/F, Schedule E/F: Creditors Who Have Unsecured Claims
4
Complex 72
1883.
Official Certificate of Marriage, Section 50(1)(b) of the Marriage Act 1961 (Cth)
1
Moderate 50
1884.
Argonaut Insurance Company, AEIG Instructors and Trainers Liability Application
4
Complex 76
1885.
Argonaut Insurance Company, Equine Instructors and Trainers Liability Application
4
Complex 75
1886.
JDF 1000 – Case Information Sheet
2
Complex 68
1887.
Form 5500-EZ, Annual Return of A One-Participant (Owners/Partners and Their Spouses) Retirement Plan or A Foreign Plan
2
Moderate 54
1888.
Form 9465, Installment Agreement Request
2
–
1889.
Form SSA-632, Request for Waiver of Overpayment Recovery
6
Complex 72
1890.
Blue Cross and Blue Shield of Texas Average Employee Count Form
1
Simple 26
1891.
Medicare Secondary Payer Employer Acknowledgement Form
5
Moderate 52
1892.
Blue Cross and Blue Shield of Texas Group Enrollment Application/Change Form
5
Complex 79
1893.
Form GRE-50, Member Name/Address Change
1
Basic 40
1894.
Chicago Housing Authority Statement of Bidder’s Qualifications
1
Moderate 57
1895.
Form DR 2324, Drive Time Log Sheet
2
Moderate 57
1896.
Form A, Notice of [intention to proceed with] an application for a financial provision to which the standard procedure applies
16
Complex 67
1897.
Form C8, Confidential contact details
2
Basic 34
1898.
Judicial Council of California Form UD-100, Complaint—Unlawful Detainer
4
Complex 70
1899.
Form M1, Individual Income Tax
2
Complex 64
1900.
Official Form 101, Voluntary Petition for Individuals Filing for Bankruptcy
8
Complex 72
1901.
Form SSA-2-BK, Application for Wife's or Husband's Insurance Benefits
8
Complex 65
1902.
Anthem Blue Cross Long-Term Care — Authorization Request Form
1
Moderate 47
1903.
Anthem Blue Cross Community-Based Adult Services (CBAS) Authorization Request Form
1
Moderate 47
1904.
Anthem Blue Cross Request for Pre-Service Review
1
Moderate 58
1905.
Behavioral Health Treatment/Applied Behavioral Analysis/Autism Services Recommendation Form
1
Moderate 47
1906.
Treatment Plan Request Form for Autism Spectrum Disorders
3
Moderate 59
1907.
Anthem Blue Cross Respiratory Syncytial Virus Enrollment Form
2
Moderate 55
1908.
Request for Authorization: Psychological Testing
4
Complex 73
1909.
Anthem Blue Cross Request for Authorization: Autism Spectrum Disorder Testing
5
Complex 74
1910.
Formato de Inscripción al Registro Federal De Contribuyentes a Través de Oficina Virtual
2
Basic 43
1911.
Alcoholic Beverages License Application, Unified Government of Athens-Clarke County, Georgia
20
Complex 72
1912.
Uniform Residential Loan Application (Freddie Mac Form 65 / Fannie Mae Form 1003)
1
Complex 64
1913.
King Faisal Specialist Hospital and Research Centre (General Organization) Employment Application Form
2
Complex 77
1914.
Corporate Apartment Business Application
1
Complex 67
Form 1060 examples
Form 1060 instructions
1915.
Form 6198, At-Risk Limitations
1
–
Form 6198 examples
Form 6198 instructions
1916.
Form AD, Disclosure Regarding Real Estate Agency Relationship
14
Very Complex 84
C.A.R. Form AD instructions
1917.
Application for Construction-related Temporary Structures
11
Complex 73
Application for Temporary Structures instructions
1918.
Request for Authorization for Applied Behavior Analysis (ABA) Services
4
Moderate 54
ABA Service Request Form examples
ABA Service Request Form instructions
1919.
Indiana Health Coverage Programs (IHCP) Managed Care Entity (MCE) Provider Enrollment Form
4
Complex 73
IHCP MCE Provider Enrollment examples
IHCP MCE Provider Enrollment instructions
1920.
Form SC-4016, Advisement and Waiver of Right to Counsel (Faretta Waiver)
2
Basic 38
1921.
Attestation for Applied Behavior Analysis (ABA) Services
1
Basic 35
1922.
Antrag auf Wohngeld (Mietzuschuss)
8
Very Complex 81
1923.
Form DL-180, Pennsylvania Non-Commercial Learner's Permit Application
3
Complex 74
1924.
Autism Spectrum Disorder Diagnostic Checklist for Medicaid Participants
2
Basic 32
1925.
Applied Behavior Analysis (ABA) Services Request for Authorization Form
2
Complex 65
1926.
BACB RBT 40-Hour Training Responsible Trainer Checklist
9
Basic 29
1927.
RBT Recertification Competency Assessment
5
Complex 64
1928.
RBT Initial Competency Assessment
5
Moderate 59
1929.
Comprehensive Property Inspection Report
3
Complex 72
1930.
Fannie Mae Form 1009, Master-Subordinate Subscriber Data Sharing Relationship Form
2
Moderate 58
1931.
Form 483, Report of Cash Shortages/Surpluses
2
Basic 33
1932.
Form 203, Schedule of Reconciling Items
1
Basic 45
1933.
Fannie Mae Form 10, Authorized Individuals Form
5
Moderate 59
1934.
Form 236, Application for Release and/or Substitution of Security
4
Moderate 58
1935.
Form 502, Maryland Resident Income Tax Return
4
Complex 73
1936.
Form N-400, Application for Naturalization
12
Moderate 62
1937.
ADA Dental Claim Form
3
Complex 75
1938.
EEOC Form 5, Charge of Discrimination
25
Very Complex 83
1939.
Oklahoma Residential Property Condition Disclosure Statement (Appendix A)
4
Complex 75
1940.
Unidentified Multi-Page Application Form
2
Moderate 59
1941.
AAP 2, Reassessment Information - Adoption Assistance Program
4
Moderate 54
1942.
Adoption Assistance Program Nonrecurring Adoption Expense Agreement and Claim
1
Basic 40
1943.
Statement of Acknowledgment - Adoption Implications
1
Simple 28
1944.
Form AAP 3, Adoption Assistance Program (AAP) Notice of Action
2
Moderate 58
1945.
Adoption Assistance Program (AAP) - Request for Benefits
2
Basic 38
1946.
State of California Level of Care Rate Determination Protocol Matrix
9
Moderate 53
1947.
State of California Accessible Form
1
Simple 16
1948.
Form AAP 3, Adoption Assistance Program (AAP) Negotiation Agreement
6
Moderate 60
1949.
Adoption Assistance Program (AAP) Eligibility Certification
4
Moderate 56
1950.
Statement of Prospective Adoptive Parent(s)
1
Basic 32
1951.
Consent to Adoption by Parent
1
Basic 40
1952.
Adoption Request (Stepparent)
1
Basic 37
1953.
Petition for Stepparent Adoption
1
Basic 33
1954.
Notice of Action - CalWORKs Disqualification
1
Moderate 47
1955.
Consent to Stepparent Adoption by Parent in Military
2
Basic 37
1956.
Authorization for Release of Information
1
Basic 38
1957.
TEMP 2203, CalWORKs Disqualification Consent Agreement
2
Moderate 46
1958.
Form ABCD 228, Authorization for Release of Information
2
Basic 41
1959.
Adoption Assistance Program (AAP) Rate Questionnaire
6
Complex 71
1960.
ADOPT-210, Adoption Agreement
1
Basic 38
1961.
RCA 3, Notice of Proposed Action - No Good Reason Determination and Proposed Compliance Plan
2
Basic 38
1962.
Resource Family Risk Assessment Checklist
2
Basic 36
1963.
GEN 1327, Policy Interpretation Request
2
Basic 34
1964.
CW 2200, Welfare To Work Notice Of Appointment
2
Basic 44
1965.
Resource Family Application - Criminal Record Statement
3
Moderate 53
1966.
RFA 03, Resource Family Approval - Authorization for File Transfer
1
Basic 40
1967.
Form GEN 1331, Criminal Record and Child Abuse Registry Checklist
3
Very Complex 88
1968.
Form RFA 01 A, Resource Family Application
4
Complex 79
1969.
Resource Family Application
7
Very Complex 87
1970.
RFA 03, Resource Family Home Health and Safety Assessment Checklist
7
Complex 73
1971.
Form ADOPT-205, Declaration Confirming Parentage in Stepparent Adoption
2
Basic 36
1972.
Form ICWA-005-INFO, Inquiry and Notice Under the Indian Child Welfare Act (ICWA)
6
Basic 29
1973.
Declaration Confirming Parentage in Stepparent Adoption: Gestational Surrogacy
2
Basic 35
1974.
Form ADOPT-215, Adoption Order
3
Complex 64
1975.
Form ADOPT-220, Adoption of Indian Child
2
Moderate 62
1976.
Form ICWA-040, Attachment to Adoption Request
2
Basic 44
1977.
Form ADOPT-215, Findings and Order Regarding Hague Convention on Intercountry Adoption
2
Moderate 50
1978.
ADOPT-200, Stepparent Adoption Request
4
Moderate 58
1979.
Free Application for Federal Student Aid (FAFSA)
11
Moderate 60
1980.
Mediation Disclosure Notification and Acknowledgment
1
Basic 30
1981.
Form ADR-102, Request for Trial De Novo After Judicial Arbitration
2
Basic 45
1982.
Form ADR-108, Referee's Report (Code Civ. Proc., §§ 638, 639)
2
Basic 43
1983.
Form ADR-104, Rejection of Award and Request for Trial After Attorney-Client Fee Arbitration
2
Moderate 52
1984.
Form ADR-107, Mediation Attendance Sheet
1
Moderate 62
1985.
Form ADR-110, Order Appointing Referee
3
Complex 63
1986.
Alternative Dispute Resolution (ADR) Information Form
1
Moderate 58
1987.
Form ADR-109, Stipulation or Motion for Order Appointing Referee
2
Moderate 58
1988.
Form ADR-106, Petition to Confirm, Correct, or Vacate Contractual Arbitration Award
3
Complex 70
1989.
Form ADR-103, Petition to Confirm, Correct, or Vacate Attorney-Client Fee Arbitration Award
3
Complex 72
1990.
Civil Appeal Case Information Statement
1
Basic 34
1991.
Form APP-005, Abandonment of Appeal (Unlimited Civil Case)
1
Basic 35
1992.
Form APP-009E, Proof of Electronic Service (Court of Appeal)
1
Basic 31
1993.
Form APP-002, Notice of Appeal/Cross-Appeal (Unlimited Civil Case)
1
Moderate 49
1994.
Form APP-008, Certificate of Interested Entities or Persons
1
Moderate 55
1995.
Form APP-009, Proof of Service (Appellate Division)
2
Moderate 56
1996.
Form APP-031A, Application for Extension of Time to File Brief (Civil Case)
2
Moderate 60
1997.
Form APP-010, Respondent's Designation of the Record on Appeal (Unlimited Civil Case)
3
Very Complex 80
1998.
Form APP-003, Notice Designating Record on Appeal (Unlimited Civil Case)
4
Very Complex 85
1999.
Form APP-004, Civil Case Information Statement (Appellate)
4
Complex 77
2000.
Form CMS-10055, Skilled Nursing Facility Advance Beneficiary Notice of Noncoverage (SNFABN)
1
Simple 28
2001.
CMS Project Application Form
5
Basic 39
2002.
Form CMS-10106, Medicare Authorization to Disclose Personal Health Information
6
Moderate 54
2003.
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)
3
Complex 77
2004.
Form CMS-10114, NPI Application/Update Form
6
Complex 76
2005.
Form 8633, Application to Participate in the IRS e-file Program
3
Basic 29
2006.
Form CMS-10126, Certificate of Medical Necessity for Positive Airway Pressure (PAP) Devices
2
Complex 71
2007.
Form CMS-10126, Certificate of Medical Necessity for Enteral and Parenteral Nutrition
2
Complex 75
2008.
Independent Diagnostic Testing Facility (IDTF) Site Verification Report
5
Complex 71
2009.
Unidentified Document
2
Basic 42
2010.
Form CMS-10287, Medicare Beneficiary Complaint Form
3
Basic 38
2011.
Form CMS-L564, Request for Employment Information
3
Basic 40
2012.
CMS Survey and Certification Complaint/Revisit Report
1
Moderate 55
2013.
Form CMS-1539, Long-Term Care Facility Application for Medicare and Medicaid
2
Moderate 60
2014.
Form CMS-1490S, Patient's Request for Medical Payment
18
Moderate 57
2015.
Physician Certification Statement for Non-Emergency Medical Transportation
1
Basic 36
2016.
Blue Shield Promise Durable Medical Equipment (DME) Treatment Authorization Request Form
1
Moderate 54
2017.
Blue Shield Promise Universal Prior Authorization Form
1
Moderate 54
2018.
Treatment Authorization Request for Intermediate Care Facility for the Developmentally Disabled (ICF/DD)
2
Basic 39
2019.
Blue Shield of California Promise Health Plan Long Term Care Treatment Authorization Request Form
2
Moderate 54
2020.
Blue Shield Promise Community Health Worker (CHW) Services Recommendation Form
2
Moderate 51
2021.
Medication Prior Authorization Request Form
2
Moderate 59
2022.
Blue Shield Promise Treatment Authorization Request Form
3
Moderate 56
2023.
Blue Shield of California Servicing Provider Change Request Form
1
Simple 25
2024.
Service Authorization Request Form
1
Moderate 59
2025.
Community-Based Adult Services (CBAS) Referral/Request for CDET Assessment
1
Moderate 50
2026.
Applied Behavioral Analysis (ABA) Referral Form
2
Basic 43
2027.
Community Health Worker (CHW) Services Request for Extension of Services
2
Moderate 46
2028.
Community Based Adult Services (CBAS) Treatment Authorization Request
1
Moderate 53
2029.
Blue Shield of California Promise Health Plan Referral Form
2
Moderate 46
2030.
Case Management Referral Form
1
Basic 39
2031.
DHCS 7107, Provider Preventable Conditions (PPC) Reporting Form
1
Basic 32
2032.
DMHC Provider Dispute Resolution (PDR) Contact Form
5
Basic 40
2033.
Blue Shield of California Community Supports (CS) Request Form
1
Moderate 61
2034.
Recommendation for Doula Services
1
Basic 35
2035.
Potential Quality Issue (PQI) Referral Form
2
Basic 31
2036.
Community Resource Referral Form
1
Moderate 51
2037.
Blue Shield of California Promise Health Plan Health Education Referral Form
1
Moderate 56
2038.
Form CMS-20027, Medicare Redetermination Request Form
1
Complex 68
2039.
Quarterly Claims Payment and Dispute Resolution Mechanism Report
2
Basic 32
2040.
Newly Contracted Provider Training Attestation Form
2
Basic 41
2041.
Fax Cover Sheet
1
Basic 32
2042.
Palliative Care Program Eligibility Certification Form
3
Basic 38
2043.
Critical Incident Report
2
Moderate 47
2044.
High-Risk Pregnancy Notification Form
1
Basic 35
2045.
Blue Shield of California Palliative Care Program Eligibility Screening Tool
2
Basic 41
2046.
Blue Shield Promise Continuity of Care Request Form
5
Moderate 53
2047.
Medicaid Clinical Trial Attestation Form
1
Simple 24
2048.
Medical Assistant Training Verification
1
Simple 28
2049.
Interpreter Services Request and Declination Form
1
Simple 23
2050.
Parental Refusal of Blood Lead Testing for a Child
2
Simple 27
2051.
Appointment of Representative Form
2
Basic 43
2052.
Form CMS-1696, Appointment of Representative
2
Moderate 52
2053.
Form CMS-179, Transmittal and Notice of Approval of State Plan Material
2
Moderate 52
2054.
Form CMS L564, Physician's/Supplier's Statement for Emergency Services
2
Complex 64
2055.
Form CMS-30, Agreement to Participate, Rural Health Clinic
2
Simple 28
2056.
Form CMS-1572, Home Health Agency Survey and Certification Report
3
Complex 63
2057.
Form CMS-209, CLIA Laboratory Survey Report Form
4
Very Complex 82
2058.
CMS Public Meeting Presentation Submission Form
2
Basic 42
2059.
Form CMS-40B, Application for Enrollment in Medicare Part B (Medical Insurance)
7
Complex 72
2060.
Form ADOPT-320, Answer to Request to Enforce, Change, or End Contact After Adoption Agreement
1
Moderate 49
2061.
Form ADOPT-331, Order on Request for Appointment of Confidential Intermediary
1
Basic 36
2062.
Form ADOPT-315, Request to: Enforce, Change, or End Contact After Adoption Agreement
2
Moderate 50
2063.
Form APP-013, Memorandum of Costs on Appeal
1
Moderate 47
2064.
Form APP-011A, Stipulation to Extend Time to File Brief (Appellate)
2
Moderate 46
2065.
Form ADOPT-320, Order on Request to Enforce, Change, or End Contact After Adoption Agreement
2
Complex 69
2066.
ADOPT-310, Contact After Adoption Agreement
3
Complex 66
2067.
Form APP-014, Proposed Settled Statement (Unlimited Civil Case)
5
Moderate 62
2068.
Form ADOPT-230, Adoption Expenses
2
Complex 65
2069.
Form ADOPT-330, Request for Appointment of Confidential Intermediary
2
Moderate 54
2070.
Form FW-003-GC, Order on Court Fee Waiver (Guardianship or Conservatorship)
2
Moderate 51
2071.
Declaration for Court of Appeal Proceedings
1
Simple 27
2072.
Form FW-003, Order on Court Fee Waiver (Superior Court)
2
Basic 43
2073.
Form CR-125, Notice of Appeal—Commitment (Penal Code or Welfare and Institutions Code)
1
Moderate 46
2074.
Form APP-015, Order on Proposed Settled Statement (Unlimited Civil Case)
2
Moderate 57
2075.
Form APP-025, Notice of Motion and Motion to Use a Settled Statement (Limited Civil Case)
2
Moderate 59
2076.
Form APP-002, Notice of Appeal/Cross-Appeal (Unlimited Civil Case)
3
Moderate 59
2077.
Form APP-014, Appellant's Proposed Statement on Appeal (Unlimited Civil Case)
3
Moderate 49
2078.
Form AT-160 / CD-140, Undertaking by Personal Sureties
2
Moderate 59
AT-160 / CD-140 examples
AT-160 / CD-140 instructions
2079.
Form CIV-110, Request for Dismissal
2
Moderate 61
2080.
Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative
4
Moderate 57
2081.
Generic Fillable Form
1
Basic 30
2082.
Form 2, Application for Licensure and First Registration, Licensed Clinical Social Worker
2
Moderate 48
2083.
Form 2, Certification of Professional Education
3
Moderate 51
2084.
Form FL-341(E), Child Custody and Visitation (Parenting Time) Application Attachment
5
Complex 79
2085.
Generic Data Entry Form
2
Basic 40
2086.
Third Party Financing Addendum
2
Complex 63
2087.
Form I-829, Petition by Investor to Remove Conditions on Permanent Resident Status
10
Complex 72
2088.
Standard Information Collection Form
2
Moderate 62
2089.
Motor Carrier Questionnaire
2
Complex 63
2090.
Form AOC-SP-300, Petition And Affidavit/Affirmation For Involuntary Commitment
2
Moderate 50
2091.
Form UD-105, Answer—Unlawful Detainer
4
Moderate 53
2092.
Generic Data Collection Form
3
Moderate 51
2093.
Form APP-020, Response to Appellant's Proposed Settled Statement (Unlimited Civil Case)
3
Moderate 54
2094.
Form APP-103, Appellant's Notice Designating Record on Appeal (Unlimited Civil Case)
7
Very Complex 84
2095.
Form APP-005, Optional Form Respondent's Brief (Limited Civil Case)
5
Moderate 47
2096.
Form APP-015, Order on Proposed Statement on Appeal (Limited Civil Case)
2
Basic 40
2097.
Form APP-014, Appellant's Proposed Statement on Appeal (Limited Civil Case)
7
Moderate 54
2098.
Form APP-106, Application for Extension of Time to File Brief—Limited Civil Case
2
Complex 64
2099.
Form APP-004, Civil Case Information Statement—Appeal (Unlimited Civil Case)
2
Basic 42
2100.
Form APP-109, Proof of Service (Appellate Division)
2
Moderate 61
2101.
Form APP-151, Petition for Writ (Misdemeanor, Infraction, or Limited Civil Case)
7
Complex 63
2102.
Form APP-110, Respondent's Notice of Election/Designation of Record on Appeal (Limited Civil Case)
5
Complex 79
2103.
Form APP-104, Appellant's Proposed Statement on Appeal (Limited Civil Case)
7
Complex 71
2104.
Form APP-019, Stipulation to Waive Oral Argument/to Submit on the Briefs
2
Moderate 46
2105.
Form APP-202, Appellant's Reply Brief—Limited Civil Appeal
3
Basic 42
2106.
Form AT-135, Writ of Attachment
1
Moderate 48
2107.
Form AT-140, Temporary Protective Order
2
Moderate 56
2108.
Form AT-115, Notice of Application and Hearing for Right to Attach Order and Writ of Attachment
3
Basic 43
2109.
Order to Terminate, Modify, or Vacate Temporary Protective Order
2
Moderate 55
2110.
Application and Notice of Hearing for Order to Terminate, Modify, or Vacate Temporary Protective Order
2
Complex 63
2111.
Form AT-138/EJ-125, Application and Order for Appearance and Examination
4
Moderate 50
2112.
Ex Parte Right to Attach Order and Order for Issuance of Writ of Attachment (Nonresident)
2
Moderate 47
2113.
Form AT-120, Right to Attach Order After Hearing and Order for Issuance of Writ of Attachment
2
Complex 71
2114.
Form AT-105, Application for Right to Attach Order, Temporary Protective Order, Etc.
3
Moderate 61
2115.
Form AT-125, Ex Parte Right to Attach Order and Order for Issuance of Writ of Attachment (Resident)
2
Moderate 56
2116.
Form AT-180/EJ-185, Notice of Lien (Attachment—Enforcement of Judgment)
1
Basic 44
2117.
Form EJ-165, Memorandum of Garnishee
2
Basic 45
2118.
Form AT-165, Notice of Attachment
2
Basic 42
2119.
Form AT-155, Notice of Opposition to Right to Attach Order and Claim of Exemption
2
Moderate 62
2120.
Form AT-170, Application and Notice of Hearing for Order to Set Aside Right to Attach Order, Quash Writ of Attachment, and Release Attached Property
2
Complex 66
2121.
Form AT-175, Order on Application for Order to Set Aside Right to Attach Order, Quash Writ of Attachment, and Release Property Levied Upon
2
Complex 73
2122.
Form DE-200, Petition to Establish Fact of Death
2
Moderate 56
2123.
Declaration of Facts of Death (California Superior Court)
2
Moderate 52
2124.
Form BMD-002, Petition to Establish Fact, Date, and Place of Marriage
2
Moderate 61
2125.
Declaration to Establish Fact, Time, and Place of Birth
2
Moderate 52
2126.
Petition to Establish Fact, Time, and Place of Birth (NC-300)
2
Moderate 55
2127.
Form BMD-002A, Declaration in Support of Petition to Establish Fact, Date, and Place of Marriage
2
Moderate 47
2128.
ACORD 125, Commercial Insurance Application
4
Very Complex 81
2129.
Provider Application for Hospital Affiliations and Board Certification
1
Moderate 57
2130.
Hospital Affiliation and Privileges Form
1
Moderate 46
2131.
Form JS 44, Civil Cover Sheet
3
Complex 66
2132.
Ontario Real Estate Association Form 410, Rental Application – Residential
2
Complex 76
2133.
Form N-400, Application for Naturalization
8
Moderate 53
2134.
Form N-400, Application for Naturalization
3
Complex 65
2135.
P87: Tax relief for expenses of employment
8
Complex 73
2136.
Form 1040, U.S. Individual Income Tax Return
2
Complex 78
2137.
Form 4B, Certification of Supervised Experience for Licensed Clinical Social Worker (LCSW)
2
Moderate 62
2138.
Generic Information Collection Form
5
Moderate 46
2139.
Resource Family Complaint Report
2
Complex 75
2140.
Form OR-40, Oregon Individual Income Tax Return
8
Complex 73
2141.
Form 4868, Application for Automatic Extension of Time To File U.S. Individual Income Tax Return
4
Basic 36
2142.
Application for Food and Nutrition Services (SNAP)
10
Very Complex 80
2143.
Form I-9, Employment Eligibility Verification
7
Moderate 59
2144.
Generic Application Form
3
Basic 30
2145.
Physician's Professional Liability Insurance Application
14
Very Complex 94
2146.
Petition for Adjudication of Incompetence and Application for Appointment of Guardian
4
Very Complex 86
2147.
Form 1023, Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code
30
Very Complex 94
2148.
Form BB-1, Basic Business Application
6
Complex 67
2149.
Form CMS-L564, Request for Employment Information
6
Moderate 49
2150.
Antrag auf Einbürgerung (Application for Naturalization)
4
Moderate 59
2151.
Cayman Islands Economic Substance Notification Form
9
Moderate 50
2152.
Seller's Disclosure of Property Condition
3
Complex 74
2153.
HUD-1 Settlement Statement
3
Complex 79
2154.
International Driving Permit – IDP / Inter-American Driving Permit - IADP Application
1
Basic 43
2155.
Form STD 204, Payee Data Record
1
Basic 42
2156.
Bill of Sale (Form REG 135)
1
Moderate 50
2157.
Form REG 343, Application for Title or Registration
2
Complex 73
2158.
Form REG 156, Application for Replacement Plates, Stickers, Documents
1
Basic 41
2159.
Verzoek Teruggaaf energiebelasting - Meer dan 1 onroerende zaak achter 1 aansluiting
3
Moderate 49
2160.
Form 1120, U.S. Corporation Income Tax Return
6
Very Complex 86
2161.
Form DS-82, U.S. Passport Renewal Application for Eligible Individuals
6
Moderate 60
2162.
California Department of Tax and Fee Administration Form CDTFA-230, General Resale Certificate
1
Basic 29
2163.
Form IMM 5645, Family Information
2
Complex 71
2164.
State of Florida Department of Business and Professional Regulation Form DBPR CILB 6-B, Application for Certified Building Contractor Who is Qualifying a Business
14
Very Complex 87
2165.
Form 911, Request for Taxpayer Advocate Service Assistance (and Application for Taxpayer Assistance Order)
4
Moderate 46
2166.
ACORD 125, Commercial Insurance Application, Applicant Information Section
4
Complex 65
2167.
OCA Official Form No.: 960, Authorization for Release of Health Information Pursuant to HIPAA
1
Basic 34
2168.
Form 2555, Foreign Earned Income
3
Complex 75
2169.
DWC Form RFA, Request for Authorization
1
Moderate 62
2170.
Standard Form 180, Request Pertaining to Military Records
2
Moderate 54
2171.
Judicial Council of California Form DV-110, Temporary Restraining Order (CLETS-TRO) (Domestic Violence Prevention)
9
Very Complex 82
2172.
Form N244, Application notice
5
Moderate 51
2173.
Form DR 1093, Annual Transmittal of State W-2 Forms
1
Basic 42
2174.
Blue Shield of California Promise Health Plan Medi-Cal Group Doula Provider Quality Check Form
1
Basic 43
2175.
Form ATJ 601.9, Application for Waiver of Court Fees (Civil)
4
Very Complex 80
2176.
Florida Supreme Court Approved Family Law Form 12.902(d), Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit
8
Complex 76
2177.
Florida Family Law Rules of Procedure Form 12.910(a), Summons: Personal Service on an Individual
8
Basic 43
2178.
Form SUBP-002, CIVIL SUBPOENA (DUCES TECUM) for Personal Appearance and Production of Documents, Electronically Stored Information, and Things at Trial or Hearing and DECLARATION
3
Moderate 52
2179.
Form T2201, Disability Tax Credit Certificate
16
Very Complex 80
2180.
Form 1040, U.S. Individual Income Tax Return
3
Complex 73
2181.
Form 990, Return of Organization Exempt From Income Tax
12
Very Complex 95
2182.
Form DBPR CILB 6-A, Application for Certified General Contractor Who is Qualifying a Business
14
Very Complex 96
2183.
Form CBS1-8-24, Contract to Buy and Sell Real Estate (Residential)
20
Complex 69
2184.
Uniform Residential Appraisal Report (Fannie Mae Form 1004 / Freddie Mac Form 70)
6
Very Complex 82
2185.
Formulaire A-0506-CF, Demande de sélection temporaire – Programme des travailleurs étrangers temporaires
15
Very Complex 86
2186.
Form 1099-MISC, Miscellaneous Information
6
Complex 67
2187.
Vaccine preventable disease (VPD) evidence and certification form
7
Complex 70
2188.
Toronto Hydro Data Request Form: Reporting Energy Consumption
3
Moderate 51
2189.
Illinois Eviction Order
2
Moderate 60
2190.
Cerfa N° 10103*14 - Contrat d’apprentissage
2
Complex 77
2191.
SFHP Initial Application - California Participating Practitioner Application
21
Very Complex 94
2192.
Form 1099-NEC, Nonemployee Compensation
7
Complex 63
2193.
Form 1065, U.S. Return of Partnership Income
6
Very Complex 80
2194.
Form IL-1040-X, Amended Individual Income Tax Return
2
Complex 66
2195.
Standard Right-to-Know Law Request Form
2
Basic 41
2196.
Form 1040-NR, U.S. Nonresident Alien Income Tax Return
2
Complex 70
2197.
Pro Se 7, Complaint for Employment Discrimination
6
Moderate 62
2198.
Form LHL009, Request for a Review by an Independent Review Organization (IRO)
4
Moderate 62
2199.
Attending Physician’s Statement
2
Complex 72
2200.
SCE CSD 274, Application and Contract for Electric Facilities Where Full Advance Payment is Required (Temporary Service)
2
Complex 75
2201.
Schedule D (Form 1041), Capital Gains and Losses
2
Complex 68
2202.
BIR Form No. 1901, Application for Registration For Self-Employed (Single Proprietor/Professional), Mixed Income Individuals, Non-Resident Alien Engaged in Trade/Business, Estate and Trust
1
–
2203.
TC. 17/11, Reconocimiento de Deudas con la Seguridad Social
3
Moderate 62
2204.
CMS-1500 Health Insurance Claim Form (OMB-0938-0999)
1
Complex 73
2205.
Selbstauskunft zur steuerlichen Ansässigkeit (Natürliche Person)
2
Moderate 48
2206.
Form 592296, Letter of Authorization (LOA)
2
Complex 73
2207.
State of California Form SOC 321, Request for Order and Consent - Paramedical Services
2
Moderate 57
2208.
Form SOC 821, Assessment of Need for Protective Supervision for In-Home Supportive Services Program
1
Moderate 55
2209.
Form 8889, Health Savings Accounts (HSAs)
1
Basic 34
2210.
Provider Group/Facility Application Form (RA-02)
3
Complex 64
2211.
Form I-765, Application For Employment Authorization
7
Complex 75
2212.
Schedule 1 (Form 1040), Additional Income and Adjustments to Income
2
Complex 66
2213.
Form IR56E, Notification by an Employer of an Employee Who Commences to be Employed
1
Moderate 55
2214.
Arlington County Department of Human Services, Water Recreation Facility License Application
2
Complex 69
2215.
Form 1040-X, Amended U.S. Individual Income Tax Return
2
Complex 78
2216.
Ohio Form IT K-1, Investor's Share of Ohio Taxable Income and Tax Credits
2
Moderate 59
2217.
Answer or Response
4
Complex 68
2218.
Oklahoma Real Estate Commission Residential Lease Supplement (01-01-2026)
1
Basic 34
2219.
Navy Federal Change of Information/Add Joint Owner (for primary account holders 18 and over)
3
Moderate 56
2220.
Form JD-FM-75, Application for Waiver of Fees/Payment of Costs/Appointment of Counsel - Family
3
Moderate 53
2221.
Australian Expatriate Superannuation Fund (AESF) Membership Application
10
Complex 71
2222.
Application for Financial Assistance (YMCA)
1
Moderate 56
2223.
HMRC Tax Information and Reference Form
10
Simple 26
2224.
Generic Data Collection Form
1
Basic 42
2225.
Form 1583, Application for Delivery of Mail Through Agent
2
Complex 70
2226.
Offer to Purchase and Contract
14
Very Complex 88
2227.
Caregiver Stress Assessment Questionnaire
2
Moderate 49
2228.
Florida Supreme Court Approved Family Law Form 12.941(a), Petition for Enforcement of Out-of-State Custody Decree and for Order to Pick Up Minor Child(ren)
7
Complex 75
2229.
Attending Physician's Statement for Disability Claim
5
Complex 73
2230.
Uniform Residential Loan Application (Fannie Mae Form 1003 / Freddie Mac Form 65)
3
Moderate 46
2231.
Annual Financial Report for Charitable Organizations (Statement of Functional Expenses)
3
Complex 78
2232.
Real Estate Property Information and Listing Data Form
5
Complex 67
2233.
Form 1033, Broker Price Opinion/Reconciliation
2
Complex 76
2234.
Broker Price Opinion / Comparative Market Analysis (BPO/CMA) Form
4
Basic 35
2235.
Form 1007, Single-Family Comparable Rent Schedule
2
Complex 68
2236.
Form 1025 / Form 72, Small Residential Income Property Appraisal Report
8
Very Complex 89
2237.
Broker's Market Analysis
6
Very Complex 84
2238.
OHO/DCE Form DR-1, Dismissal Request
9
Moderate 62
2239.
Form AD 9, Independent Adoption Questionnaire
12
Very Complex 97
2240.
Personal Reference Questionnaire for Prospective Parents
3
Complex 72
2241.
Oklahoma Residential Property Condition Disclosure Statement (APPENDIX A RPCD STATEMENT)
4
Complex 75
2242.
Form W-4V, Voluntary Withholding Request
3
Simple 25
2243.
Vendor Data Form
1
Basic 42
2244.
Alabama Form 2848A, Power of Attorney and Declaration of Representative
2
Basic 45
2245.
Form FTB 3520-PIT, Individual or Fiduciary Power of Attorney Declaration
5
Moderate 58
2246.
Ohio Department of Taxation Declaration of Tax Representative (Form TBOR 1)
2
Moderate 58
2247.
Form BSF189, Canada Customs Invoice / Facture des douanes canadiennes
1
Moderate 60
2248.
Form SS-5, Application for a Social Security Card
5
Basic 45
2249.
Request to Extend Deadline
4
Moderate 47
2250.
Request to Reschedule a Hearing
4
Moderate 47
2251.
California Voter Registration Cancellation Request Form
1
Simple 28
2252.
Form POA-1, Indiana Department of Revenue Power of Attorney
1
Basic 36
2253.
Form MV-104, Report of Motor Vehicle Accident
1
Complex 66
2254.
Maryland Form 548, Power of Attorney
2
Moderate 56
2255.
CALIFORNIA FORM 3520-BE, Business Entity or Group Nonresident Power of Attorney Declaration
5
Moderate 58
2256.
Form LGL-001, Power of Attorney
1
Moderate 46
2257.
New York State Department of Health Certificate of Qualification Questionnaire - Virology
1
Moderate 62
2258.
Form 94A, Bond of Public Insurance Adjuster
3
Basic 35
2259.
Form CMS-1763, Request for Termination of Premium Hospital and/or Supplementary Medical Insurance
1
Basic 30
2260.
Form CR-180, Petition for Dismissal
3
Moderate 48
2261.
Mortgage Renewal Agreement
2
Basic 40
2262.
State of California Darfur Contracting Act Certification
2
Basic 30
2263.
State of California Department of Veterans Affairs COMMERCIALLY USEFUL FUNCTION (CUF) CERTIFICATION FORM
2
Basic 34
2264.
Form IL-2848, Power of Attorney
2
Moderate 56
2265.
Form TR-205, Request for Trial by Written Declaration
2
Basic 36
2266.
Form MV-82, Vehicle Registration/Title Application
2
Complex 64
2267.
SIRA Allied health treatment request - Catalogue no. SIRA09191
4
Complex 67
2268.
Uniform Residential Loan Application, Fannie Mae Form 1003 / Freddie Mac Form 65
9
Very Complex 97
2269.
NDIS Access Request Form
26
Complex 72
2270.
Wound Care Quick Start Form
1
Moderate 62
2271.
Form GC-111, Petition for Appointment of Temporary Conservator (Probate—Guardianships and Conservatorships)
3
Moderate 52
2272.
Form GC-310, Petition for Appointment of Probate Conservator
8
Complex 67
2273.
Form GC-335, Confidential Capacity Assessment and Declaration—Probate Conservatorship
6
Complex 69
2274.
Form GC-335A, Everyday Activities Attachment to Confidential Capacity Assessment and Declaration—Probate Conservatorship
4
Moderate 61
2275.
Form GC-314, Confidential Conservator Screening Form (Probate—Guardianships and Conservatorships)
2
Moderate 55
2276.
Form GC-320, Citation for Conservatorship (Probate—Guardianships and Conservatorships)
3
Moderate 49
2277.
Form GC-020(P), PROOF OF PERSONAL SERVICE OF NOTICE OF HEARING— GUARDIANSHIP OR CONSERVATORSHIP
1
Basic 44
2278.
Form 40SP, Sponsorship for a partner to migrate to Australia
16
Complex 70
2279.
Form S0051, Befundbericht für die Deutsche Rentenversicherung zum Antrag auf Leistungen zur medizinischen Rehabilitation / Erwerbsminderungsrente
5
Moderate 51
2280.
Form GC-341, NOTICE OF CONSERVATEE'S RIGHTS (Probate—Guardianships and Conservatorships)
4
Basic 45
2281.
Form GC-355, Confidential Conservatorship Care Plan—Part 1
6
Complex 66
2282.
Professional Provider Questionnaire
5
Complex 65
2283.
Form N4, Notice to End a Tenancy Early for Non-payment of Rent
3
Basic 41
2284.
Form ICWA-020, Parental Notification of Indian Status
1
Moderate 54
2285.
Nevada Justice / Municipal Civil Court Cover Sheet
1
Moderate 55
2286.
Nevada Supreme Court Generic Motion
4
Basic 40
2287.
Form R0100, Antrag auf Versichertenrente
22
Complex 67
2288.
Ontario Blue Cross Extended Health Care Benefit Claim Form
2
Complex 72
2289.
Form SSA-16, Application for Disability Insurance Benefits
7
Complex 63
2290.
New Fidelity Account® — Trust — Brokerage
17
Very Complex 89
2291.
Maryland Department of the Environment Form 5EP, Emission Point Data
2
Complex 73
2292.
Form EJ-130, Writ of Execution
3
Complex 64
2293.
Form Si039, Authority to release personal information – personal injury, insurance, superannuation or other matter
3
Moderate 53
2294.
Aetna Dental Provider Change Request Form
1
Moderate 58
2295.
Schedule G-1 (Form 5471), Cost Sharing Arrangement
1
Basic 39
2296.
Schedule I-1 (Form 5471), Information for Global Intangible Low-Taxed Income
1
Moderate 53
2297.
Schedule P (Form 5471), Previously Taxed Earnings and Profits of U.S. Shareholder of Certain Foreign Corporations
4
Complex 78
2298.
Schedule H (Form 5471), Current Earnings and Profits
1
Moderate 61
2299.
Schedule J (Form 5471), Accumulated Earnings & Profits (E&P) of Controlled Foreign Corporation
3
Complex 78
2300.
WB-11 Residential Offer to Purchase
11
Complex 69
2301.
Form CLETS-001, Confidential Information for Law Enforcement
1
Moderate 54
2302.
Form DV-109, Notice of Court Hearing (Domestic Violence Prevention)
3
Basic 42
2303.
Form DV-101, Description of Abuse (Domestic Violence Prevention)
2
Basic 42
2304.
Form DV-108, Request for Orders to Prevent Child Abduction (Domestic Violence Prevention)
2
Moderate 50
2305.
Form DV-116, Order on Request to Continue Court Hearing (Temporary Restraining Order) (CLETS-TRO) (Domestic Violence Prevention)
3
Moderate 54
2306.
Form DV-130, Restraining Order After Hearing (Order of Protection) (Domestic Violence Prevention)
11
Very Complex 86
2307.
Form DV-105, Request for Child Custody and Visitation Orders (Domestic Violence Prevention)
6
Very Complex 91
2308.
Form DV-140, Child Custody and Visitation Order (Domestic Violence Prevention)
4
Complex 79
2309.
Form DV-145, Order to Prevent Child Abduction (Domestic Violence Prevention)
2
Moderate 60
2310.
State of New Jersey Application for Employment (Form DPF-663)
6
Complex 70
2311.
Form EX160, Apply for help with fees
9
Moderate 55
2312.
Form 706-NA, United States Estate (and Generation-Skipping Transfer) Tax Return Estate of Nonresident Not a Citizen of the United States
3
Complex 73
2313.
LASC PRO 003, NOTIFICATION TO COURT OF ADDRESS ON CONSERVATORSHIP/GUARDIANSHIP
1
Complex 64
2314.
Form GC-140, Order Appointing Temporary Guardian (Probate—Guardianships and Conservatorships)
2
Moderate 60
2315.
Form GC-220, Petition for Special Immigrant Juvenile Findings (Probate—Guardianships and Conservatorships)
4
Moderate 54
2316.
Form FL-357/GC-224/JV-357, Special Immigrant Juvenile Findings
2
Moderate 52
2317.
Form FW-003-GC, Order on Court Fee Waiver (Superior Court) (Ward or Conservatee)
3
Moderate 59
2318.
Judicial Council of California Form RA-010, Notice of Remote Appearance
3
Complex 70
2319.
Probate Case Cover Sheet – Certificate of Grounds for Assignment to District
3
Very Complex 80
2320.
Form GC-240, Order Appointing Guardian or Extending Guardianship of the Person
3
Moderate 62
2321.
Form SER-001, Request for Sheriff to Serve Court Papers
5
Moderate 61
2322.
VA Form 21P-0969, Income and Asset Statement in Support of Claim for Pension or Parents' Dependency and Indemnity Compensation (D.I.C.)
11
Very Complex 86
2323.
Form DTF-802, Statement of Transaction – Sale or Gift of Motor Vehicle, Trailer, All-Terrain Vehicle (ATV), Vessel (Boat), or Snowmobile
2
Complex 68
2324.
Form GC-210(CA), Child Information Attachment to Probate Guardianship Petition
4
Complex 77
2325.
Form DWS-ESD 630, Employment Information
1
Moderate 58
2326.
Form 1-S, Full Requirement Initial Charity Registration Application
2
Moderate 57
2327.
Provider Details & Direct Credit Authority (Attachment 3)
2
Moderate 57
2328.
Form EX-11, Solicitud de autorización de residencia de larga duración o de larga duración-UE
2
Moderate 62
2329.
Joint Holder Supplement Form
10
Complex 69
2330.
Form 13I-15a, Building Department Referral Form
1
Basic 36
2331.
Illinois Eviction Complaint
2
Basic 44
2332.
NY State of Health Appeal Request (Form DOH-5231)
3
Moderate 48
2333.
Customs (Import/Export) Power of Attorney
5
Moderate 53
2334.
Provider Add Request
1
Moderate 55
2335.
Form 941-X, Adjusted Employer’s QUARTERLY Federal Tax Return or Claim for Refund
6
Complex 72
2336.
Doula Provider Credentialing Application
21
Very Complex 83
2337.
CenCal Health Provider Information Form
5
Very Complex 80
2338.
TCOLE Personal History Statement for Texas Law Enforcement
34
Very Complex 98
2339.
Group/Facility Provider Information Form
3
Complex 66
2340.
Partnership HealthPlan of California Doula Application
9
Very Complex 80
2341.
Gold Coast Health Plan (GCHP) Provider Information Update Form
4
Complex 78
2342.
San Francisco Health Plan (SFHP) Doula Services Attestation Form
1
Simple 27
2343.
Attachment A, Doula Attestation
1
Simple 25
2344.
SFHP Doula Credentialing Application Checklist
3
Basic 33
2345.
CalOptima Health Doula Credentialing Application
11
Complex 67
2346.
Statement of Small Claim and Notice, Trial Court of Massachusetts
1
Moderate 48
2347.
SFHP Initial Application, California Participating Practitioner Application
22
Very Complex 93
2348.
Form 35.1A: Affidavit (child protection information)
2
Moderate 62
2349.
New York State Certificate of Amendment of Articles of Organization
2
Basic 36
2350.
Form FTB 3500A, Submission of Exemption Request
2
Complex 64
2351.
Form MB-009E, Investor/Lender Disclosure Statement
5
Complex 73
2352.
Form PC-246, Financial Report, Decedent's Estate
4
Complex 70
2353.
Form T2125, Statement of Business or Professional Activities
8
Very Complex 80
2354.
VA Form 21P-534EZ, Application for D.I.C., Survivors Pension, and/or Accrued Benefits
20
Complex 78
2355.
Arizona Form A1-QRT, Arizona Quarterly Withholding Tax Return
2
Complex 66
2356.
California Form DS 326, Driver Medical Evaluation
5
Complex 72
2357.
MSF 4104, Medical Examination of Seafarers Report (ENG2)
2
Complex 74
2358.
Form HSMV 82050, Notice of Sale and/or Bill of Sale for a Motor Vehicle, Mobile Home, Off-Highway Vehicle or Vessel
1
Moderate 52
2359.
Employee Flexible Spending Account (FSA) Enrollment Form (CLB122_0423)
2
Moderate 50
2360.
Standard Application for Employment
2
Complex 68
2361.
Form 8888, Allocation of Refund (Including Savings Bond Purchases)
1
Basic 34
2362.
Form 8906, Distilled Spirits Credit
1
Simple 22
2363.
Form 8941, Credit for Small Employer Health Insurance Premiums
1
Basic 32
2364.
Form CMS-40B, Application for Enrollment in Medicare Part B (Medical Insurance)
2
Basic 44
2365.
Form CMS-437, Psychiatric Unit Criteria Work Sheet
8
Moderate 60
2366.
Form W-2, Wage and Tax Statement
11
Complex 71
2367.
Form UD-101, Plaintiff's Mandatory Cover Sheet and Supplemental Allegations—Unlawful Detainer
2
Moderate 48
2368.
Form SUM-130, Summons - Unlawful Detainer - Eviction
2
Basic 41
2369.
Schedule K-1 (Form 1065), Partner's Share of Income, Deductions, Credits, etc.
1
Complex 65
2370.
Form POST 2-251, Personal History Statement - Peace Officer
33
Very Complex 91
2371.
SBA Form 1919, Borrower Information Form
4
Moderate 61
2372.
FSIS Form 1210-16, Reimbursable Agreement Request
1
Moderate 49
2373.
Official Form 107, Statement of Financial Affairs for Individuals Filing for Bankruptcy
2
Very Complex 80
2374.
Tenancy Application Form
34
Complex 66
2375.
Official Form 106I, Schedule I: Your Income
2
Complex 64
2376.
Official Form 106J, Schedule J: Your Expenses
3
Moderate 62
2377.
Official Form 106D, Schedule D: Creditors Who Have Claims Secured by Property
3
Complex 78
2378.
Schedule C: The Property You Claim as Exempt
2
Complex 70
2379.
Official Form 107, Statement of Financial Affairs for Individuals Filing for Bankruptcy
12
Very Complex 100
2380.
Official Form 106E/F, Schedule E/F: Creditors Who Have Unsecured Claims
6
Very Complex 92
2381.
Official Form 106A/B, Schedule A/B: Property
10
Very Complex 99
2382.
Oklahoma Schedule 511-C, Net Operating Loss (NOL) Computation
3
Moderate 54
2383.
Form 1310, Statement of Person Claiming Refund Due a Deceased Taxpayer
2
Basic 40
2384.
Form ST-120, New York State and Local Sales and Use Tax Resale Certificate
2
Basic 42
2385.
American Funds Traditional and Roth IRA Application
21
Very Complex 88
2386.
Missouri Application for Temporary Assistance (TA) and Supplemental Nutrition Assistance Program (SNAP) Benefits
30
Complex 75
2387.
Form 478, Application for Alaska Driver License, Permit or Identification Card
2
Complex 65
2388.
Evidence of Commercial Property Insurance
2
Complex 63
2389.
Form CIT 0001, Application for a Citizenship Certificate (Proof of Citizenship)
14
Complex 70
2390.
Practitioner Information and Credentialing Form
3
Moderate 61
2391.
ACORD 126 (2010/05), Commercial General Liability Section
4
Very Complex 81
2392.
Defendant's Plea and Statement Form
3
Basic 36
2393.
New York Vehicle Registration/Title Application
2
Complex 66
2394.
Fannie Mae Form 1073 / Freddie Mac Form 465, Individual Condominium Unit Appraisal Report
7
Very Complex 86
2395.
VA Form 10182, Decision Review Request: Board Appeal (Notice of Disagreement)
3
Moderate 50
2396.
Hauptantrag auf Bürgergeld (BG Antrag HA)
8
Moderate 59
2397.
Antrag auf Kinderzuschlag (KiZ 1) - Application for Child Supplement
3
Moderate 61
2398.
ADOPT-200, Adoption Request
1
–
ADOPT-200 examples
ADOPT-200 instructions
2399.
Form DE 24, Change of Employer Account Information
2
Complex 71
DE 24 examples
DE 24 instructions
2400.
Universal Title Application (Form OS/SS-UTA)
1
Complex 64
OS/SS-UTA examples
OS/SS-UTA instructions
2401.
Form 1099-SA, Distributions From an HSA, Archer MSA, or Medicare Advantage MSA
2
Basic 40
1099-SA examples
1099-SA instructions
2402.
Florida Supreme Court Approved Family Law Form 12.970(a), Petition for Temporary Custody by Extended Family
10
Complex 68
Form 12.970(a) examples
Form 12.970(a) instructions
2403.
Form FL-300, Request for Order
4
Very Complex 88
FL-300 examples
FL-300 instructions
2404.
Form S-320, Supplemental Application: LLC Ownership
2
Moderate 56
Form S-320 instructions
2405.
PPQ Form 505, Plant and Plant Product Declaration
1
Complex 63
PPQ Form 505 examples
PPQ Form 505 instructions
2406.
Form FL-105/GC-120, Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA)
1
–
FL-105/GC-120 examples
FL-105/GC-120 instructions
2407.
Form FL-110, Summons (Family Law)
1
–
FL-110 examples
FL-110 instructions
2408.
Form FL-120, Response—Marriage/Domestic Partnership (Family Law)
1
–
FL-120 examples
FL-120 instructions
2409.
Form CIV-140, Declaration of Demurring or Moving Party Regarding Meet and Confer
1
–
CIV-140 examples
CIV-140 instructions
2410.
Affinity Healthcare Non-Emergency Medical Transportation Insurance Application
7
Very Complex 84
A-12667-0324 examples
A-12667-0324 instructions
2411.
NYS Employment Application: Part 1 Pre-Interview Form #S1000
13
Very Complex 80
S1000 examples
S1000 instructions
2412.
State Bar of Wisconsin Form 3-2003, Quit Claim Deed
1
Moderate 48
Form 3-2003 examples
Form 3-2003 instructions
2413.
RECO Information Guide: Working with a real estate agent
13
Basic 45
RECO Information Guide examples
RECO Information Guide instructions
2414.
Form 143, Amendment to Assignment of Agreement of Purchase and Sale
2
Complex 68
Form 143 examples
Form 143 instructions
2415.
Form 630, Individual Identification Information Record
4
Complex 70
Form 630 examples
Form 630 instructions
2416.
OREA Form 320, Confirmation of Co-operation and Representation
2
Moderate 58
Form 320 examples
Form 320 instructions
2417.
Form 100, Agreement of Purchase and Sale
6
Complex 72
OREA Form 100 examples
OREA Form 100 instructions
2418.
Form 296, MLS® Data Information Form - Freehold – Lease/Sub-Lease
11
Very Complex 93
Form 296 examples
Form 296 instructions
2419.
MLS® Data Information Form - Freehold - Sale (Form 290)
11
Very Complex 93
Form 290 examples
Form 290 instructions
2420.
Staff Information and Cost Center Allocation Form
1
Basic 39
Staff Info & Cost Allocation examples
Staff Info & Cost Allocation instructions
2421.
OREA Form 128, Condition(s) In Offer - Seller Acknowledgement
1
Basic 31
Form 128 examples
Form 128 instructions
2422.
Form 801, Offer Summary Document for use with Agreement of Purchase and Sale
1
Moderate 62
Form 801 examples
Form 801 instructions
2423.
Form 635, Receipt of Funds Record
4
Complex 68
Form 635 examples
Form 635 instructions
2424.
Form 120, Amendment to Agreement of Purchase and Sale
2
Moderate 59
Form 120 examples
Form 120 instructions
2425.
Form 244, Seller's Direction re: Property/Offers
1
Moderate 48
Form 244 examples
Form 244 instructions
2426.
Form 300, Buyer Representation Agreement, Authority for Purchase or Lease
4
Moderate 59
OREA Form 300 examples
OREA Form 300 instructions
2427.
Form 631, Corporation/Entity Identification Information Record
4
Complex 69
Form 631 examples
Form 631 instructions
2428.
Real Estate Appointment and Offer Instructions
2
Moderate 58
Appointment and Offer Instructions examples
Appointment and Offer Instructions instructions
2429.
Confirmation Of Closing – Rental Property
1
Simple 26
Confirmation of Closing - Rental Property examples
Confirmation of Closing - Rental Property instructions
2430.
Form 145, Assignment of Agreement of Purchase and Sale
6
Complex 70
OREA Form 145 examples
OREA Form 145 instructions
2431.
Form 590, Commercial – Sale MLS® Data Information Form
9
Very Complex 89
Form 590 examples
Form 590 instructions
2432.
Form 291, MLS® Data Information Form Condo/Co-op/Co-ownership/Time Share – Sale
11
Very Complex 97
Form 291 examples
Form 291 instructions
2433.
VA Form 21-22a, Appointment of Individual as Claimant's Representative
3
Moderate 60
VA Form 21-22a examples
VA Form 21-22a instructions
2434.
Supreme Court of Ohio Uniform Domestic Relations Form 17, Petition for Dissolution of Marriage and Waiver of Service of Summons
3
Complex 73
Uniform Domestic Relations Form 17 examples
Uniform Domestic Relations Form 17 instructions
2435.
Standard Merchant Cash Advance Agreement and Addendum
26
Very Complex 86
Lendero MCA Agreement instructions
2436.
Form 292, MLS® Data Information Form - Condo/Co-op/Co-ownership/Time Share – Lease/Sub-Lease
11
Very Complex 92
Form 292 examples
Form 292 instructions
2437.
Form CA-230, Three-Day Notice to Pay Rent or Quit
3
Moderate 54
CA-230 examples
CA-230 instructions
2438.
Generation Health Clinic Virtual English Program Referral Form
2
Moderate 59
Generation Health Clinic Referral Form examples
Generation Health Clinic Referral Form instructions
2439.
REQUEST FOR SERVICES - PROVIDER, Community Pediatric Audiology Program
2
Moderate 53
MSXX107997A examples
MSXX107997A instructions
2440.
Form SSA-44, Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event
8
Moderate 60
SSA-44 examples
SSA-44 instructions
2441.
Real Estate Marketing Plan
17
Very Complex 89
Real Estate Marketing Plan instructions
2442.
Form SSA-44, Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event
8
Moderate 58
SSA-44 examples
SSA-44 instructions
2443.
West Virginia Medicaid Hepatitis-C Therapy Prior Authorization Form
2
Moderate 57
WV Medicaid Hep-C PA examples
WV Medicaid Hep-C PA instructions
2444.
Medical Genetics Clinic General Referral Form
1
Moderate 55
General Referral Form examples
General Referral Form instructions
2445.
OREA Form 210, Listing Agreement Landlord Representation Agreement, Authority to Offer for Lease
4
Moderate 61
OREA Form 210 examples
OREA Form 210 instructions
2446.
OREA Form 200, Listing Agreement Seller Representation Agreement Authority to Offer for Sale
4
Moderate 57
OREA Form 200 examples
OREA Form 200 instructions
2447.
BCCH Dentistry Referral Form
1
Moderate 52
BCCH Dentistry Referral examples
BCCH Dentistry Referral instructions
2448.
Form Mod(PC).2005, Private Company
24
Very Complex 97
Mod(PC).2005 examples
Mod(PC).2005 instructions
2449.
Form ST-105, General Sales Tax Exemption Certificate
2
Basic 42
ST-105 examples
ST-105 instructions
2450.
Disability Benefits Questionnaire (DBQ) - Muscle Injuries
12
Very Complex 91
Muscle Injuries DBQ examples
Muscle Injuries DBQ instructions
2451.
Student Change of Circumstances Form
4
Moderate 50
Student Change of Circumstances examples
Student Change of Circumstances instructions
2452.
Form JS 44, Civil Cover Sheet
-
Moderate 61
JS 44 examples
JS 44 instructions
2453.
Petition for Termination of Parental Rights
1
Basic 30
Parental Rights Termination Petition examples
Parental Rights Termination Petition instructions
2454.
Form I-129, Petition for a Nonimmigrant Worker
38
Very Complex 92
I-129 examples
I-129 instructions
2455.
Form AA1, Claim for Attendance Allowance
32
Very Complex 90
AA1 examples
AA1 instructions
2456.
Allied Health Treatment Request Form
4
Complex 66
AHTR examples
AHTR instructions
2457.
Form SY042 - Claim for Mobility Allowance
22
Very Complex 83
SY042 examples
SY042 instructions
2458.
Form DS-234, Special Immigrant Visa Biodata Form
2
Complex 79
DS-234 examples
DS-234 instructions
2459.
Form MV-145V, Application for Severely Disabled Veteran, Severely Disabled Veteran Motorcycle Plate Decal or Disabled Veteran Registration Plate
3
Moderate 62
MV-145V examples
MV-145V instructions
2460.
Antrag auf Leistungen zur Teilhabe für Versicherte – Rehabilitationsantrag
10
Complex 75
G0100 examples
G0100 instructions
2461.
Physician's Report for Child Care
2
Complex 65
Child Care Physician's Report examples
Child Care Physician's Report instructions
2462.
Standard Bill of Lading
1
Complex 66
BOL examples
BOL instructions
2463.
Bill of Lading
2
Complex 71
BOL examples
BOL instructions
2464.
Straight Bill of Lading
1
Complex 66
BOL examples
BOL instructions
2465.
Uniform Straight Bill of Lading
1
Complex 69
BOL examples
BOL instructions
2466.
Straight Bill of Lading
3
Very Complex 80
BOL examples
BOL instructions
2467.
Vehicle Bill of Lading
1
Moderate 60
Vehicle Bill of Lading examples
Vehicle Bill of Lading instructions
2468.
Bill of Lading
1
Complex 64
BOL examples
BOL instructions
2469.
Uniform Straight Bill of Lading
1
Complex 65
Bill of Lading examples
Bill of Lading instructions
2470.
Uniform Straight Bill of Lading
1
Complex 64
BOL examples
BOL instructions
2471.
Application for the Grant of Permanent Residence in the Cayman Islands
13
Very Complex 97
Cayman Islands PR Application instructions
2472.
Application for a Residency and Employment Rights Certificate
12
Very Complex 98
Cayman Islands RERC Application instructions
2473.
Request to Resolve a Medical Fee Dispute
4
Very Complex 91
DWC Medical Fee Dispute Request examples
DWC Medical Fee Dispute Request instructions
2474.
Pre-Arrival Information Report (PAIR)
5
Complex 72
PAIR examples
PAIR instructions
2475.
Form FL-142, Schedule of Assets and Debts
4
Complex 74
FL-142 examples
FL-142 instructions
2476.
California Residential Purchase Agreement and Joint Escrow Instructions
10
Very Complex 89
RPA-CA instructions
2477.
Out-of-Home Care Provider Incident Report
4
Complex 78
Out-of-Home Care Incident Report instructions
2478.
Form 1120-REIT, U.S. Income Tax Return for Real Estate Investment Trusts
5
Complex 75
1120-REIT instructions
2479.
Listing Agreement - Authority to Offer for Sale
4
Moderate 47
Listing Agreement examples
Listing Agreement instructions
2480.
Application for Duplicate Certificate of Title
1
Basic 37
Duplicate Title Application examples
Duplicate Title Application instructions
2481.
Power of Attorney for a Motor Vehicle, Mobile Home, or Vessel
1
Moderate 54
Vehicle Power of Attorney examples
Vehicle Power of Attorney instructions
2482.
Application to copy or transfer from one Medicare card to another
6
Complex 74
MS011 examples
MS011 instructions
2483.
Form 5695, Residential Energy Credits
3
Complex 71
Form 5695 instructions
2484.
VA Form 21-0966, Intent to File a Claim for Compensation and/or Pension, or Survivors Pension and/or DIC
2
Moderate 54
VA Form 21-0966 examples
VA Form 21-0966 instructions
2485.
Carer Payment and/or Carer Allowance: Medical Report for a person 16 years or over
7
Complex 77
SA431 examples
SA431 instructions
2486.
Medical Report for Carer Payment and/or Carer Allowance
7
Complex 76
Carer Medical Report examples
Carer Medical Report instructions
2487.
Carer Allowance - Medical Report for a person 16 years or over (SA332a)
9
Complex 77
SA332a examples
SA332a instructions
2488.
Carer Payment and/or Carer Allowance: Caring for a person 16 years or over
9
Complex 77
SA334 examples
SA334 instructions
2489.
Commonwealth Seniors Health Card (CSHC) Income Test and Dependent Child Worksheet
16
Moderate 59
CSHC Income & Dependent Child Worksheet examples
CSHC Income & Dependent Child Worksheet instructions
2490.
SU599 Assurer's statement to Centrelink
4
Moderate 61
SU599 examples
SU599 instructions
2491.
Medical Assessment for Transport Disability
4
Moderate 60
Transport Disability Assessment examples
Transport Disability Assessment instructions
2492.
Compensation and damages (Mod C)
6
Complex 67
Mod C instructions
2493.
Relationship and Child Care Arrangement Details Form
12
Complex 76
Centrelink Relationship and Child Care Details instructions
2494.
Centrelink Confirmation of Personal and Study Details
12
Basic 45
Centrelink Details Confirmation examples
2495.
Form SU683 - Details of study, training, work or other activities
8
Very Complex 84
SU683 examples
SU683 instructions
2496.
Form SS241 - Referee's Report - Identification of a claimant
4
Moderate 48
SS241 examples
SS241 instructions
2497.
Pharmaceutical Benefits Scheme (PBS) Safety Net application and amendment for a PBS Safety Net card form
2
Moderate 60
PB241 examples
PB241 instructions
2498.
Form SA474, Claim for an Australian Survivor Pension for a person living outside Australia
4
Moderate 62
SA474 examples
SA474 instructions
2499.
Centrelink Form SY041 - Verification of your family circumstances: Unreasonable to live at home
2
Complex 69
SY041 examples
SY041 instructions
2500.
Partner Details form
6
Complex 71
SS284 examples
SS284 instructions
2501.
Centrelink Special Disability Trust Details Form
8
Complex 75
SA475 examples
SA475 instructions
2502.
MOD S, Details of study
4
Very Complex 87
MOD S examples
MOD S instructions
2503.
Centrelink - Real Estate Details (Mod R)
8
Complex 71
Mod R examples
Mod R instructions
2504.
Form MOD S, Separation Details
10
Complex 75
MOD S instructions
2505.
Form Mod P - Partner Details
18
Very Complex 95
Mod P instructions
2506.
SA393 - Medical report for a person who is blind
9
Complex 67
SA393 examples
SA393 instructions
2507.
Form SA472, Advice of death
4
Complex 67
SA472 examples
SA472 instructions
2508.
Form SS293, Advice of death
4
Complex 69
SS293 examples
SS293 instructions
2509.
Form SA333, Claim for Carer Payment and Carer Allowance
6
Complex 76
SA333 examples
SA333 instructions
2510.
Details of income stream product
14
Very Complex 88
SA330 examples
SA330 instructions
2511.
Claim for Commonwealth Seniors Health Card
12
Very Complex 89
SA296 examples
SA296 instructions
2512.
Form SA296, Claim for a Commonwealth Seniors Health Card
18
Very Complex 92
SA296 examples
SA296 instructions
2513.
Form SA315, Application for Home Equity Access Scheme
34
Very Complex 92
SA315 instructions
2514.
Centrelink Form SY015 - Verification of 'Unreasonable to Live at Home'
5
Complex 70
SY015 instructions
2515.
Schedule 1 (Form 1040), Additional Income and Adjustments to Income
2
Moderate 60
Schedule 1 (Form 1040) examples
Schedule 1 (Form 1040) instructions
2516.
Form 843, Claim for Refund and Request for Abatement
2
Moderate 59
Form 843 examples
Form 843 instructions
2517.
Applied Behavior Analysis Clinical Service Request Form
5
Very Complex 83
BCBSIL 250250.0225 instructions
2518.
Optional Form 306, Declaration for Federal Employment
3
Moderate 58
OF 306 instructions
2519.
Superior Court of Chatham County, Georgia, Hearing Request Form
1
Moderate 54
Chatham County Hearing Request Form examples
Chatham County Hearing Request Form instructions
2520.
Form PTO/AIA/01, Declaration (37 CFR 1.63) for Utility or Design Application Using an Application Data Sheet (37 CFR 1.76)
1
Basic 30
PTO/AIA/01 examples
PTO/AIA/01 instructions
2521.
Form HUD-9834, Tenant File Review Worksheet
5
Very Complex 82
HUD-9834 examples
HUD-9834 instructions
2522.
Request for Investigation of Unemployment Insurance Fraud
1
Moderate 55
Maryland UI Fraud Investigation Request examples
Maryland UI Fraud Investigation Request instructions
2523.
Form 130-U, Application for Texas Title and/or Registration
1
Moderate 60
Form 130-U examples
Form 130-U instructions
2524.
DD Form 2642, TRICARE DoD/CHAMPUS Medical Claim Patient's Request for Medical Payment
2
Moderate 55
DD Form 2642 examples
DD Form 2642 instructions
2525.
City of Fremont Class II, III, IV, and V Special Event Permit Application Form
17
Very Complex 89
Fremont Special Event Application examples
Fremont Special Event Application instructions
2526.
DD Form 2977, Deliberate Risk Assessment Worksheet
3
Very Complex 83
DD 2977 examples
DD 2977 instructions
2527.
Form DC-CV-002, Request for Service
1
Complex 67
DC-CV-002 examples
DC-CV-002 instructions
2528.
Application for Relief From Abuse, JD-FM-137
2
Complex 78
JD-FM-137 instructions
2529.
Form DC-CV-001, Complaint/Application and Affidavit in Support of Judgment
1
Complex 64
DC-CV-001 examples
DC-CV-001 instructions
2530.
Form I-693, Report of Immigration Medical Examination and Vaccination Record
14
Very Complex 95
I-693 examples
I-693 instructions
2531.
Regulation Best Interest Questionnaire
2
Moderate 55
H9166 examples
H9166 instructions
2532.
Recommendation and Attestation Form Rollovers, Transfers and Changes to Account Type
5
Complex 72
H9156 examples
H9156 instructions
2533.
HTK Investment Advisory Agreement for Selection of Third Party Investment Advisory Services
4
Basic 44
H9105 examples
H9105 instructions
2534.
Form DISC-020, Requests for Admission
1
Basic 41
DISC-020 examples
DISC-020 instructions
2535.
Form ETA-9089, Application for Permanent Employment Certification
7
Complex 74
ETA-9089 instructions
2536.
Form DOS-2156, New York State Housing Discrimination Disclosure Form
2
Simple 18
DOS-2156 examples
DOS-2156 instructions
2537.
AO 88B, Subpoena to Produce Documents, Information, or Objects or to Permit Inspection of Premises in a Civil Action
2
Moderate 48
AO 88B examples
AO 88B instructions
2538.
Form I-9, Employment Eligibility Verification
4
Complex 70
I-9 instructions
2539.
State of Florida Department of Business and Professional Regulation Construction Industry Licensing Board Application for Certified Class-B Air Conditioning Contractor Who is Qualifying a Business
20
Very Complex 90
DBPR CILB 6-H instructions
2540.
Form MV2119, Replacement Title Application
2
Moderate 53
MV2119 examples
MV2119 instructions
2541.
Statement of Net Worth, Supreme Court of the State of New York
24
Very Complex 91
UCS Statement of Net Worth instructions
2542.
Form 941-X, Adjusted Employer’s QUARTERLY Federal Tax Return or Claim for Refund
6
Complex 77
Form 941-X examples
Form 941-X instructions
2543.
Services Australia Advice of Imprisonment or Custody (MOD F)
3
Moderate 59
MOD F examples
MOD F instructions
2544.
MOD Y - Unreasonable to Live at Home
7
Complex 78
MOD Y instructions
2545.
Mod P, Details of your partner
7
Complex 68
Mod P examples
Mod P instructions
2546.
Claim for ABSTUDY
11
Very Complex 81
ABSTUDY Claim Form examples
ABSTUDY Claim Form instructions
2547.
Form SY029 - Claim for Pensioner Education Supplement
12
Complex 71
SY029 examples
SY029 instructions
2548.
Application for an Assurance of Support
15
Very Complex 90
Assurance of Support Application examples
Assurance of Support Application instructions
2549.
Form SS001 - Claim for Special Benefit
35
Very Complex 92
SS001 examples
SS001 instructions
2550.
Form SY018, Claim for ABSTUDY
59
Very Complex 93
SY018 instructions
2551.
Form I-485, Application to Register Permanent Residence or Adjust Status
3
Complex 71
I-485 examples
I-485 instructions
2552.
Spanish Grant of Representation Form
2
Moderate 52
Spanish Grant of Representation examples
Spanish Grant of Representation instructions
2553.
Financial Disclosure Affidavit
3
Complex 68
Financial Disclosure Affidavit examples
Financial Disclosure Affidavit instructions
2554.
Form SY033 - Review of Decision
4
Moderate 46
SY033 examples
SY033 instructions
2555.
Form SY022, Claim for ABSTUDY for students or Australian Apprentices in lawful custody
6
Complex 67
SY022 examples
SY022 instructions
2556.
Student Claim for Essential Equipment Form
5
Complex 67
Student Equipment Claim examples
Student Equipment Claim instructions
2557.
Form SY042, Details of income for student payments
5
Complex 71
SY042 examples
SY042 instructions
2558.
Claim for Pensioner Education Supplement
16
Very Complex 86
SY008 examples
SY008 instructions
2559.
Form SY019, Claim for ABSTUDY
9
Complex 78
SY019 examples
SY019 instructions
2560.
ABSTUDY Claim for Fares Allowance
8
Very Complex 94
ABSTUDY Fares Allowance examples
ABSTUDY Fares Allowance instructions
2561.
Claim for ABSTUDY
20
Very Complex 93
ABSTUDY Claim Form instructions
2562.
Claim for Assistance for Isolated Children (AIC)
33
Very Complex 90
AIC Claim Form instructions
2563.
Legal Aid Financial Eligibility Form
8
Very Complex 85
Legal Aid Application examples
Legal Aid Application instructions
2564.
Tertiary Student Enrolment Declaration
2
Basic 41
Student Enrolment Declaration examples
Student Enrolment Declaration instructions
2565.
Statement of Authority for School Transport Assistance
2
Basic 40
School Transport Verification examples
School Transport Verification instructions
2566.
Education Course Costs and Student Details Claim Form
2
Complex 76
Student Course Cost Claim examples
Student Course Cost Claim instructions
2567.
ABSTUDY Private Boarding Details and Payment Direction
3
Moderate 55
ABSTUDY Private Boarding Form examples
ABSTUDY Private Boarding Form instructions
2568.
Claim for Short Term Boarding Allowance
2
Complex 72
Short Term Boarding Claim examples
Short Term Boarding Claim instructions
2569.
Form SY061, Medical statement - Assistance for Isolated Children (AIC) Scheme
6
Complex 63
SY061 examples
SY061 instructions
2570.
Form SY018, Claim for ABSTUDY - Parent(s)/Guardian(s) to provide financial details
25
Very Complex 88
SY018 examples
SY018 instructions
2571.
Form W-9, Request for Taxpayer Identification Number and Certification
1
Basic 31
W-9 examples
W-9 instructions
2572.
Standard Form 86 (SF-86), Questionnaire for National Security Positions
9
Very Complex 89
SF-86 instructions
2573.
Notice to Employee (Labor Code section 2810.5)
2
Moderate 46
DLSE-NTE examples
DLSE-NTE instructions
2574.
Direct Deposit Authorization Form
1
Moderate 56
Direct Deposit Form examples
Direct Deposit Form instructions
2575.
Employee Action Form
1
Moderate 62
Employee Action Form examples
Employee Action Form instructions
2576.
Form DE 4, Employee's Withholding Allowance Certificate
4
Moderate 55
DE 4 examples
DE 4 instructions
2577.
Form I-9, Employment Eligibility Verification
5
Complex 70
I-9 examples
I-9 instructions
2578.
Form CMS-R-131, Advance Beneficiary Notice of Noncoverage (ABN)
1
Simple 28
CMS-R-131 examples
CMS-R-131 instructions
2579.
Employee Information & Work Location Form
1
Simple 16
Employee Info Form examples
Employee Info Form instructions
2580.
Report of Suspected Child Abuse/Neglect
2
Moderate 53
Child Abuse Report Form examples
Child Abuse Report Form instructions
2581.
Authorization to Disclose Information
1
Simple 16
Authorization Form examples
Authorization Form instructions
2582.
Suspected Child Abuse Report
2
Basic 45
Child Abuse Report examples
Child Abuse Report instructions
2583.
Authorization for Presence of an Individual at an Interview
1
Simple 16
Interview Presence Authorization examples
Interview Presence Authorization instructions
2584.
DCFS Suspected Child Abuse/Neglect Referral Information Request
2
Basic 39
DCFS Referral Form examples
DCFS Referral Form instructions
2585.
CFS 403-2, Notice of Decision
2
Basic 34
CFS 403-2 examples
CFS 403-2 instructions
2586.
Child Action Plan
2
Moderate 48
Child Action Plan examples
Child Action Plan instructions
2587.
DCFS Request for Disbursement
1
Moderate 55
DCFS Request for Disbursement examples
DCFS Request for Disbursement instructions
2588.
Notice of Placement Change and Request for Clinical Placement Review
1
Basic 40
Notice of Placement Change examples
Notice of Placement Change instructions
2589.
OCFS-4001, Notice of Critical Decision
2
Basic 32
OCFS-4001 examples
OCFS-4001 instructions
2590.
Child Status and Service Needs Review
2
Moderate 61
CSSNR Form examples
CSSNR Form instructions
2591.
DCFS Caseworker Recommendation for Use of Child's Funds for Special Needs
1
Basic 31
DCFS Special Needs Fund Recommendation examples
DCFS Special Needs Fund Recommendation instructions
2592.
Placement Review Staffing Report
3
Moderate 60
Placement Review Report examples
Placement Review Report instructions
2593.
Norman Class Member Certification Form
1
Basic 42
Norman Certification examples
Norman Certification instructions
2594.
Affidavit of Parentage
2
Moderate 46
Paternity Affidavit examples
Paternity Affidavit instructions
2595.
Level of Care (LOC) Assessment for Children in Foster Care
6
Moderate 62
LOC Assessment examples
LOC Assessment instructions
2596.
Adoption and Safe Families Act (ASFA) Survey
5
Moderate 62
ASFA Survey instructions
2597.
DCFS Help Unit Consultation Request Form
3
Complex 67
DCFS Help Unit Request examples
DCFS Help Unit Request instructions
2598.
Client Monthly Budget Worksheet
1
Moderate 59
Client Budget Worksheet examples
Client Budget Worksheet instructions
2599.
CFS 431-1, Summary of the Child's Educational and Developmental Status
3
Complex 67
CFS 431-1 examples
CFS 431-1 instructions
2600.
Request for Extension to Keep Case Open
3
Basic 35
Case Extension Request examples
Case Extension Request instructions
2601.
DCFS Youth Recovery Assistance Checklist (RAC)
1
Basic 38
DCFS RAC Checklist examples
DCFS RAC Checklist instructions
2602.
Form MC 01, Summons
1
Moderate 48
MC 01 instructions
2603.
IDOC/DCFS Incarcerated Parent Video Contact Agreement
1
Simple 22
IDOC/DCFS Video Contact Agreement examples
IDOC/DCFS Video Contact Agreement instructions
2604.
DCFS D-CIPP Quarterly/Annual Progress Report
2
Moderate 56
DCFS D-CIPP Report examples
DCFS D-CIPP Report instructions
2605.
National Youth in Transition Database (NYTD) Survey
3
Moderate 48
NYTD Survey examples
NYTD Survey instructions
2606.
DCFS Ally Participant Signature Form
1
Simple 21
DCFS Ally Signature Form examples
DCFS Ally Signature Form instructions
2607.
Youth Transition Plan for Independent Living
12
Very Complex 90
Youth Transition Plan examples
Youth Transition Plan instructions
2608.
National Youth in Transition Database (NYTD) Youth Outcome Survey
3
Moderate 55
NYTD Survey examples
NYTD Survey instructions
2609.
Post Permanency Sibling Contact Agreement
2
Basic 38
Sibling Contact Agreement examples
Sibling Contact Agreement instructions
2610.
Day Care Service Application Worker Verification Checklist
5
Basic 37
Day Care Worker Checklist examples
Day Care Worker Checklist instructions
2611.
CFS 1800-U, 60+ Subsidy Checklist
2
Basic 35
CFS 1800-U examples
CFS 1800-U instructions
2612.
Intact Family Services Child Care Referral Form
1
Moderate 54
IFS Child Care Referral examples
IFS Child Care Referral instructions
2613.
CFS 1800-U, 60+ Subsidy Checklist
3
Basic 42
CFS 1800-U examples
CFS 1800-U instructions
2614.
Application for Day Care Services
2
Complex 76
Day Care Application examples
Day Care Application instructions
2615.
Caregiver 60 and Over Checklist
4
Complex 73
Caregiver 60+ Checklist examples
Caregiver 60+ Checklist instructions
2616.
Child and Adolescent Needs and Strengths Summary
1
Moderate 61
CANS Summary examples
CANS Summary instructions
2617.
DCFS Foster and Relative Home Placement Checklist
6
Very Complex 90
DCFS Placement Checklist examples
DCFS Placement Checklist instructions
2618.
Department of Children and Family Services (DCFS) Day Care Service Eligibility Application
6
Very Complex 90
DCFS Day Care Service Eligibility Application examples
DCFS Day Care Service Eligibility Application instructions
2619.
Facility Personnel Roster
1
Complex 65
Facility Personnel Roster examples
Facility Personnel Roster instructions
2620.
Form CMS-L564, Request for Employment Information
1
Simple 25
CMS-L564 examples
CMS-L564 instructions
2621.
CFS 718, Application for Child Welfare Employee Licensure
3
Moderate 57
CFS 718 examples
CFS 718 instructions
2622.
Personal History Statement
2
Moderate 57
PHS examples
PHS instructions
2623.
Form CANTS 22, Authorization for Background Check for Programs Not Licensed by DCFS
3
Complex 66
CANTS 22 examples
CANTS 22 instructions
2624.
CFS 718-1, Authorization for Background Check
4
Complex 65
CFS 718-1 examples
CFS 718-1 instructions
2625.
CFS 508-1, Authorization for Background Check
3
Complex 71
CFS 508-1 examples
CFS 508-1 instructions
2626.
Personal History Statement and Background Check Authorization
2
Moderate 51
Personal History Statement examples
Personal History Statement instructions
2627.
Authorization for Background Check for Child Care
3
Complex 66
Illinois Child Care Background Check examples
Illinois Child Care Background Check instructions
2628.
Form CFS 718, Authorization for Background Check
4
Complex 64
CFS 718 examples
CFS 718 instructions
2629.
Case Action/Payment Request Form
1
Basic 36
CFS Case Action/Payment Request examples
CFS Case Action/Payment Request instructions
2630.
Special Service Fee and Payment Extension Request
1
Moderate 48
SSF/PE Request examples
SSF/PE Request instructions
2631.
Children's Special Fund Request
1
Basic 44
Special Fund Request examples
Special Fund Request instructions
2632.
JFS 01443, Request for Payment for Special Services for Children in Out-of-Home Care
1
Basic 35
JFS 01443 examples
JFS 01443 instructions
2633.
Form CFS 601-2, County Treasurer's and Judge's Certification of Expenditures for Care and Support of Minors Other Than Wards of the Court
1
Simple 26
CFS 601-2 examples
CFS 601-2 instructions
2634.
Intensive Placement Stabilization (IPS) Referral Form
3
Complex 63
IPS Referral Form examples
IPS Referral Form instructions
2635.
CFS 912, Referral Form for Life Skills/Financial Literacy Education
2
Moderate 54
CFS 912 examples
CFS 912 instructions
2636.
Form 2085-B, Child Protective Services - Bed Hold Request
1
Complex 68
Form 2085-B examples
Form 2085-B instructions
2637.
Form AD 838, Statement of Monies Paid for 24-Hour Care of Children
2
Complex 69
AD 838 examples
AD 838 instructions
2638.
Statement of Monies Received for Child(ren)
2
Complex 63
Statement of Monies Received examples
Statement of Monies Received instructions
2639.
General Liability and Builder's Risk Insurance Application
4
Very Complex 81
Construction Insurance Application examples
Construction Insurance Application instructions
2640.
Preliminary Conduct Review Form
1
Moderate 58
Preliminary Conduct Review examples
Preliminary Conduct Review instructions
2641.
Unknown Form Title
2
Complex 76
Unknown Form ID examples
Unknown Form ID instructions
2642.
DSCR Business Purpose Loan Application
1
Complex 63
DSCR Loan Application examples
DSCR Loan Application instructions
2643.
Equestrian Day Camp Supplemental Application
2
Moderate 53
Equestrian Day Camp Application examples
Equestrian Day Camp Application instructions
2644.
Form N244, Application Notice
5
Moderate 57
N244 examples
N244 instructions
2645.
Rule 12.36—Form 4: Physician or Mental Health Professional’s Report of Examination
4
Moderate 59
Rule 12.36—Form 4 examples
Rule 12.36—Form 4 instructions
2646.
Amazon Healthcare Provider Form for Accommodation Request
4
Very Complex 81
Amazon Accommodation Request Form examples
Amazon Accommodation Request Form instructions
2647.
Return Merchandise Authorization (RMA) Form
1
Moderate 61
RMA Form examples
RMA Form instructions
2648.
Material Charge Out / Stock Transfer Form
1
Moderate 60
Material Transfer Form examples
Material Transfer Form instructions
2649.
TANN Corporation Change Order Form
1
Basic 35
Change Order Form examples
Change Order Form instructions
2650.
Unidentified Document
1
Complex 63
N/A examples
2651.
Employee Vacation/Time Off Request Form
1
Basic 34
Time Off Request Form examples
Time Off Request Form instructions
2652.
Request for Quote Form
1
Moderate 61
RFQ Form examples
RFQ Form instructions
2653.
Form MC 02, Appearance
1
Basic 39
MC 02 instructions
2654.
Form MC 03, Answer, Civil
1
Complex 73
MC 03 instructions
2655.
Form MC 6, Notice to Appear
1
Complex 65
MC 6 instructions
2656.
State of Michigan, Form MC 01a, Complaint
1
Basic 32
2657.
Form MC 01b, Motion for Second Summons and Order
1
Basic 32
2658.
State of Michigan Blank Court Form
1
Simple 22
2659.
Form MC 07, Default Request and Entry
1
Basic 39
MC 07 instructions
2660.
Form MC 07a, Default Request, Entry, and Judgment (Sum Certain)
1
Basic 38
2661.
Form MC 09, Dismissal
1
Basic 43
MC 09 instructions
2662.
Form MC 09a, Dismissal, Nonservice/No Progress
1
Basic 38
MC 09a instructions
2663.
Form MC 10, Judgment, Civil
1
Moderate 62
MC 10 instructions
2664.
Form MC 11, Subpoena, Order to Appear and/or Produce
1
Basic 43
2665.
Request and Writ for Garnishment (Periodic)
1
Moderate 46
2666.
Form MC 13, Request and Writ for Garnishment (Nonperiodic)
1
Basic 45
2667.
Form MC 14, Garnishee Disclosure
1
Moderate 46
2668.
Form MC 15, Motion and Affidavit for Installment Payments/To Amend Order for Installment Payments
1
Basic 39
2669.
Form MC 15a, Order Regarding Installment Payments
1
Basic 33
2670.
Form MC 16, Motion to Set Aside Order for Installment Payments
1
Basic 33
2671.
State of Michigan, Form MC 16a, Order on Motion to Set Aside Order for Installment Payments
1
Basic 31
2672.
State of Michigan MC 17, Certificate of Satisfied Judgment
1
Basic 29
2673.
Form MC 19, Request and Order to Seize Property
1
Basic 35
2674.
Form MC 20, Fee Waiver Request
1
Basic 35
2675.
Form MC 20a, Order Regarding Suspension of Prisoner Fees/Costs
1
Basic 31
2676.
Form MC 21, Confidential Case Inventory (Domestic Relations and Juvenile Code)
1
Basic 41
2677.
Form MC 22, Jury Demand
1
Simple 28
2678.
Form MC 24, Taxation of Costs
1
Basic 44
2679.
State of Michigan, Form MC 25, Notice of Intent to Escheat Unclaimed Personal Property
1
Basic 30
2680.
Form MC 26, Notice of Intent to Dismiss for No Progress
1
Simple 26
2681.
Form MC 27, Request and Notice for Film and Electronic Media Coverage of Court Proceedings
1
Basic 31
2682.
Form MC 28, Notice to Prior Court of Proceedings Affecting Minor(s)
1
Basic 29
2683.
Form MC 29, Notice of Intent to Destroy Disclosure and/or Discovery Materials
1
Basic 31
2684.
Form MC 30, Order for Case Evaluation
1
Basic 36
2685.
Form MC 31, Case Evaluation Notice
1
Basic 37
2686.
Form MC 32, Notice of Case Evaluation and Acceptance or Rejection of Award
1
Basic 35
2687.
Form MC 33, Notice of Acceptance/Rejection of Case Evaluation Award
1
Basic 35
2688.
MC 34, Case Evaluator Application
1
Basic 44
2689.
Form MC 35, Complaint, Claim and Delivery
1
Basic 29
2690.
Form MC 36, Motion for Possession Pending Judgment, Claim and Delivery
1
Basic 39
2691.
Order of Possession Pending Judgment, Claim and Delivery
1
Basic 38
2692.
Form MC 38, Bond, Claim and Delivery
1
Basic 34
2693.
Form MC 39, Judgment, Claim and Delivery
1
Basic 39
2694.
MC 48, Final Statement on Garnishment of Periodic Payments
1
Basic 29
2695.
Form MC 49, Objections to Garnishment and Notice of Hearing
1
Basic 39
2696.
MC 50, Garnishment Release
1
Basic 38
2697.
Form MC 51, Order on Objections to Garnishment
1
Basic 31
2698.
State of Michigan, Form MC 52, Request and Writ for Garnishment (Income Tax Refund/Credit)
1
Basic 45
2699.
Form MC 55, Claim of Appeal
1
Basic 37
2700.
Form MC 56, Bond on Appeal
1
Basic 37
2701.
Form MC 57, Certificate of Records Transmitted for Appeal and Notice to Parties
1
Basic 30
2702.
Form MC 60, Notice of Record Return from Circuit Court/Court of Appeals
1
Basic 29
2703.
Form MC 62, Affidavit and Notice of Entry of Foreign Judgment
1
Basic 34
2704.
Form MC 63, Motion and Order to Seize Vehicle Subject to Forfeiture
1
Basic 38
2705.
Form MC 64, Notice of Intent to Forfeit Vehicle
1
Basic 32
2706.
State of Michigan, Motion for Return of Vehicle Pending Forfeiture Proceedings
1
Basic 33
2707.
Form MC 66, Order on Motion for Return of Vehicle Pending Forfeiture Proceedings
1
Basic 36
2708.
Form MC 67, Claim of Interest on Vehicle Seized for Forfeiture
1
Basic 33
2709.
Order on Claim of Interest on Vehicle Seized for Forfeiture
1
Basic 36
2710.
Form MC 69, Order to Return/Forfeit Vehicle after Sentencing
1
Basic 35
2711.
Request for Reasonable Accommodations and Response
1
Basic 37
2712.
MC 70a, Review of Request for Reasonable Accommodations and Response
1
Basic 35
2713.
MC 72, Petition for Testing of Infectious Disease and Waiver of Notice of Hearing
1
Basic 31
2714.
MC 73, Notice of Hearing on Petition for Testing of Infectious Disease
1
Basic 29
2715.
MC 74, Order Following Hearing on Petition for Testing of Infectious Disease
1
Basic 29
2716.
Form MC 81, Request and Order for Interpreter
1
Simple 25
2717.
Form MC 81a, Review of Request for Interpreter and Order
1
Simple 24
2718.
Form MC 82, Payment Receipt and Inventory of Seized Property
1
Basic 39
2719.
Form MC 83, Report of Collection Activity under Order to Seize Property
1
Basic 43
2720.
Form MC 92, Cash Bond
1
Basic 36
2721.
Form MC 94, Notice of Judgment Lien
1
Basic 39
2722.
Form MC 95, Request for Approval of Bond and Notice (Settlement/Judgment/Wrongful Death Settlement)
1
Basic 33
2723.
Form MC 96, Judgment of Contempt
1
Moderate 53
2724.
Form MC 97, Protected Personal Identifying Information
1
Moderate 49
2725.
Form MC 97a, Addendum to Protected Personal Identifying Information
1
Moderate 50
MC 97a instructions
2726.
Ex Parte Motion to Protect Personal Identifying Information
1
Basic 41
2727.
Form MC 97o, Order Regarding Ex Parte Motion to Protect Personal Identifying Information
1
Basic 42
2728.
Form MC 97r, Request for Redaction of Protected Personal Identifying Information
1
Basic 41
2729.
Form MC 98, Statement of Grievance Regarding e-Filing Access Plan
1
Simple 27
2730.
Form MC 99, Motion and Affidavit to Set Aside Default (Civil)
1
Basic 44
MC 99 instructions
2731.
Form MC 99a, Order Regarding Motion to Set Aside Default
1
Simple 27
2732.
Form MC 100, Request for Exemption From Use of MiFILE and Order
1
Basic 31
2733.
State of Michigan Form MC 112, Motion to Intervene to Protect Assets and Notice of Hearing
1
Basic 32
2734.
State of Michigan Order on Motion to Intervene to Protect Assets
1
Basic 32
2735.
Form MC 114, Request for Review of Denied Fee Waiver and Order
1
Basic 29
2736.
Form MC 200a, Felony Information
1
Basic 36
2737.
Form MC 200s, Felony Set, Summons
1
Moderate 59
2738.
Form MC 200w, Felony Set, Warrant
1
Complex 68
MC 200w instructions
2739.
Form MC 201, Witness/Juror Certificate
1
Basic 40
2740.
Form MC 202, Certification of Records/Attestation of Exemplified Copies
1
Basic 31
2741.
Form MC 203, Writ of Habeas Corpus
1
Basic 44
2742.
Form MC 204, Order for Competency Examination
1
Basic 34
2743.
Form MC 205, Finding and Order on Competency
1
Simple 28
2744.
Form MC 206, Order for Evaluation Relative to Criminal Responsibility
1
Basic 35
2745.
Form MC 207, Commitment Order, Not Guilty by Reason of Insanity
1
Basic 35
2746.
Form MC 208, Demand/Waiver for Transcript of Preliminary Examination
1
Basic 32
2747.
MC 211, Order for Substance Abuse Evaluation
1
Basic 30
2748.
Form MC 212, Summary of Substance Abuse Assessment Report
1
Basic 35
2749.
Form MC 218, Order Revoking Release and Forfeiting Bond, Notice of Intent to Enter Judgment
1
Basic 34
2750.
State of Michigan, Form MC 218a, Notice to Surety of Defendant's Failure to Appear
1
Basic 31
2751.
Form MC 219, Judgment of Sentence/Commitment to Jail
1
Moderate 60
2752.
Form MC 220, Recall of Warrant/Order to Apprehend and Removal From LEIN
1
Basic 35
2753.
Statement of Service and Order for Payment of Court-Appointed Representative
1
Moderate 52
2754.
Form MC 222, Request for Appointment of Attorney and Order
1
Basic 36
2755.
Order and Receipt for Driver's License Held as Security
1
Basic 29
2756.
Form MC 227, Application to Set Aside Conviction(s)
1
Moderate 50
2757.
Form MC 227a, Application to Set Aside Misdemeanor Marihuana Conviction(s)
1
Basic 39
2758.
Form MC 227b, Application for Human Trafficking Victim to Set Aside Conviction(s)
1
Moderate 49
2759.
Form MC 228, Order on Application to Set Aside Conviction(s)
1
Basic 41
2760.
Form MC 228a, Order on Application to Set Aside Misdemeanor Marihuana Conviction(s)
1
Basic 38
2761.
Form MC 228b, Order on Application by Human Trafficking Victim to Set Aside Conviction(s)
1
Basic 41
2762.
Form MC 229, Motion, Affidavit, and Bench Warrant
1
Basic 39
2763.
State of Michigan, Form MC 230, Motion, Affidavit, and/or Order to Show Cause
1
Basic 42
2764.
Form MC 231, Affidavit for Search Warrant
1
Basic 34
2765.
Form MC 231a, Affidavit for Search Warrant (continuation)
1
Simple 16
2766.
Form MC 232, Interim Bail Order (Misdemeanor)
1
Basic 36
2767.
Form MC 233, Order for Fingerprints
1
Basic 37
2768.
Form MC 234, Order for Counseling and Testing for Disease/Infection
1
Basic 33
2769.
Form MC 235, Motion for Destruction of Biometric Data and Arrest Record
1
Basic 36
2770.
Form MC 238, Judgment after Bond Forfeiture
1
Basic 35
2771.
MC 239, Removal of Entry from LEIN
1
Basic 29
2772.
State of Michigan Pretrial Release Order (Form MC 240)
1
Basic 45
2773.
Form MC 240b, Custody Order
1
Basic 40
2774.
Form MC 242, Assignment to Youthful Trainee Status
1
Basic 38
2775.
Form MC 243, Order of Probation
1
Basic 42
2776.
Form MC 244, Petition and Order for Amendment of Order of Probation
1
Basic 40
2777.
Form MC 245o, Order for Discharge From Probation
1
Basic 35
2778.
State of Michigan Form MC 246, Request and Summons For Probation Violation
1
Basic 38
2779.
Form MC 246a, Request and Warrant for Probation Violation
1
Basic 38
2780.
Form MC 247, Complaint, Condemnation and Confiscation
1
Basic 30
2781.
Form MC 248, Department of Natural Resources, Order to Show Cause, Condemnation and Confiscation
1
Basic 35
2782.
Form MC 249, Order, Condemnation and Confiscation
1
Simple 26
2783.
Form MC 254, Order for Vehicle Impoundment
1
Basic 32
2784.
Form MC 258, Report of Nonpayment of Restitution
1
Basic 30
2785.
Form MC 260, Waiver of Trial by Jury and Election to be Tried without Jury
1
Basic 32
2786.
MC 262, Order of Acquittal/Dismissal or Remand
1
Basic 44
2787.
Form MC 263, Motion/Order of Nolle Prosequi
1
Basic 38
2788.
Form MC 264, Order of Disqualification/Reassignment
1
Basic 42
2789.
Form MC 267, Order for Vehicle Immobilization
1
Basic 34
2790.
State of Michigan, Form MC 270, Order Regarding Extradition
1
Basic 29
2791.
Form MC 271, Waiver of Extradition (Michigan)
1
Basic 31
2792.
Form MC 272, Waiver of Disqualification
1
Basic 35
2793.
Form MC 273, Personal Service on Prisoner and Affidavit
1
Basic 36
2794.
State of Michigan Order for Mediation (Form MC 274)
1
Basic 35
2795.
Form MC 275, Notice Regarding Court-Selected Mediator
1
Basic 29
2796.
Form MC 276, Motion to Remove Case from Mediation
1
Basic 34
2797.
Form MC 277, Order on Motion to Remove Case from Mediation
1
Basic 29
2798.
State of Michigan, Form MC 278, Motion to Modify Order for Mediation
1
Basic 30
2799.
Form MC 279, Stipulation for Mediation
1
Basic 29
2800.
Form MC 280, Mediation Status Report
1
Basic 37
2801.
Form MC 281a, Civil Mediator Application
1
Basic 38
2802.
MC 281b, Domestic Relations Mediator Application
1
Basic 38
2803.
State of Michigan Form MC 282, Domestic Violence Screening for Referral to Mediation
1
Simple 28
2804.
MC 282a, Domestic Violence Screening
1
Simple 28
2805.
MC 283, Order for DNA Sample
1
Basic 32
2806.
Form MC 284, Binding Arbitration Award
1
Basic 42
2807.
Form MC 285, Judgment Regarding Arbitration Award
1
Basic 38
2808.
MC 286, Order Requesting Prisoner Participation in Court Proceedings
1
Basic 29
2809.
Form MC 287, Financial Statement
1
Moderate 49
2810.
Order to Remit Prisoner Funds for Fines, Costs, and Assessments
1
Basic 32
2811.
Form MC 289, Wage Assignment
1
Basic 43
2812.
Form MC 290, Satisfaction of Financial Obligation
1
Basic 29
2813.
Form MC 291, Advice of Rights (Felony Plea)
1
Simple 26
2814.
Form MC 292, Disclosure of Employment or Contract in Michigan School System
1
Simple 28
2815.
Form MC 294, Order Delaying Sentence
1
Basic 44
2816.
Form MC 300, Order for Administrative Closing Due to Bankruptcy Stay
1
Simple 26
2817.
Motion and Order Reopening Case after Bankruptcy
1
Basic 29
2818.
Form MC 302, Proof of Mailing
1
Basic 30
2819.
Form MC 303, Motion and Verification for Alternate Service
1
Basic 35
2820.
Form MC 304, Order Regarding Alternate Service
1
Basic 39
2821.
MC 305, Order for Security for Costs
1
Basic 30
2822.
Form MC 306, Substitution of Attorney
1
Basic 36
2823.
Form MC 307, Order for Service by Publication/Posting and Notice of Action
1
Basic 43
2824.
State of Michigan Motion and Notice of Hearing Regarding Bond Modification
1
Basic 32
2825.
Form MC 309, Order for Adjournment
1
Basic 35
2826.
MC 310, Order for Contribution
1
Basic 30
2827.
Form MC 311, Seized-Property Claim and Objection to Forfeiture (Drug-Related Forfeiture)
1
Simple 26
2828.
MC 315, Authorization for Release of Medical Information
1
Basic 37
2829.
Form MC 316j, Order for Transfer of Jurisdiction
1
Basic 34
2830.
Form MC 316v, Order for Change of Venue
1
Basic 36
2831.
Form MC 319, Request for Next Friend and Order
1
Basic 31
2832.
MC 321a, Juror Qualification Questionnaire
1
Basic 38
2833.
Form MC 321b, Juror Personal History Questionnaire
1
Basic 41
2834.
State of Michigan, Form MC 325, Request for Hearing on a Motion
1
Basic 35
2835.
Form MC 326, Notice of Hearing and Motion
1
Basic 41
2836.
Form MC 327, Order
1
Basic 34
2837.
Ex Parte Motion and Order to Renew Civil Judgment
1
Basic 33
2838.
Form MC 391, Order Canceling Assignment of Wages
1
Basic 37
2839.
MC 392, Order Regarding Destruction of Biometric Data and Arrest Record
1
Basic 35
2840.
Form MC 393, Certification to Department of State (Interlock Program)
1
Basic 43
2841.
State of Michigan Form MC 399, Motion to Set Aside Forfeiture and Discharge of Bond and Notice of Hearing
1
Basic 36
2842.
Order on Motion to Set Aside Forfeiture and Discharge of Bond
1
Basic 38
2843.
Form MC 406a, Petition to Discontinue Sex Offender Registration
1
Basic 36
2844.
MC 406b, Order on Petition to Discontinue Sex Offender Registration
1
Basic 31
2845.
Form MC 414, Plea Agreement / Sentence Agreement
1
Basic 42
2846.
Uniform Child Custody Jurisdiction Enforcement Act Affidavit
1
Basic 35
2847.
Form MC 433, Order Following Probation Violation Hearing
1
Basic 37
2848.
MC 439, Notice of Order Appointing Receiver (Receivership Estate)
1
Basic 32
2849.
MC 440, Acceptance of Receivership Appointment (Receivership Estate)
1
Basic 30
2850.
MC 441, Notice of Receiver’s Application for Compensation, Fees or Expenses (Receivership Estate)
1
Basic 31
2851.
State of Michigan, Form MC 442, Final Report and Accounting (Receivership Estate)
1
Moderate 48
2852.
Form MC 443, Motion to Destroy DNA Profile and Sample
1
Basic 32
2853.
State of Michigan, Form MC 444, Order to Destroy DNA Profile and Sample
1
Basic 31
2854.
Form MC 445, Motion for Appointment of Receiver
1
Basic 40
2855.
Form MC 446, Probation Violation Arraignment Advice of Rights
1
Simple 28
2856.
Form MC 501, Reporter/Recorder Certificate of Ordering Transcript on Appeal
1
Basic 37
2857.
Form MC 502, Notice of Filing of Transcript and Affidavit of Mailing
1
Basic 41
2858.
Form MC 503, Motion to Change Time for Filing Transcript on Appeal
1
Basic 34
2859.
Form MC 505, Contact Information
1
Simple 28
2860.
State of Michigan, Form MC 506, Notice of Hearing with Remote Participation
1
Basic 30
2861.
Form MC 507, Request for e-Service by MiFILE
1
Basic 31
2862.
Form MC 512, Notice Regarding Eligibility for Early Discharge From Probation
1
Basic 30
2863.
Form MC 514, Receipt of Prepaid Filing Fees for MiFILE Transaction
1
Basic 33
2864.
Form MC 516, Notice of Limited Scope Appearance
1
Basic 40
2865.
State of Michigan, Form MC 517, Notice of Withdrawal From Limited Scope Appearance
1
Basic 33
2866.
Form MC 518, Objection to Withdrawal From Limited Scope Appearance
1
Simple 28
2867.
Form MC 521, Technical Probation Violation Acknowledgment
1
Simple 24
2868.
State of Michigan, Form MC 522, Affidavit of Probable Cause
1
Basic 30
2869.
Form MC 527a, Notice of Hearing on Reinstating Conviction(s) for Failure to Pay Restitution
1
Basic 32
2870.
State of Michigan, Form MC 527b, Order After Hearing on Reinstating Conviction(s) for Failure to Pay Restitution
1
Basic 35
2871.
Order Reinstating Conviction(s) for Improper or Erroneous Set Aside and Objection to Order
1
Basic 35
2872.
Order After Hearing on Objection to Reinstating Conviction(s) for Improper or Erroneous Set Aside
1
Simple 28
2873.
Form MC 541, Change in Contact Information for Service
1
Basic 33
2874.
Motion and Order for Discharge From Probation
1
Basic 38
2875.
ACORD 30, Certificate of Garage Insurance
1
Moderate 58
2876.
ACORD 37, Statement of No Loss
1
Basic 34
2877.
ACORD 80, Homeowner Application
6
Complex 74
ACORD 80 instructions
2878.
ACORD 83, Personal Umbrella Application
6
Complex 69
2879.
ACORD 127, Business Auto Section
4
Complex 65
2880.
ACORD 130 CA, California Workers Compensation Application
4
Complex 67
2881.
ACORD 137 CA, Commercial Auto Application - California
3
Moderate 61
2882.
ACORD 140, Property Section
3
Complex 76
ACORD 140 instructions
2883.
ACORD 144, Glass and Sign Section
3
Complex 66
2884.
ACORD 147, Installation / Builders Risk Section
3
Complex 64
2885.
ACORD 155, Equipment Breakdown Section
2
Moderate 61
2886.
ACORD 163, Commercial Auto Driver Information Schedule
1
Complex 64
2887.
ACORD 23, Vehicle or Equipment Certificate of Insurance
1
Moderate 60
2888.
ACORD 27, Evidence of Property Insurance
1
Moderate 55
2889.
ACORD 35, Cancellation Request / Policy Release
1
Moderate 54
2890.
ACORD 50 CA (2004/07), California Insurance Identification Card
1
Basic 33
2891.
ACORD 81, Personal Inland Marine Application (2012/02)
4
Complex 67
2892.
ACORD 128, Garage and Dealers Section
4
Complex 66
2893.
ACORD 138 CA (2016/02), California Garage and Dealers Coverages / Limits Section
1
Moderate 59
2894.
ACORD 141, Commercial Insurance Application - Crime Section
5
Complex 67
2895.
ACORD 145, Accounts Receivable / Valuable Papers
3
Complex 63
2896.
ACORD 149, Dealers Section
2
Moderate 59
2897.
ACORD 159, Business Income Worksheet
1
Moderate 62
2898.
ACORD 175, Commercial Policy Change Request
2
Moderate 62
2899.
ACORD 24, Certificate of Property Insurance
1
Moderate 58
2900.
ACORD 28, Evidence of Commercial Property Insurance
1
Complex 67
2901.
ACORD 75, Insurance Binder
2
Complex 73
2902.
ACORD 82, Watercraft Application
5
Complex 67
2903.
ACORD 85, Mobile Home Application
6
Complex 68
2904.
ACORD 126 (2016/09), Commercial General Liability Section
4
Complex 65
2905.
ACORD 129, Vehicle Schedule (2009/11)
1
Moderate 58
2906.
ACORD 132, Truckers / Motor Carriers Section
1
Complex 66
2907.
ACORD 139, Statement of Values
1
Complex 63
2908.
ACORD 143, Transportation / Motor Truck Cargo Section
3
Complex 63
2909.
ACORD 152, Commercial Inland Marine Section
4
Complex 67
2910.
ACORD 160, Property Loss Notice
6
Complex 68
2911.
ACORD 185, Restaurant/Tavern Supplement
1
Moderate 59
2912.
ACORD 88, Personal Insurance Application - Applicant Information Section
4
Complex 65
2913.
ACORD 810, Business Income / Extra Expense / Rental Value
2
Moderate 53
2914.
ACORD 131, Umbrella / Excess Section
5
Very Complex 83
2915.
ACORD 146, Equipment Floater Section
2
Complex 64
2916.
Florida Family Law Rules of Procedure Form 12.900(a), Disclosure from Nonlawyer
1
Basic 33
2917.
Florida Family Law Rules of Procedure Form 12.900(b), Notice of and Consent to Limited Appearance
1
Basic 40
2918.
Florida Family Law Rules of Procedure Form 12.900(d), Termination of Limited Appearance
1
Basic 38
2919.
Florida Family Law Rules of Procedure Form 12.900(e), Acknowledgment of Assistance by Attorney
1
Basic 33
2920.
Florida Family Law Rules of Procedure Form 12.900(g), Agreement Limiting Representation
1
Basic 34
2921.
Florida Family Law Rules of Procedure Form 12.900(h), Notice of Related Cases
1
Moderate 54
2922.
Florida Family Law Rules of Procedure Form 12.901(a), Joint Petition for Simplified Dissolution of Marriage
1
Moderate 49
2923.
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form)
1
Complex 74
2924.
Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet
1
Complex 79
2925.
Florida Supreme Court Approved Family Law Form 12.902(f)(1), Marital Settlement Agreement for Dissolution of Marriage with Dependent or Minor Child(ren)
1
Complex 66
2926.
Florida Supreme Court Approved Family Law Form 12.902(f)(2), Marital Settlement Agreement for Dissolution of Marriage with Property but No Dependent or Minor Child(ren)
1
Complex 69
2927.
Florida Supreme Court Approved Family Law Form 12.902(i), Affidavit of Corroborating Witness
1
Basic 36
2928.
Florida Supreme Court Approved Family Law Form 12.902(l), Affidavit of Income for Child Support
1
Moderate 48
2929.
Florida Supreme Court Approved Family Law Form 12.903(b), Answer to Petition for Dissolution of Marriage
1
Basic 43
2930.
Florida Supreme Court Approved Family Law Form 12.903(c)(1), Answer to Petition and Counterpetition for Dissolution of Marriage with Dependent or Minor Child(ren)
1
Very Complex 85
2931.
Florida Supreme Court Approved Family Law Form 12.903(e), Answer to Supplemental Petition
1
Basic 42
2932.
Florida Supreme Court Approved Family Law Form 12.904(a)(2), Petition for Support and Parenting Plan Unconnected with Dissolution of Marriage with Dependent or Minor Child(ren)
1
Moderate 54
2933.
Florida Supreme Court Approved Family Law Form 12.904(b), Petition for Support Unconnected with Dissolution of Marriage with No Dependent or Minor Child(ren)
1
Basic 42
2934.
Florida Supreme Court Approved Family Law Form 12.905(a), Supplemental Petition to Modify Parental Responsibility, Visitation or Parenting Plan / Time-Sharing Schedule and Other Relief
1
Moderate 51
2935.
Florida Supreme Court Approved Family Law Form 12.905(b), Supplemental Petition for Modification of Child Support
1
Basic 44
2936.
Florida Supreme Court Approved Family Law Form 12.905(c), Supplemental Petition for Modification of Alimony
1
Basic 43
2937.
Florida Supreme Court Approved Family Law Form 12.910(b), Process Service Memorandum
1
Moderate 46
2938.
Florida Family Law Rules of Procedure Form 12.911(a), Subpoena for Hearing or Trial (Issued By Clerk)
1
Basic 43
2939.
Florida Family Law Rules of Procedure Form 12.911(b), Subpoena for Hearing or Trial (Issued by Attorney)
1
Basic 42
2940.
Florida Family Law Rules of Procedure Form 12.911(d), Subpoena Duces Tecum for Hearing or Trial (Issued by Attorney)
1
Basic 43
2941.
Florida Family Law Rules of Procedure Form 12.911(e), Subpoena for Deposition (Issued by Clerk)
1
Basic 42
2942.
Florida Family Law Rules of Procedure Form 12.913(b), Affidavit of Diligent Search and Inquiry
1
Basic 43
2943.
Form 12.932, Certificate of Compliance with Mandatory Disclosure
1
Moderate 54
2944.
Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan
1
Very Complex 89
2945.
Judicial Council of California Form ADOPT-200, Adoption Request
1
Complex 67
2946.
Form ADR-100, Statement of Agreement or Nonagreement
1
Basic 42
2947.
Form APP-109E, Proof of Electronic Service (Appellate Division)
1
Basic 34
2948.
Form CARE-100, Petition to Begin CARE Act Proceedings
1
Moderate 49
2949.
Form CARE-103, Order to Provide Information to Respondent's Attorney in Related Proceedings
1
Basic 43
2950.
Proof of Personal Service of Notice of Initial Appearance—CARE Act Proceedings
1
Basic 36
2951.
Form CARE-113, Notice of Respondent's Rights—CARE Act Proceedings
1
Basic 33
2952.
Form CARE-116, Proof of Personal Service of Notice of Hearing—CARE Act Proceedings
1
Basic 44
2953.
Form CARE-118, Notice of Hearing or Continuance
1
Basic 35
2954.
Form CD-120, Order for Writ of Possession (Claim and Delivery)
1
Basic 38
2955.
Judicial Council of California, Form CD-130, Writ of Possession (Claim and Delivery)
1
Basic 29
2956.
Form CH-110, Temporary Restraining Order (CLETS-TCH) (Civil Harassment Prevention)
1
Moderate 54
2957.
Form CH-120, Response to Request for Civil Harassment Restraining Orders
1
Moderate 62
2958.
Form CH-130, Civil Harassment Restraining Order After Hearing (CLETS-CHO)
1
Moderate 57
2959.
Order on Request to Modify/Terminate Civil Harassment Restraining Order (Civil Harassment Prevention)
1
Basic 43
2960.
Judicial Council of California Form CH-850, Permission to Have Firearm or Ammunition for Work (Civil Harassment Prevention)
1
Simple 28
2961.
Judicial Council of California Form CIV-050, Statement of Damages (Personal Injury or Wrongful Death)
1
Moderate 48
2962.
Form CIV-152, Objection to Application to Be Relieved as Attorney on Completion of Limited Scope Representation
1
Basic 42
2963.
Form CIV-153, Order on Application to Be Relieved as Attorney on Completion of Limited Scope Representation
1
Basic 43
2964.
Form CIV-160, Petition for Order Striking and Releasing Lien, etc. (Government Employee)
1
Basic 38
2965.
Form CR-100, Fingerprint Form
1
Simple 27
2966.
Form CR-111/JV-791, Abstract of Judgment—Restitution
1
Basic 36
2967.
Form CR-134, Notice Regarding Record on Appeal (Misdemeanor)
1
Basic 41
2968.
Form CR-135, Proposed Statement on Appeal (Misdemeanor)
1
Moderate 51
2969.
Form CR-136, Order Concerning Appellant's Proposed Statement on Appeal (Misdemeanor)
1
Simple 28
2970.
Form CR-137, Abandonment of Appeal (Misdemeanor)
1
Basic 37
2971.
Form CR-142, Notice of Appeal and Record on Appeal (Infraction)
1
Basic 41
2972.
Form CR-150, Certificate of Identity Theft: Judicial Finding of Factual Innocence
1
Basic 42
2973.
Form CR-161, Criminal Protective Order—Other Than Domestic Violence (CLETS—CPO)
1
Basic 45
2974.
Form CR-188, Order on Motion to Vacate Conviction or Sentence
1
Basic 44
2975.
Form CR-191, Declaration of Counsel for Appointment in Capital Case
1
Basic 31
2976.
Judicial Council of California Form CR-200, Form Interrogatories—Crime Victim Restitution
1
Basic 35
2977.
Form CR-223, Ignition Interlock Calibration Verification
1
Moderate 53
2978.
Form CR-226, Notice to Employers of Ignition Interlock Restriction
1
Basic 31
2979.
Form CR-252, Receiving Court Comment Form
1
Basic 29
2980.
Form CR-404, Petition/Application for Resentencing and Dismissal (Pen. Code, § 1170.22)
1
Basic 30
2981.
Form CR-405, Order After Petition/Application for Resentencing and Dismissal (Pen. Code, § 1170.22)
1
Basic 38
2982.
Judicial Council of California Form CR-415, Petition to Terminate Sex Offender Registration (Pen. Code, § 290.5)
1
Basic 38
2983.
Form CR-425, Request for Resentencing and Dismissal (Pen. Code, § 653.29)
1
Basic 34
2984.
Form CARE-105, Order for CARE Act Report
1
Basic 38
2985.
Form CARE-115, Notice of Hearing—CARE Act Proceedings
1
Basic 40
2986.
Form CARE-119, Notice of Dismissal
1
Basic 34
2987.
Form CD-160, Application and Notice of Application and Hearing for Order to Quash Ex Parte Writ of Possession (Claim and Delivery)
1
Basic 36
2988.
Form CD-180, Declaration for Ex Parte Writ of Possession (Claim and Delivery)
1
Basic 34
2989.
Form CH-100, Request for Civil Harassment Restraining Orders (Civil Harassment Prevention)
1
Complex 75
2990.
Form CH-175, Cover Sheet for Confidential Information (Civil Harassment Prevention)
1
Simple 27
2991.
Judicial Council of California Form CH-177, Notice of Request for Release of Minor's Confidential Information (Civil Harassment Prevention)
1
Simple 28
2992.
Form CH-178, Response to Request for Release of Minor's Confidential Information (Civil Harassment Prevention)
1
Basic 34
2993.
Form CH-620, Response to Request to Modify/Terminate Civil Harassment Restraining Order (Civil Harassment Prevention)
1
Basic 40
2994.
Form CH-830, Noncompliance With Firearms, Firearm Parts, and Ammunition Order (Civil Harassment Prevention)
1
Basic 30
2995.
Form CIV-025, Application and Order for Reissuance of Order to Show Cause and Temporary Restraining Order
1
Basic 37
2996.
Form CIV-090, Offer to Compromise and Acceptance Under Code of Civil Procedure Section 998
1
Basic 35
2997.
Form CIV-100, Request for Entry of Default (Application to Enter Default)
1
Complex 67
2998.
Form CIV-141, Declaration of Demurring or Moving Party in Support of Automatic Extension
1
Basic 35
2999.
Form CIV-161, Order to Show Cause (Government Employee)
1
Basic 38
3000.
Form CM-110, Case Management Statement
1
Complex 70
3001.
Judicial Council of California Form CM-180, Notice of Stay of Proceedings
1
Basic 35
3002.
Form CR-106, Proof of Service — Criminal Record Clearing
1
Moderate 47
3003.
Judicial Council of California Form CR-127, Application for Extension of Time to File Brief—Misdemeanor or Infraction Case
1
Basic 41
3004.
Form CR-143, Proposed Statement on Appeal (Infraction)
1
Moderate 52
3005.
Form CR-162, Order to Surrender Firearms, Firearm Parts, and Ammunition in Domestic Violence Case (CLETS—CPO)
1
Basic 38
3006.
Form CR-170, Notification of Decision Whether to Challenge Recommendation (Pen. Code, § 2972.1)
1
Basic 35
3007.
Form CR-173, Order for Commitment (Sexually Violent Predator)
1
Simple 27
3008.
Form CR-187, Motion to Vacate Conviction or Sentence
1
Moderate 49
3009.
Form CR-210, Prohibited Persons Relinquishment Form Findings (Pen. Code, § 29810(c))
1
Basic 30
3010.
Form CR-300, Petition for Revocation
1
Basic 40
3011.
Form CR-301, Warrant Request and Order
1
Moderate 47
3012.
Form CR-400, Petition/Application Under Health and Safety Code Section 11361.8—Adult Crimes
1
Basic 35
3013.
Form CR-403, Order After Petition/Application Under Health and Safety Code Section 11361.8—Adult Crimes
1
Basic 40
3014.
Form CR-426, Order After Request for Resentencing and Dismissal (Pen. Code, § 653.29)
1
Basic 39
3015.
Form CR-431, Court Cover Letter and Agency Certification—Incarcerated Individual Hand Crew or Institutional Firehouse Participant
1
Basic 33
3016.
Form CR-600, Capital Case Attorney Pretrial Checklist (Criminal)
1
Basic 30
3017.
Form CR-602, Capital Case Attorney List of Exhibits (Criminal)
1
Moderate 58
3018.
Form CR-800, Receipt for Firearms, Firearm Parts, and Ammunition (Criminal Protective Order)
1
Moderate 49
3019.
Form CR-850, Permission to Have Firearm or Ammunition for Work (Criminal Protective Order)
1
Simple 28
3020.
Form DAL-002, Answer—Disability Access
1
Basic 36
3021.
Form DE-142/DE-111(A-3e), Waiver of Bond by Heir or Beneficiary (Probate—Decedents Estates)
1
Basic 32
3022.
Form DE-140, Order for Probate
1
Moderate 53
3023.
Form DE-150, Letters (Probate)
1
Moderate 46
3024.
Form DE-154/GC-035, Request for Special Notice (Probate)
1
Basic 38
3025.
Form DE-157, Notice of Administration to Creditors
1
Moderate 47
3026.
Form Interrogatories—General
1
Moderate 56
3027.
Form CARE-101, Mental Health Declaration—CARE Act Proceedings
1
Basic 42
3028.
CARE-106, Notice of Order for CARE Act Report
1
Basic 33
3029.
CARE-107, Proof of Personal Service of Notice of Order for CARE Act Report
1
Basic 35
3030.
Form CD-110, Notice of Application for Writ of Possession and Hearing (Claim and Delivery)
1
Basic 31
3031.
Judicial Council of California Form CD-170, Order for Release and Redelivery of Property (Claim and Delivery)
1
Basic 41
3032.
Form CD-190, Application for Temporary Restraining Order (Claim and Delivery)
1
Basic 36
3033.
Order on Request to Continue Hearing (Temporary Restraining Order) (CLETS-TCH) (Civil Harassment Prevention)
1
Basic 40
3034.
Form CH-117, Order Granting Alternative Service
1
Simple 26
3035.
Form CH-160, Request to Keep Minor's Information Confidential (Civil Harassment Prevention)
1
Basic 45
3036.
Form CH-165, Order on Request to Keep Minor's Information Confidential (Civil Harassment Prevention)
1
Moderate 46
3037.
Form CH-610, Notice of Hearing on Request to Modify/Terminate Civil Harassment Restraining Order (Civil Harassment Prevention)
1
Basic 36
3038.
Form CH-700, Request to Renew Restraining Order (Civil Harassment Prevention)
1
Basic 43
3039.
Form CH-730, Order Renewing Civil Harassment Restraining Order (CLETS)
1
Basic 40
3040.
Form CH-840, Notice of Compliance Hearing for Firearms, Firearm Parts, and Ammunition (Civil Harassment Prevention)
1
Basic 39
3041.
Form CIV-120, Notice of Entry of Dismissal and Proof of Service
1
Basic 42
3042.
Form CIV-150, Notice of Limited Scope Representation
1
Basic 44
3043.
Form CIV-151, Application to Be Relieved as Attorney on Completion of Limited Scope Representation
1
Basic 43
3044.
Form CLETS-002, Confidential Information for Law Enforcement—Criminal
1
Basic 38
3045.
Form CM-011, Confidential Cover Sheet—False Claims Action
1
Basic 34
3046.
Form CM-020, Ex Parte Application for Extension of Time to Serve Pleading and Orders
1
Basic 40
3047.
Form CR-102, Domestic Violence Plea Form With Waiver of Rights—Misdemeanor (Criminal)
1
Moderate 48
3048.
Form CR-105, Defendant's Financial Statement on Eligibility for Appointment of Counsel and Reimbursement and Record on Appeal at Public Expense
1
Moderate 60
3049.
Form CR-110/JV-790, Order for Victim Restitution
1
Moderate 50
3050.
Form CR-115, Defendant's Statement of Assets
1
Moderate 51
3051.
Form CR-119, Order For Income Deduction (Pen. Code, § 1202.42)
1
Basic 32
3052.
Form CR-126, Application for Extension of Time to File Brief—Criminal Case (Appellate)
1
Basic 43
3053.
Form CR-133, Request for Court-Appointed Lawyer in Misdemeanor Appeal
1
Basic 38
3054.
Form CR-138, Notice of Waiver of Oral Argument (Misdemeanor)
1
Basic 36
3055.
Form CR-144, Order Concerning Appellant's Proposed Statement on Appeal (Infraction)
1
Simple 28
3056.
Form CR-151, Petition for Certificate of Identity Theft (Pen. Code, § 530.6)
1
Basic 41
3057.
Form CR-160, Criminal Protective Order—Domestic Violence (CLETS—CPO)
1
Moderate 48
3058.
Form CR-183/MIL-183, Petition for Dismissal (Military Personnel)
1
Basic 40
3059.
Form CR-186/JV-798, Order for Expungement of DNA Profiles and Samples (Pen. Code, § 299)
1
Basic 29
3060.
Form CR-190, Order Appointing Counsel in Capital Case
1
Simple 27
3061.
Form CR-220, Proof of Enrollment or Completion, Alcohol or Drug Program
1
Basic 37
3062.
Form CR-221, Order to Install Ignition Interlock Device
1
Basic 39
3063.
Form CR-222, Ignition Interlock Installation Verification
1
Moderate 49
3064.
Form CR-224, Ignition Interlock Noncompliance Report
1
Moderate 51
3065.
Form CR-225, Ignition Interlock Removal and Modification to Probation Order
1
Moderate 54
3066.
Form CR-430, Petition for Dismissal—Incarcerated Individual Hand Crew or Institutional Firehouse Participant
1
Basic 36
3067.
Form CR-432, Order on Petition—Incarcerated Individual Hand Crew or Institutional Firehouse Participant
1
Basic 33
3068.
Form CR-601, Capital Case Attorney List of Appearances (Criminal)
1
Moderate 56
3069.
Judicial Council of California Form CR-840, Prohibited Items Finding and Orders (Criminal Protective Order)
1
Basic 39
3070.
Form DAL-006, Confidential Cover Sheet and Declaration re Documents for Stay and Early Evaluation Conference
1
Simple 28
3071.
Form DAL-012, Proof of Service—Disability Access Litigation
1
Basic 41
3072.
Judicial Council of California Form DAL-020, NOTICE OF MANDATORY EVALUATION CONFERENCE (Disability Access Litigation)
1
Basic 31
3073.
Form DE-120(P), Proof of Personal Service of Notice of Hearing—Decedent's Estate or Trust
1
Basic 40
3074.
Form DE-131, Proof of Subscribing Witness (Probate)
1
Basic 36
3075.
Form DE-172, Creditor's Claim (Probate)
1
Moderate 54
3076.
Form DE-174, Allowance or Rejection of Creditor's Claim
1
Basic 40
3077.
Form DE-221, Spousal or Domestic Partner Property Petition (Probate—Decedents Estates)
1
Basic 43
3078.
Form DE-270 / GC-070, Ex Parte Petition for Authority to Sell Securities and Order
1
Complex 64
3079.
Form DE-315, Order Determining Succession to Primary Residence
1
Basic 39
3080.
Form DE-351/GC-101, Order Appointing Guardian Ad Litem—Probate
1
Basic 40
3081.
Form DISC-010, Case Questionnaire—For Limited Civil Cases (Under $35,000)
1
Basic 40
3082.
Form DISC-015, Request for Statement of Witnesses and Evidence—For Limited Civil Cases (Under $35,000)
1
Basic 32
3083.
Form DV-120, Response to Request for Domestic Violence Restraining Order (Domestic Violence Prevention)
1
Moderate 54
3084.
Judicial Council of California, Form DV-177, Notice of Request for Release of Minor's Confidential Information (Domestic Violence Prevention)
1
Simple 28
3085.
Form DV-178, Response to Request for Release of Minor's Confidential Information (Domestic Violence Prevention)
1
Basic 33
3086.
Form DV-179, Order on Request for Release of Minor's Confidential Information (Domestic Violence Prevention)
1
Basic 42
3087.
Form DV-300, Request to Change or End Restraining Order (Domestic Violence Prevention)
1
Moderate 61
3088.
Form DV-305, Request to Change Child Custody and Visitation Orders (Domestic Violence Prevention)
1
Moderate 47
3089.
Form DV-310, Notice of Court Hearing and Temporary Order to Change or End Restraining Order (Domestic Violence Prevention)
1
Basic 35
3090.
Form DV-315, Request to Reschedule Hearing to Change or End Restraining Order (Domestic Violence Prevention)
1
Basic 33
3091.
Form DV-710, Notice of Hearing to Renew Restraining Order (CLETS-OAH) (Domestic Violence Prevention)
1
Basic 31
3092.
Form DV-830, Noncompliance With Firearms and Ammunition Order, or Warrant
1
Basic 34
3093.
Form DV-850, Permission to Have Firearm or Ammunition for Work (Domestic Violence Prevention)
1
Simple 28
3094.
Form EA-100, Request for Elder or Dependent Adult Abuse Restraining Orders (Elder or Dependent Adult Abuse Prevention)
1
Complex 70
3095.
Form EA-116, Order on Request to Continue Hearing (Temporary Restraining Order) (CLETS-TEA or TEF) (Elder or Dependent Adult Abuse Prevention)
1
Basic 39
3096.
Form EA-130, Elder or Dependent Adult Abuse Restraining Order After Hearing (CLETS-EAR or EAF)
1
Moderate 57
3097.
Form EA-200, Proof of Personal Service (Elder or Dependent Adult Abuse Prevention)
1
Basic 34
3098.
Form EA-260, Proof of Service of Order After Hearing by Mail (Elder or Dependent Adult Abuse Prevention)
1
Basic 32
3099.
Form EA-330, Elder or Dependent Adult Restraining Order Allowing Contact After Hearing
1
Basic 43
3100.
Form EA-600, Request to Modify/Terminate Elder or Dependent Adult Abuse Restraining Order
1
Basic 40
3101.
Form EA-700, Request to Renew Restraining Order (Elder or Dependent Adult Abuse Prevention)
1
Basic 34
3102.
Form EA-710, Notice of Hearing to Renew Restraining Order (Elder or Department Adult Abuse Prevention)
1
Basic 35
3103.
Form EA-716, Order to Reschedule Hearing to Renew Restraining Order (CLETS-EAR or EAF) (Elder or Dependent Adult Abuse Prevention)
1
Basic 37
3104.
Form EA-720, Response to Request to Renew Restraining Order (Elder or Dependent Adult Abuse Prevention)
1
Basic 35
3105.
Form EA-730, Order Renewing Elder or Dependent Adult Abuse Restraining Order (CLETS) (Elder or Dependent Adult Abuse Prevention)
1
Basic 41
3106.
Judicial Council of California, Form EA-830, Noncompliance With Firearms, Firearm Parts, and Ammunition Order (Elder or Dependent Adult Abuse Prevention)
1
Basic 30
3107.
Form WG-017/EJ-137, Application to Stay Levy or Garnishment (Wage Garnishment—Enforcement of Judgment)
1
Basic 37
3108.
Form EJ-141, Application and Order to Appear for Examination—Consumer Debt
1
Basic 39
3109.
Form EJ-150, Notice of Levy (Enforcement of Judgment)
1
Basic 38
3110.
Form EJ-158, Declaration Regarding Notice and Service for Ex Parte Application for Order on Deposit Account Exemption
1
Moderate 48
3111.
Form EJ-190, Application for and Renewal of Judgment
1
Moderate 48
3112.
Petition for Declaration of Emancipation of Minor, Order Prescribing Notice, Declaration of Emancipation, and Order Denying Petition
1
Moderate 46
3113.
Form FL-115, Proof of Service of Summons (Family Law—Uniform Parentage—Custody and Support)
1
Moderate 46
3114.
Form FL-140, Declaration of Disclosure (Family Law)
1
Basic 34
3115.
Form FL-145, Form Interrogatories—Family Law
1
Basic 30
3116.
Form FL-160, Property Declaration (Family Law)
1
Complex 68
3117.
Form FL-191, Child Support Case Registry Form
1
Moderate 47
3118.
Form FL-195, Income Withholding for Support
1
Moderate 50
3119.
Form CR-250, Notice and Motion for Transfer (Governmental)
1
Basic 40
3120.
Judicial Council of California Form CR-251, Order for Transfer
1
Simple 28
3121.
Form CR-302, Request and Order to Recall Warrant
1
Basic 39
3122.
Form CR-401, Proof of Service for Petition/Application Under Health and Safety Code Section 11361.8—Adult Crimes
1
Basic 39
3123.
Form CR-402, Prosecuting Agency's Response to Petition/Application Under Health and Safety Code Section 11361.8—Adult Crimes
1
Basic 37
3124.
Form CR-412/MIL-412, Petition for Resentencing Based on Health Conditions due to Military Service Listed in Penal Code Section 1170.91(b)
1
Moderate 49
3125.
Form CR-417, Response by District Attorney to Petition to Terminate Sex Offender Registration
1
Basic 34
3126.
Form CR-418, Order on Petition to Terminate Sex Offender Registration (Pen. Code, § 290.5)
1
Basic 35
3127.
Form CR-603, Capital Case Attorney List of Motions (Criminal)
1
Moderate 54
3128.
Form CR-604, Capital Case Attorney List of Jury Instructions (Criminal)
1
Moderate 60
3129.
Form DAL-005, Defendant's Application for Stay of Proceedings and Early Evaluation Conference, Joint Inspection (Disability Access Litigation)
1
Basic 44
3130.
Form DAL-015, Application for Mandatory Evaluation Conference (Disability Access Litigation)
1
Basic 32
3131.
Form DE-115/GC-015, Notice of Hearing on Petition to Determine Claim to Property
1
Basic 41
3132.
Attachment to Notice of Hearing Proof of Service by Mail (Probate—Decedents' Estates and Guardianships and Conservatorships)
1
Moderate 48
3133.
Attachment to Notice of Hearing Proof of Personal Service (Probate—Decedents' Estates and Guardianships and Conservatorships)
1
Moderate 54
3134.
Form DE-125, Summons (Probate)
1
Moderate 50
3135.
Form DE-147, Duties and Liabilities of Personal Representative
1
Basic 38
3136.
Form DE-147S, Confidential Supplement to Duties and Liabilities of Personal Representative (Probate)
1
Simple 23
3137.
Form DE-260/GC-060, Report of Sale and Petition for Order Confirming Sale of Real Property (Probate—Decedents' Estates and Guardianships and Conservatorships)
1
Moderate 53
3138.
Form DE-295/GC-395, Ex Parte Petition for Final Discharge and Order
1
Basic 36
3139.
Form DV-716, Order to Reschedule Hearing to Renew Restraining Order (CLETS-OAH) (Domestic Violence Prevention)
1
Basic 38
3140.
Form DV-840/FL-840, Notice of Compliance Hearing for Firearms and Ammunition (Domestic Violence Prevention)
1
Basic 40
3141.
Form EA-250, Proof of Service of Response by Mail (Elder or Dependent Adult Abuse Prevention)
1
Basic 32
3142.
Form EA-315, Request to Continue Court Hearing on Request to Allow Contact
1
Basic 33
3143.
Form EA-316, Order on Request to Continue Hearing on Request to Allow Contact
1
Basic 38
3144.
Form EA-320, Response to Request for Elder or Dependent Adult Restraining Order Allowing Contact
1
Basic 40
3145.
Form EA-630, Order on Request to Modify/Terminate Elder or Dependent Adult Abuse Restraining Order
1
Basic 43
3146.
Form EA-820, Prohibited Items Finding and Orders (Elder or Dependent Adult Abuse Prevention)
1
Basic 38
3147.
Form EFS-005-JV/JV-141, Electronic Service: Consent, Withdrawal of Consent, Address Change (Juvenile)
1
Basic 39
3148.
Form EFS-006, Withdrawal of Consent to Electronic Service (Electronic Filing and Service)
1
Basic 39
3149.
Form EFS-020, Proposed Order (Cover Sheet)
1
Basic 38
3150.
Form EJ-100, Acknowledgment of Satisfaction of Judgment
1
Basic 44
3151.
Form EJ-105, Application for Entry of Judgment on Sister-State Judgment
1
Basic 38
3152.
Form EJ-146, Notice of Motion and Motion to Require Examination—Consumer Debt
1
Basic 38
3153.
Form EJ-147, Application and Order to Require Examination After Submission of Financial Statement—Consumer Debt
1
Basic 38
3154.
Form EJ-160, Claim of Exemption (Enforcement of Judgment)
1
Basic 37
3155.
Form EJ-180, Notice of Hearing on Right to Homestead Exemption (Enforcement of Judgment)
1
Simple 24
3156.
Form EJ-182, Declaration for Rehearing on Homestead Exemption (Enforcement of Judgment)
1
Basic 35
3157.
Form CARE-102, Petition to Begin CARE Act Proceedings By Licensed Behavioral Health Professional Only
1
Moderate 48
3158.
Form CARE-110, Notice of Initial Appearance—CARE Act Proceedings
1
Basic 38
3159.
Form CARE-120, Request for New Order and Hearing—CARE Act Proceedings
1
Basic 36
3160.
Judicial Council of California Form CD-100, Application for Writ of Possession (Claim and Delivery)
1
Moderate 46
3161.
Form CD-200, Temporary Restraining Order (Claim and Delivery)
1
Basic 37
3162.
Form CH-109, Notice of Court Hearing (Civil Harassment Prevention)
1
Basic 36
3163.
Form CH-115, Request to Continue Court Hearing (Temporary Restraining Order) (Civil Harassment Prevention)
1
Basic 33
3164.
Form CH-170, Notice of Order Protecting Information of Minor (Civil Harassment Prevention)
1
Simple 20
3165.
Form CH-176, Request for Release of Minor's Confidential Information (Civil Harassment Prevention)
1
Basic 37
3166.
Form CH-179, Order on Request for Release of Minor's Confidential Information (Civil Harassment Prevention)
1
Basic 42
3167.
Form CH-200, Proof of Personal Service (Civil Harassment Prevention)
1
Basic 33
3168.
Form CH-210, Summons (Civil Harassment Restraining Order)
1
Simple 28
3169.
Form CH-250, Proof of Service by Mail (CLETS) (Civil Harassment Prevention)
1
Basic 33
3170.
Form CH-600, Request to Modify/Terminate Civil Harassment Restraining Order (Civil Harassment Prevention)
1
Basic 43
3171.
Form CH-710, Notice of Hearing to Renew Restraining Order (Civil Harassment Prevention)
1
Basic 35
3172.
Judicial Council of California, Form CH-715, Request to Reschedule Hearing to Renew Restraining Order (Civil Harassment Prevention)
1
Basic 33
3173.
Form CH-716, Order to Reschedule Hearing to Renew Restraining Order (CLETS-CHO) (Civil Harassment Prevention)
1
Basic 37
3174.
Form CH-720, Response to Request to Renew Restraining Order (Civil Harassment Prevention)
1
Basic 34
3175.
Form CH-800, Receipt for Firearms, Firearm Parts, and Ammunition (Civil Harassment Prevention)
1
Moderate 49
3176.
Form CH-820, Prohibited Items Finding and Orders (Civil Harassment Prevention)
1
Basic 38
3177.
Form CIV-010/FL-935, Application for Appointment of Guardian Ad Litem—Civil and Family Law
1
Basic 43
3178.
Form CIV-011/FL-936, Order Appointing Guardian Ad Litem—Civil and Family Law
1
Basic 43
3179.
Form CIV-105, Request for Entry of Default (Fair Debt Buying Practices Act)
1
Moderate 46
3180.
Form CIV-130, Notice of Entry of Judgment or Order
1
Basic 40
3181.
Form CIV-165, Order on Unlawful Use of Personal Identifying Information
1
Basic 33
3182.
Form CIV-170, Petition and Declaration Regarding Unresolved Claims and Deposit of Undistributed Surplus Proceeds of Trustee's Sale
1
Basic 44
3183.
Form CM-015, Notice of Related Case
1
Moderate 50
3184.
Judicial Council of California Form CM-181, Notice of Termination or Modification of Stay
1
Basic 39
3185.
Form CM-200, Notice of Settlement of Entire Case
1
Basic 42
3186.
Form CR-101, Plea Form, With Explanations and Waiver of Rights—Felony (Criminal)
1
Moderate 59
3187.
Form CR-104, Findings and Orders for Pretrial Release or Detention
1
Moderate 51
3188.
Form CR-120, Notice of Appeal—Felony (Defendant)
1
Basic 42
3189.
Judicial Council of California Form CR-132, Notice of Appeal (Misdemeanor)
1
Basic 37
3190.
Form CR-145, Abandonment of Appeal (Infraction)
1
Basic 37
3191.
Form CR-163, Findings and Orders Regarding Prohibited Items While on Diversion
1
Basic 36
3192.
Form CR-164, Retail Crime Restraining Order—Criminal (CLETS-RCO)
1
Basic 36
3193.
Notice of Termination of Protective Order in Criminal Proceeding (CLETS-CANCEL)
1
Simple 27
3194.
Form CR-168, Batterer Intervention Program Progress Report
1
Basic 42
3195.
Form CR-181, Order for Dismissal
1
Basic 40
3196.
Form CR-184/MIL-184, Order for Dismissal (Military Personnel)
1
Basic 34
3197.
Form CR-185/JV-796, Petition for Expungement of DNA Profiles and Samples (Pen. Code, § 299)
1
Basic 33
3198.
Form TR-320/CR-320, Can't Afford to Pay Fine: Traffic and Other Infractions
1
Basic 40
3199.
Form TR-321/CR-321, Can't Afford to Pay Fine: Traffic and Other Infractions (Court Order)
1
Basic 39
3200.
Form CR-409, Petition to Seal Arrest and Related Records
1
Basic 36
3201.
Judicial Council of California Form CR-410, Order to Seal Arrest and Related Records (Pen. Code, Sections 851.91, 851.92)
1
Basic 29
3202.
Proof of Service—Sex Offender Registration Termination (Pen. Code, § 290.5)
1
Basic 41
3203.
Form CR-605, Capital Case Attorney Trial Checklist (Criminal)
1
Basic 30
3204.
Form CR-830, Noncompliance With Firearms and Ammunition Order (Criminal Protective Order)
1
Basic 34
3205.
Form DAL-010, Notice of Stay of Proceedings and Early Evaluation Conference, Joint Inspection (Disability Access Litigation)
1
Basic 35
3206.
Form DE-121, Notice of Petition to Administer Estate
1
Moderate 54
3207.
Form DE-121(MA), Attachment to Notice of Petition to Administer Estate—Proof of Service by Mail
1
Moderate 47
3208.
Form DE-122/GC-322, Citation—Probate
1
Moderate 50
3209.
Form DE-135, Proof of Holographic Instrument
1
Basic 35
3210.
Form DE-165, Notice of Proposed Action (Objection-Consent)
1
Basic 34
3211.
Form DE-310, Petition to Determine Succession to Primary Residence
1
Basic 44
3212.
Form DISC-002, Form Interrogatories—Employment Law
1
Basic 44
3213.
Form DISC-003/UD-106, Form Interrogatories—Unlawful Detainer
1
Basic 44
3214.
Form DISC-004, Form Interrogatories—Limited Civil Cases (Economic Litigation)
1
Basic 40
3215.
Form DV-115, Request to Continue Hearing (Temporary Restraining Order) (Domestic Violence Prevention)
1
Basic 33
3216.
Form DV-250, Proof of Service by Mail (CLETS) (Domestic Violence Prevention)
1
Basic 33
3217.
Form DV-330, Order on Request to Change or End Restraining Order (CLETS-OAH) (Domestic Violence Prevention)
1
Basic 42
3218.
Form DV-720, Response to Request to Renew Restraining Order (Domestic Violence Prevention)
1
Basic 35
3219.
Form DV-800/JV-270, Receipt for Firearms, Firearm Parts, and Ammunition (Domestic Violence Prevention)
1
Moderate 50
3220.
Form EA-109, Notice of Court Hearing (Elder or Dependent Adult Abuse Prevention)
1
Basic 37
3221.
Form EA-120, Response to Request for Elder or Dependent Adult Abuse Restraining Orders
1
Moderate 46
3222.
Form EA-800, Receipt for Firearms, Firearm Parts, and Ammunition (Elder or Dependent Adult Abuse Prevention)
1
Moderate 49
3223.
Form EFS-005-CV, Consent to Electronic Service and Notice of Electronic Service Address
1
Basic 38
3224.
Judicial Council of California, Form EFS-007, Request for Exemption from Mandatory Electronic Filing and Service
1
Basic 30
3225.
Form EFS-010, Notice of Change of Electronic Service Address
1
Basic 38
3226.
Form EJT-020, [Proposed] Consent Order for Voluntary Expedited Jury Trial
1
Basic 40
3227.
Form EM-109, Notice of Hearing—Emancipation of Minor
1
Moderate 47
3228.
Form EM-130, Declaration of Emancipation of Minor After Hearing
1
Basic 44
3229.
Emancipated Minor's Application to California Department of Motor Vehicles
1
Basic 32
3230.
Form EPO-001, Emergency Protective Order (CLETS–EPO) (Domestic Violence, Child Abuse, Elder or Dependent Adult Abuse, or Stalking)
1
Basic 39
3231.
Form EPO-002, Gun Violence Emergency Protective Order (CLETS-EGV)
1
Basic 36
3232.
Form FL-141, Declaration Regarding Service of Declaration of Disclosure and Income and Expense Declaration
1
Basic 43
3233.
Form FL-190, Notice of Entry of Judgment (Family Law—Uniform Parentage—Custody and Support)
1
Basic 31
3234.
Form DISC-005, Form Interrogatories—Construction Litigation
1
Moderate 49
3235.
Form DV-730, Order to Renew Domestic Violence Restraining Order (Domestic Violence Prevention)
1
Basic 39
3236.
Form EA-110, Temporary Restraining Order (CLETS—TEA or TEF) (Elder or Dependent Adult Abuse Prevention)
1
Moderate 53
3237.
Form EFS-008, Order of Exemption from Mandatory Electronic Filing and Service
1
Basic 33
3238.
Form EJ-001, Abstract of Judgment—Civil and Small Claims
1
Moderate 46
3239.
Declaration of Address Verification (Wage Garnishment—Enforcement of Judgment)
1
Basic 35
3240.
Form WG-010/EJ-175, Notice of Hearing on Claim of Exemption (Wage Garnishment—Enforcement of Judgment)
1
Basic 38
3241.
Form EJ-195, Notice of Renewal of Judgment
1
Basic 32
3242.
Form EJT-003, Request to Opt Out of Mandatory Expedited Jury Trial Procedures
1
Basic 34
3243.
Form EJT-004, Objection to Request to Opt Out of Mandatory Expedited Jury Trial Procedures
1
Basic 34
3244.
Judicial Council of California, Form EJT-005, Order on Request to Opt Out of Mandatory Expedited Jury Trial Procedures
1
Basic 37
3245.
Form EJT-018, Agreement of Parties (Mandatory Expedited Jury Trial Procedures)
1
Basic 38
3246.
Form EJT-022A, Attachment to [Proposed] Consent Order or Agreement of Parties
1
Basic 34
3247.
Form EM-115, Emancipation of Minor Income and Expense Declaration
1
Moderate 46
3248.
Form FL-180, Judgment (Family Law)
1
Moderate 51
3249.
Form FL-220, Response to Petition to Determine Parental Relationship (Uniform Parentage)
1
Moderate 50
3250.
Form FL-330, Proof of Personal Service
1
Basic 35
3251.
Form FL-341(C), Children's Holiday Schedule Attachment
1
Complex 63
3252.
Form FW-001-GC, Request to Waive Court Fees (Ward or Conservatee)
1
Complex 64
3253.
Form FW-006, Request for Hearing About Court Fee Waiver Order (Superior Court)
1
Simple 28
3254.
Form FW-010, Notice to Court of Improved Financial Situation or Settlement
1
Basic 31
3255.
Form GC-210(CA), Child Information Attachment to Probate Guardianship Petition
1
Complex 79
3256.
Form GC-210(P), Petition for Appointment of Guardian of the Person
1
Moderate 48
3257.
Form GC-312, Confidential Supplemental Information (Probate Conservatorship)
1
Moderate 56
3258.
Form FL-210, Summons (Uniform Parentage—Petition for Custody and Support)
1
Simple 25
3259.
Form FL-341(D), Additional Provisions—Physical Custody Attachment
1
Basic 42
3260.
Form FL-341(E), Joint Legal Custody Attachment
1
Basic 35
3261.
Form FL-342, Child Support Information and Order Attachment
1
Moderate 57
3262.
Form FW-002, Request to Waive Additional Court Fees (Superior Court)
1
Basic 30
3263.
Form FW-008, Order on Court Fee Waiver After Hearing (Superior Court)
1
Basic 41
3264.
Form GC-340, Order Appointing Probate Conservator (Probate—Guardianships and Conservatorships)
1
Complex 65
3265.
Form GV-115, Request to Continue Court Hearing for Gun Violence Restraining Order (EPO-002 or Temporary Restraining Order)
1
Basic 33
3266.
Form GV-130, Gun Violence Restraining Order After Hearing or Consent to Gun Violence Restraining Order (CLETS-OGV)
1
Moderate 52
3267.
Form HC-002, Petition for Writ of Habeas Corpus—LPS Act (Mental Health)
1
Basic 36
3268.
Form ICWA-030, Notice of Child Custody Proceeding for Indian Child (Indian Child Welfare Act)
1
Complex 67
3269.
Form INT-110, Provisional Qualification of Noncertified or Nonregistered Spoken Language Interpreter
1
Moderate 59
3270.
Form INT-140, Temporary Qualification of Noncertified or Nonregistered Spoken Language Interpreter
1
Basic 41
3271.
JURY-001, Juror Questionnaire for Civil Cases
1
Moderate 50
3272.
Judicial Council of California Form GV-020, Response to Gun Violence Emergency Protective Order (Gun Violence Prevention)
1
Basic 37
3273.
Form GV-100, Petition for Gun Violence Restraining Order
1
Moderate 48
3274.
Form GV-120, Response to Petition for Gun Violence Restraining Order
1
Basic 37
3275.
Form GV-125, Consent to Gun Violence Restraining Order and Surrender of Firearms
1
Basic 34
3276.
Judicial Council of California Form GV-800, Receipt for Firearms, Firearm Parts, Ammunition, and Magazines (Gun Violence Prevention)
1
Moderate 50
3277.
Form HC-001, Petition for Writ of Habeas Corpus
1
Complex 74
3278.
Form INT-002(A), Semiannual Report to the Judicial Council on the Use of Nonregistered Interpreters (Attachment to INT-001)
1
Complex 66
3279.
Form INT-300, Request for Interpreter (Civil)
1
Basic 33
3280.
Form JV-180, Request to Change Court Order
1
Moderate 59
3281.
Form JV-200, Custody Order—Juvenile—Final Judgment
1
Moderate 55
3282.
Form JV-205, Visitation (Parenting Time) Order—Juvenile
1
Moderate 56
3283.
Form FL-305, Temporary Emergency (Ex Parte) Orders
1
Moderate 55
3284.
Form FL-200, Petition to Determine Parental Relationship (Uniform Parentage)
1
Moderate 52
3285.
Form FL-260, Petition for Custody and Support of Minor Children
1
Moderate 46
3286.
Form FL-270, Response to Petition for Custody and Support of Minor Children
1
Moderate 46
3287.
Form FL-320, Responsive Declaration to Request for Order
1
Basic 45
3288.
Form FL-335, Proof of Service by Mail
1
Basic 34
3289.
Form FL-340, Findings and Order After Hearing (Family Law—Custody and Support—Uniform Parentage)
1
Moderate 50
3290.
Form FL-343, Spousal, Domestic Partner, or Family Support Order Attachment
1
Basic 44
3291.
Form FL-350, Stipulation to Establish or Modify Child Support and Order
1
Moderate 59
3292.
Form FW-002-GC, Request to Waive Additional Court Fees (Superior Court) (Ward or Conservatee)
1
Basic 39
3293.
Form FW-007, Notice on Hearing About Court Fees
1
Basic 36
3294.
Form FW-020, Request for Court Reporter by Party with Fee Waiver
1
Basic 41
3295.
Form GC-212, Confidential Guardian Screening Form (Probate—Guardianships and Conservatorships)
1
Moderate 60
3296.
Form GC-250, Letters of Guardianship
1
Basic 45
3297.
Judicial Council of California Form GC-350, Letters of Conservatorship (Probate—Guardianships and Conservatorships)
1
Basic 45
3298.
Form GV-110, Temporary Gun Violence Restraining Order (CLETS-TGV)
1
Moderate 49
3299.
Form ICWA-010(A), Indian Child Inquiry Attachment
1
Basic 36
3300.
Form INT-120, Certification of Unavailability of Certified or Registered Interpreter and Availability of Provisionally Qualified Interpreter
1
Basic 29
3301.
Form JURY-002, Juror Questionnaire for Criminal Cases/Capital Case Supplement
1
Moderate 61
3302.
Form JURY-003, Juror Questionnaire for Expedited Jury Trials
1
Basic 37
3303.
Form JURY-010, Juror's Motion to Set Aside Sanctions and Order
1
Basic 36
3304.
Judicial Council of California Form GV-109, Notice of Court Hearing (Gun Violence Prevention)
1
Basic 35
3305.
Form GV-116, Order on Request to Continue Hearing (EPO-002 or Temporary Restraining Order) (CLETS-EGV or CLETS-TGV) (Gun Violence Prevention)
1
Basic 39
3306.
Judicial Council of California Form GV-200, Proof of Personal Service (Gun Violence Prevention)
1
Basic 35
3307.
Form GV-250, Proof of Service by Mail (Gun Violence Prevention)
1
Basic 32
3308.
Form HC-003, Petition for Writ Of Habeas Corpus—Penal Commitment (Mental Health)
1
Basic 40
3309.
Form HC-004, Notice and Request for Ruling (Habeas Corpus)
1
Basic 32
3310.
Form JV-510, Proof of Service—Juvenile
1
Moderate 58
3311.
Form JV-570, Petition for Access to Juvenile Delinquency Case File or a Living Child's Juvenile Dependency Case File
1
Basic 38
3312.
Form LA-350, Notice of Available Language Assistance—Service Provider
1
Basic 37
3313.
Form MC-020, Additional Page (Attach to Judicial Council Form or Other Court Paper)
1
Moderate 46
3314.
Form MC-040, Notice of Change of Address or Other Contact Information
1
Basic 43
3315.
Form MC-050, Substitution of Attorney—Civil (Without Court Order)
1
Basic 40
3316.
Form NC-130, Decree Changing Name
1
Basic 42
3317.
Form PLD-C-001(1), Cause of Action—Breach of Contract
1
Basic 33
3318.
Judicial Council of California Form PLD-C-001(3), Cause of Action—Fraud
1
Basic 34
3319.
Judicial Council of California Form PLD-PI-001(2), Cause of Action—General Negligence
1
Simple 26
3320.
Form PLD-PI-001(3), Cause of Action—Intentional Tort
1
Basic 29
3321.
Form POS-010, Proof of Service of Summons
1
Basic 45
3322.
Form POS-030(P), Attachment to Proof of Service by First-Class Mail—Civil (Persons Served)
1
Basic 36
3323.
Form POS-050/EFS-050, Proof of Electronic Service
1
Basic 37
3324.
Judicial Council of California Form POS-050(D)/EFS-050(D), Attachment to Proof of Electronic Service (Documents Served)
1
Basic 30
3325.
Form POS-050(P)/EFS-050(P), Attachment to Proof of Electronic Service (Persons Served)
1
Basic 42
3326.
Form RA-020, Order Regarding Remote Appearance
1
Basic 39
3327.
Form RA-025, Request To Appear Remotely—Juvenile Dependency
1
Basic 39
3328.
Form JV-285, Relative Information
1
Basic 39
3329.
Form JV-296, De Facto Parent Statement
1
Basic 35
3330.
Form JV-800, Notice of Appeal—Juvenile
1
Moderate 47
3331.
Form MD-100, Petition to Determine If Dog Is Potentially Dangerous or Vicious (Menacing Dog)
1
Basic 38
3332.
Form JV-290, Caregiver Information Form
1
Basic 42
3333.
Form JV-295, De Facto Parent Request
1
Basic 31
3334.
Form JV-595, Request to Seal Juvenile Records
1
Basic 36
3335.
Form JV-505, Statement Regarding Parentage (Juvenile)
1
Basic 40
3336.
Form LA-400, Service Not Available in My Language: Request to Change Court Order
1
Simple 28
3337.
Form MC-011, Memorandum of Costs (Worksheet)
1
Moderate 61
3338.
Form MC-012, Memorandum of Costs After Judgment, Acknowledgment of Credit, and Declaration of Accrued Interest
1
Moderate 49
3339.
Form MC-025, Attachment to Judicial Council Form
1
Simple 26
3340.
Form MC-030, Declaration
1
Basic 38
3341.
Form MC-031, Attached Declaration
1
Simple 28
3342.
Judicial Council of California, MC-410, Disability Accommodation Request
1
Basic 36
3343.
Form MD-140, Notice of Appeal (Menacing Dog)
1
Basic 38
3344.
Form MIL-015, Declaration in Support of Petition for Relief From Financial Obligations During Military Service
1
Basic 36
3345.
Form MIL-020, Order on Petition for Relief From Financial Obligations During Military Service
1
Basic 37
3346.
Judicial Council of California Form PLD-C-001, COMPLAINT—Contract
1
Moderate 53
3347.
Form PLD-PI-001(1), Cause of Action—Motor Vehicle
1
Basic 39
3348.
Judicial Council of California Form PLD-PI-001(4), Cause of Action—Premises Liability
1
Basic 37
3349.
Form PLD-PI-002, CROSS-COMPLAINT—Personal Injury, Property Damage, Wrongful Death
1
Moderate 47
3350.
Form PLD-PI-003, ANSWER—Personal Injury, Property Damage, Wrongful Death
1
Basic 35
3351.
Form POS-040(D), Attachment to Proof of Service—Civil (Documents Served)
1
Basic 29
3352.
Form RC-310, Order Appointing Receiver After Hearing and Preliminary Injunction—Rents, Issues, and Profits
1
Basic 45
3353.
Form RT-100, Petition for Retail Crime Restraining Order (Retail Crime Prevention)
1
Basic 42
3354.
Judicial Council of California Form RT-115, Request to Continue Court Hearing (Retail Crime Prevention)
1
Basic 33
3355.
Form RT-116, Order on Request to Continue Hearing (Retail Crime Prevention)
1
Basic 37
3356.
Form SC-109, Authorization to Appear (Small Claims)
1
Basic 30
3357.
Form SC-112A, Proof of Service by Mail (Small Claims)
1
Basic 35
3358.
Form SC-114, Request to Amend Party Name Before Hearing (Small Claims)
1
Basic 34
3359.
Form SC-132, Attorney-Client Fee Dispute (Attachment to Notice of Entry of Judgment)
1
Basic 33
3360.
Form SC-152, Order on Request to Postpone Trial (Small Claims)
1
Simple 28
3361.
Form SC-222, Order on Request to Make Payments (Small Claims)
1
Basic 33
3362.
Form SC-224, Response to Declaration of Default in Payment of Judgment (Small Claims)
1
Basic 38
3363.
Form SC-225A, Attachment to Order on Declaration of Default in Payments (Small Claims)
1
Basic 42
3364.
Form SH-020, Motion to Place Documents Under Seal Under Code of Civil Procedure Section 367.3 (Safe at Home)
1
Basic 36
3365.
Form SH-022, Declaration in Support of Motion to Place Documents Under Seal Under Code of Civil Procedure Section 367.3 (Safe at Home)
1
Basic 35
3366.
Form SH-030, Ex Parte Application for Order Shortening Time for Hearing on Motion to Place Documents Under Seal Under Code of Civil Procedure Section 367.3 (Safe at Home)
1
Basic 36
3367.
Form SH-035, Order on Ex Parte Application for Order Shortening Time for Hearing on Motion to Place Documents Under Seal Under Code of Civil Procedure Section 367.3 (SAFE AT HOME)
1
Basic 37
3368.
Form SUBP-001, Civil Subpoena for Personal Appearance at Trial or Hearing
1
Basic 38
3369.
Form SUBP-020, Deposition Subpoena for Personal Appearance and Production of Documents and Things
1
Basic 38
3370.
Form SUBP-050, Subpoena for Inspection of Premises in Action Pending Outside California
1
Basic 42
3371.
Form SUM-100, Summons (Citacion Judicial)
1
Basic 36
3372.
Form SUM-200(A), Additional Parties Attachment (Attachment to Summons)
1
Simple 21
3373.
Form SV-250, Proof of Service of Response by Mail (Postsecondary School Violence Prevention)
1
Basic 32
3374.
Form UD-110, Judgment—Unlawful Detainer
1
Moderate 48
3375.
Judicial Council of California, Form UD-110P, Judgment—Unlawful Detainer Partial Eviction Attachment
1
Simple 24
3376.
Form UD-115, Stipulation for Entry of Judgment (Unlawful Detainer)
1
Moderate 46
3377.
Form UD-116, Declaration for Default Judgment by Court (Unlawful Detainer—Civ. Proc., § 585(d))
1
Complex 63
3378.
Form VL-125, Order on Application to Vacate Prefiling Order and Remove Plaintiff/Petitioner from Judicial Council Vexatious Litigant List
1
Basic 38
3379.
Form WG-006, Claim of Exemption (Wage Garnishment)
1
Basic 36
3380.
Form WG-012, Notice of Termination or Modification of Earnings Withholding Order (Wage Garnishment)
1
Basic 38
3381.
Form LA-450, Service Not Available in My Language: Order
1
Basic 32
3382.
Form MC-010, Memorandum of Costs (Summary)
1
Basic 41
3383.
Form NC-110, Name and Information About the Person Whose Name is to be Changed (Attachment to Petition for Change of Name)
1
Basic 40
3384.
Form PLD-050, General Denial
1
Basic 32
3385.
Judicial Council of California Form PLD-C-001(2), Cause of Action—Common Counts
1
Basic 38
3386.
Judicial Council of California Form PLD-C-010, Answer—Contract
1
Basic 41
3387.
Form PLD-PI-001, COMPLAINT—Personal Injury, Property Damage, Wrongful Death
1
Complex 74
3388.
Form PLD-PI-001(5), Cause of Action—Products Liability
1
Basic 43
3389.
Form PLD-PI-001(6), Exemplary Damages Attachment
1
Simple 25
3390.
Form POS-020(D), Attachment to Proof of Personal Service—Civil (Documents Served)
1
Basic 29
3391.
Form POS-020(P), Attachment to Proof of Personal Service—Civil (Persons Served)
1
Moderate 51
3392.
Attachment to Proof of Service by First-Class Mail—Civil (Documents Served)
1
Basic 29
3393.
Form RA-015, Opposition to Remote Proceeding at Evidentiary Hearing or Trial
1
Basic 37
3394.
Form RC-210, Order Confirming Appointment of Receiver and Preliminary Injunction—Rents, Issues, and Profits
1
Basic 37
3395.
Form RC-300, Order to Show Cause and Temporary Restraining Order—Rents, Issues, and Profits
1
Basic 37
3396.
Form REC-001(N), Notice of Intent to Destroy Superior Court Records; Offer to Transfer Possession
1
Basic 34
3397.
Form REC-001(R), Request for Transfer or Extension of Time for Retention of Superior Court Records
1
Simple 25
3398.
Form SC-103, Fictitious Business Name (Small Claims)
1
Simple 27
3399.
Form SC-107, Small Claims Subpoena for Personal Appearance and Production of Documents at Trial or Hearing and Declaration
1
Basic 41
3400.
Form SC-120A, Other Plaintiffs or Defendants (Attachment to Defendant's Claim and ORDER to Go to Small Claims Court)
1
Moderate 50
3401.
Application and Order to Produce Financial Statement or Appear for Examination—Consumer Debt (Small Claims)
1
Basic 32
3402.
Form SC-145, Request to Pay Judgment to Court (Small Claims)
1
Basic 38
3403.
Form SC-200, Notice of Entry of Judgment (Small Claims)
1
Moderate 46
3404.
Form SC-220, Request to Make Payments (Small Claims)
1
Basic 35
3405.
Form SC-300, Petition for Writ (Small Claims)
1
Moderate 51
3406.
Judicial Council of California, Form SH-025, Order on Motion to Place Documents Under Seal Under Code of Civil Procedure Section 367.3 (Safe at Home)
1
Basic 38
3407.
Form SUBP-025, Notice to Consumer or Employee and Objection
1
Basic 45
3408.
Form SUBP-030, Application for Discovery Subpoena in Action Pending Outside California
1
Basic 40
3409.
Form SUBP-040, Deposition Subpoena for Personal Appearance in Action Pending Outside California
1
Basic 42
3410.
Form SUM-300, Declaration of Lost Summons After Service
1
Basic 38
3411.
Form SV-109, Notice of Court Hearing (Postsecondary School Violence Prevention)
1
Basic 37
3412.
Form TH-120, Participant's Response to Petition for Order Prohibiting Abuse or Program Misconduct (Transitional Housing Misconduct)
1
Basic 38
3413.
Form TH-130, Order After Hearing (Transitional Housing Misconduct)
1
Moderate 47
3414.
Form TR-220, Request for New Trial (Trial de Novo) (Trial by Written Declaration—Traffic)
1
Basic 31
3415.
Form TR-310, Agreement to Pay Traffic Violator School Fees in Installments
1
Basic 36
3416.
Form UD-120, Verification by Landlord Regarding Rental Assistance—Unlawful Detainer
1
Basic 32
3417.
UD-155, Eviction Case (Unlawful Detainer) Stipulation
1
Moderate 55
3418.
Form VL-110, Request to File New Litigation by Vexatious Litigant
1
Basic 37
3419.
Form VL-120, Application for Order to Vacate Prefiling Order and Remove Plaintiff/Petitioner From Judicial Council Vexatious Litigant List
1
Basic 37
3420.
Form WG-007/EJ-165, Financial Statement (Wage Garnishment—Enforcement of Judgment)
1
Moderate 57
3421.
Form WG-009, Notice of Opposition to Claim of Exemption (Wage Garnishment)
1
Basic 37
3422.
Form MD-109, Notice of Hearing (Menacing Dog)
1
Basic 40
3423.
Form MD-130, Order After Hearing (Menacing Dog)
1
Basic 45
3424.
Form MIL-010, Notice of Petition and Petition for Relief From Financial Obligation During Military Service
1
Basic 36
3425.
Form MIL-100, Notification of Military Veteran/Reserve/Active Status
1
Basic 36
3426.
Form POS-015, Notice and Acknowledgment of Receipt—Civil
1
Basic 33
3427.
Form POS-040(P), Attachment to Proof of Service—Civil (Persons Served)
1
Basic 36
3428.
Form SC-101, Attorney Fee Dispute (After Arbitration) (Attachment to Plaintiff's Claim and ORDER to Go to Small Claims Court)
1
Basic 32
3429.
Form SC-105A, Order on Request for Court Order (Small Claims)
1
Basic 33
3430.
Judicial Council of California, Form SC-113A, Clerk’s Certificate of Mailing (Small Claims)
1
Basic 29
3431.
Form SC-133, Judgment Debtor's Statement of Assets (Small Claims)
1
Moderate 47
3432.
Form SH-032, Declaration Regarding Notice and Service of Ex Parte Application for Order Shortening Time for Hearing on Motion to Place Documents Under Seal Under Code of Civil Procedure Section 367.3 (Safe at Home)
1
Moderate 46
3433.
Form SUBP-010, Deposition Subpoena for Production of Business Records
1
Basic 38
3434.
Form SUBP-015, Deposition Subpoena for Personal Appearance
1
Basic 37
3435.
Form SUM-110, Summons—Cross-Complaint
1
Simple 28
3436.
Form SUM-120, Summons (Joint Debtor)
1
Basic 38
3437.
Form SUM-145, Summons—Enforcement of State Housing Law
1
Simple 28
3438.
Form SV-100, Petition for Postsecondary School Violence Restraining Orders
1
Very Complex 80
3439.
Form SV-115, Request to Continue Court Hearing (Temporary Restraining Order) (Postsecondary School Violence Prevention)
1
Basic 33
3440.
Form SV-120, Response to Petition for Postsecondary School Violence Restraining Orders
1
Basic 45
3441.
Form SV-130, Postsecondary School Violence Restraining Order After Hearing (CLETS-SVO)
1
Moderate 56
3442.
Form TH-100, Petition for Order Prohibiting Abuse or Program Misconduct (Transitional Housing Misconduct)
1
Moderate 52
3443.
Form TH-110, Order to Show Cause and Temporary Restraining Order (Transitional Housing Misconduct)
1
Moderate 48
3444.
Form TH-140, Proof of Personal Service (Transitional Housing Misconduct)
1
Basic 41
3445.
Form VL-115, Order to File New Litigation by Vexatious Litigant
1
Basic 37
3446.
Form WG-001, Application for Earnings Withholding Order (Wage Garnishment)
1
Basic 39
3447.
Form WG-005, Employer's Return (Wage Garnishment)
1
Basic 38
3448.
Form WV-130, Workplace Violence Restraining Order After Hearing (CLETS-WHO)
1
Moderate 56
3449.
Form RA-030, Request To Compel Physical Presence—Juvenile Dependency
1
Basic 39
3450.
Form RC-200, Ex Parte Order Appointing Receiver and Order to Show Cause and Temporary Restraining Order—Rents, Issues, and Profits
1
Moderate 46
3451.
Notice of Hearing on Request for Transfer or Extension of Time for Retention of Superior Court Records; Court Order; Release and Receipt of Superior Court Records
1
Basic 37
3452.
Form REC-002(R), Release and Receipt of Superior Court Records
1
Basic 44
3453.
Judicial Council of California Form RT-109, Notice of Court Hearing (Retail Crime Prevention)
1
Basic 36
3454.
Form RT-120, Response to Petition for Retail Crime Restraining Order (Retail Crime Prevention)
1
Basic 36
3455.
Form RT-130, Retail Crime Restraining Order (CLETS-RTO)
1
Basic 38
3456.
Form SC-104A, Proof of Mailing (Substituted Service) (Small Claims)
1
Basic 30
3457.
Order on Request to Correct or Cancel Judgment (Small Claims)
1
Basic 31
3458.
Form SC-130, Notice of Entry of Judgment (Small Claims)
1
Basic 37
3459.
Form SC-134, Application and Order to Produce Statement of Assets and to Appear For Examination
1
Basic 31
3460.
Form SC-135, Notice of Motion to Vacate Judgment and Declaration (Small Claims)
1
Basic 38
3461.
Form SC-140, Notice of Appeal (Small Claims)
1
Basic 34
3462.
Form SC-150, Request to Postpone Trial (Small Claims)
1
Basic 34
3463.
Judicial Council of California Form SC-202A, Decision on Attorney-Client Fee Dispute (Small Claims)
1
Basic 38
3464.
Form SC-221, Response to Request to Make Payments (Small Claims)
1
Basic 34
3465.
Form SC-223, Declaration of Default in Payment of Judgment (Small Claims)
1
Basic 39
3466.
Judicial Council of California Form SC-225, Order on Declaration of Default in Payments (Small Claims)
1
Basic 37
3467.
Form SC-290, Acknowledgment of Satisfaction of Judgment (Small Claims)
1
Basic 37
3468.
Form SER-001A, Special Instructions for Writs and Levies—Attachment
1
Basic 33
3469.
Form SH-001, Confidential Information Form Under Code of Civil Procedure Section 367.3
1
Basic 38
3470.
Form SUBP-035, Subpoena for Production of Business Records in Action Pending Outside California
1
Basic 41
3471.
Form SUBP-045, Deposition Subpoena for Personal Appearance and Production of Documents, Electronically Stored Information, and Things in Action Pending Outside California
1
Basic 41
3472.
Form SV-110, Temporary Restraining Order (CLETS-TSV) (Postsecondary School Violence Prevention)
1
Moderate 53
3473.
Form SV-116, Order on Request to Continue Hearing (Temporary Restraining Order) (CLETS-TSV) (Postsecondary School Violence Prevention)
1
Basic 39
3474.
Form SV-200, Proof of Personal Service (Postsecondary School Violence Prevention)
1
Basic 34
3475.
Form SV-800, Receipt for Firearms, Firearm Parts, and Ammunition (Postsecondary School Violence Prevention)
1
Moderate 50
3476.
Form TR-300, Agreement to Pay and Forfeit Bail in Installments (Traffic Infractions)
1
Basic 36
3477.
Judicial Council of California Form UD-110H, Judgment—Unlawful Detainer Habitable Premises Attachment
1
Moderate 49
3478.
Form VL-100, Prefiling Order—Vexatious Litigant
1
Basic 32
3479.
Judicial Council of California Form WG-002, Earnings Withholding Order (Wage Garnishment)
1
Basic 36
3480.
Form WV-110, Temporary Restraining Order (Workplace Violence Prevention)
1
Moderate 52
3481.
Form WV-120, Response to Petition for Workplace Violence Restraining Orders
1
Basic 45
3482.
Form WV-800, Receipt for Firearms, Firearm Parts, and Ammunition (Workplace Violence Prevention)
1
Moderate 50
3483.
Form WV-100, Petition for Workplace Violence Restraining Orders (Workplace Violence Prevention)
1
Moderate 55
3484.
Form WV-200, Proof of Personal Service (Workplace Violence Prevention)
1
Basic 34
3485.
Form WV-109, Notice of Court Hearing (Workplace Violence Prevention)
1
Basic 37
3486.
New Jersey Judiciary Plea Form (Plea 01)
1
Moderate 51
3487.
Supplemental Plea Form for Certain Sexual Offenses: Megan’s Law/Parole Supervision for Life/Community Supervision for Life (Plea 05)
1
Simple 24
3488.
Financial Questionnaire to Establish Indigency
1
Moderate 58
3489.
New Jersey Judiciary Resource Family Information Form
1
Basic 42
3490.
Foreclosure Case Information Statement (FCIS) - Appendix XII-B2
1
Basic 32
3491.
New Jersey Judiciary Records Request Form
1
Moderate 56
3492.
Superior Court of New Jersey, Application for Appeal and Order
1
Basic 37
3493.
FL Certification of Requested Background Checks for Kinship Legal Guardianship
1
Simple 27
3494.
Certification of Caregiver as to Knowledge of Identity and/or Location of Parents
1
Basic 32
3495.
FL Order Judgment for Kinship Legal Guardianship
1
Simple 28
3496.
New Jersey Judiciary Certification of Repair and Plea of Guilty
1
Basic 37
3497.
Uniform Summary Support Order (USSO)
1
Moderate 57
3498.
New Jersey Judiciary Volunteer Application (CN 10293)
1
Moderate 57
3499.
Application to Take the New Jersey Court Interpreter Oral Examination
1
Basic 40
3500.
New Jersey Judiciary Attorney Fee Arbitration Request
1
Basic 43
3501.
Order to Show Cause with Temporary Restraints Pursuant to Rule 4:52
1
Basic 40
3502.
Tax Court of New Jersey, State Tax Complaint
1
Basic 32
3503.
State Tax Case Information Statement (CIS-State)
1
Basic 30
3504.
State Equalization Table - School Aid Complaint
1
Basic 35
3505.
Form CN 10328, State Tax Complaint Packet
1
Basic 40
3506.
Mandatory Settlement Conference Report
1
Basic 35
3507.
Tax Court of New Jersey Case Information Statement - Correction of Error in Assessment
1
Basic 36
3508.
Correction of Error Complaint (N.J.S.A. 54:51A-7)
1
Basic 38
3509.
Stipulation of Settlement (Local Property Tax)
1
Moderate 47
3510.
Tax Court of New Jersey, County Equalization Table Complaint (CN 10339)
1
Basic 37
3511.
Application for Judgment to Apply Freeze Act using County Board of Taxation figures (N.J.S.A. 54:3-26)
1
Basic 32
3512.
Request for Disclosure of Judicial Financial Reporting Statement
1
Simple 26
3513.
New Jersey Judiciary Family Part Case Information Statement (CIS)
1
Complex 78
3514.
Superior Court of New Jersey Dissolution (FM) Case Management Order
1
Moderate 51
3515.
New Jersey Form of Order - Order of Protection (CN 10485)
1
Basic 33
3516.
Application for Admission to Roster of Mediators for Economic Aspects of Family Law Cases
1
Basic 40
3517.
New Jersey Judiciary Economic Mediation Results Form For Mediation of Economic Aspects of Family Law Cases
1
Basic 29
3518.
New Jersey Judiciary EEO Complaint Form: Report of Discrimination, Sexual Harassment, Retaliation
1
Basic 43
3519.
New Jersey Judiciary – Superior Court, Appellate Division Application for Permission to File Emergent Motion
1
Moderate 48
3520.
New Jersey Judiciary Superior Court - Appellate Division Civil Case Information Statement
1
Basic 42
3521.
New Jersey Judiciary Superior Court - Appellate Division Criminal Case Information Statement
1
Basic 42
3522.
New Jersey Judiciary Superior Court - Appellate Division Notice of Appeal (CN: 10502)
1
Basic 43
3523.
Appellate Notice of Motion (CN 10503)
1
Basic 33
3524.
Uniform Arbitration Statement of Facts - Appendix XXII-A
1
Basic 39
3525.
Uniform Commercial Arbitration Memorandum - Appendix XXII-B
1
Basic 30
3526.
New Jersey Judiciary Application for Admission to Roster of Civil Arbitrators
1
Basic 34
3527.
Certification by Landlord - Appendix XI-T
1
Basic 30
3528.
Certification by Landlord's Attorney - Appendix XI-U
1
Simple 24
3529.
Settlement Agreement (Tenant Remains) - Appendix XI-V
1
Basic 30
3530.
Consent to Enter Judgment for Possession (Tenant Vacates) - Appendix XI-W
1
Simple 27
3531.
Affidavit of Service (Superior Court of New Jersey)
1
Basic 39
3532.
Civil Case Information Statement (Civil CIS) - Appendix XII-B1
1
Basic 37
3533.
New Jersey Judiciary How to File a Judgment Obtained from a Foreign Jurisdiction (CN 10519)
1
Basic 36
3534.
Application for Admission to Roster of Mediators for Civil, General Equity and Probate Cases
1
Moderate 52
3535.
Small Claims Complaint (Contract, Security Deposit, Rent or Tort) - Appendix XI-C
1
Basic 33
3536.
Small Claims Complaint - Motor Vehicle - Appendix XI-D
1
Basic 35
3537.
Small Claims Summons and Return of Service - Appendix XI-A (2)
1
Basic 39
3538.
New Jersey Judiciary DCP&P Request for Adult Probation or Pretrial Services Records
1
Basic 45
3539.
New Jersey Judiciary Publications Request
1
Complex 63
3540.
New Jersey Judiciary Photo Release Agreement for Adults
1
Simple 24
3541.
Court User Satisfaction Survey - Atlantic/Cape May (CN 10673-English-Spanish)
1
Basic 45
3542.
Application for Intensive Supervision Program
1
Basic 35
3543.
Application for Public Defender (5A) - for Contempt of Domestic Violence Restraining Orders
1
Moderate 62
3544.
Superior Court of New Jersey, Civil Action, Order to Show Cause Summary Action
1
Basic 37
3545.
Order to Show Cause Preliminary Injunction Pursuant to Rule 4:52
1
Basic 37
3546.
Voluntary Binding Arbitration - Civil Action Consent Order of Dismissal
1
Basic 30
3547.
Voluntary Binding Arbitration Program Application
1
Basic 33
3548.
Child Welfare Mediation Confidentiality Agreement – Form (CN: 10743-English)
1
Basic 38
3549.
New Jersey Judiciary Child Welfare Mediation Referral
1
Basic 43
3550.
Child Welfare Mediation Case Status Report
1
Basic 36
3551.
Superior Court of New Jersey Application to the Recovery Court Program
1
Basic 44
3552.
Trial De Novo Request Form, Superior Court of New Jersey, Law Division, Civil Part
1
Simple 25
3553.
Voluntary Binding Arbitration Program Consent Form
1
Simple 25
3554.
Voluntary Binding Arbitration Order
1
Simple 16
3555.
Notice of Appeal Rights and Time to File a Petition for Post-Conviction Relief Form
1
Simple 27
3556.
Summons - Appendix XII-A
1
Simple 28
3557.
New Jersey Appeal Rights Form - Domestic Violence Contempt
1
Simple 25
3558.
Tenancy Summons and Return of Service - Appendix XI-B
1
Basic 39
3559.
Superior Court of New Jersey, Appellate Division, Notice of Appeal (from Board of Review Pro Se Kit)
1
Simple 28
3560.
New Jersey Judiciary Civil Mediator Roster Change/Update Form
1
Basic 32
3561.
Superior Court of New Jersey, Civil Action, Completion of Mediation Form
1
Simple 24
3562.
Notice of Appeal and Case Information Statement (CIS) for Appeals Involving Registration and Community Notification Laws (Megan's Law - N.J.S.A. 2C:7-1 To 7-11)
1
Basic 38
3563.
New Jersey Judiciary Registration Form for Inclusion in the Registry of Interpreting Resources
1
Moderate 48
3564.
Agency Registration Form for Inclusion in the Registry of Interpreting Resources
1
Basic 35
3565.
New Jersey Judiciary Attorney Fee Response Request
1
Basic 42
3566.
Order Extending Discovery for Joinder of New Party and Setting New Discovery End Date Pursuant to R. 4:24-1(b)
1
Basic 30
3567.
Superior Court of New Jersey, Consent Order for Expedited Jury Trial
1
Basic 29
3568.
Superior Court of New Jersey Civil Action Order for Summary Jury Trial (CN 10878)
1
Basic 36
3569.
Notice and Certification to Out-of-State Counsel Licensed in New Jersey
1
Simple 20
3570.
Self-Represented Litigant Certification of Notification of Complementary Dispute Resolution (CDR) Alternatives
1
Simple 21
3571.
Attorney and Client Certification of Notification of Complementary Dispute Resolution (CDR) Alternatives
1
Simple 25
3572.
Request and Authorization for Records Disposal
1
Moderate 54
3573.
Superior Court of New Jersey, Order of Referral to Post-MESP Mediation Program
1
Basic 35
3574.
Supreme Court of New Jersey, Non-New Jersey Attorney Designation of Clerk as Agent for Service of Process, Multi-Jurisdictional Practice Registration (RPC 5.5)
1
Basic 34
3575.
New Jersey Judiciary Attorney Ethics Grievance
1
Basic 39
3576.
New Jersey Lawyers’ Fund For Client Protection Certification of Military Exemption
1
Simple 15
3577.
Surrogates' Judiciary Records Request Form
1
Basic 34
3578.
Waiver of Criminal Jury Trial Pursuant to Rule 1:8-1(a)
1
Simple 24
3579.
Superior Court of New Jersey, Report and Award of Arbitrator(s) - Auto / Personal Injury
1
Basic 36
3580.
Superior Court of New Jersey, Report and Award of Arbitrator(s) - Commercial
1
Basic 35
3581.
Local Property Tax Complaint Packet (CN 10341)
1
Moderate 55
3582.
Tax Court of New Jersey, Taxpayer Complaint (Local Property Tax)
1
Basic 34
3583.
Case Information Statement (CIS-LP)
1
Moderate 50
3584.
New Jersey Lawyers’ Fund for Client Protection Address Change for Billing Under R. 1:28-2
1
Simple 25
3585.
Order to Enforce Litigant’s Rights - Appendix XI-O
1
Basic 30
3586.
Warrant to Satisfy Judgment (New Jersey Judiciary)
1
Basic 34
3587.
Application for Judgment to Apply Freeze Act using Tax Court judgment figures (N.J.S.A. 54:51A-8)
1
Basic 40
3588.
Tax Relief Programs - Complaint Form (CN 11017)
1
Basic 33
3589.
Order to Show Cause to Register/Enforce Out-of-State Custody/Parenting Time/Visitation Order
1
Basic 37
3590.
Certification and Request to Register/Enforce Out-of-State Custody/Parenting Time/Visitation Order
1
Basic 43
3591.
Order for Registration/Enforcement of Out-of-State Custody/Parenting Time/Visitation Order
1
Basic 32
3592.
Supplemental Plea Form for Non-Negotiated Pleas (Plea 02)
1
Simple 23
3593.
Court Review of Request for Confidential Court Transcripts, Audio, or Video Files (Division of Child Protection and Permanency, In-Camera Child(ren) Interview, Juvenile and Sealed Hearings)
1
Simple 28
3594.
Additional Questions for Certain Sexual Offenses - Committed on or After December 1, 1998 (Plea 04)
1
Simple 27
3595.
New Jersey Judiciary Confidential Juvenile Plea Form
1
Moderate 55
3596.
Stipulation of Settlement Form Farmland Rollback
1
Basic 35
3597.
Form for Documenting Court Interpreting Experience
1
Basic 41
3598.
Supreme Court of New Jersey Advisory Committee on Judicial Conduct Complaint form
1
Basic 32
3599.
Supplemental Plea Form for Eluding (N.J.S.A. 2C:29-2b) or Theft of a Motor Vehicle or Unlawful Taking of a Motor Vehicle (N.J.S.A. 2C:20-2.1) (Plea 07)
1
Simple 23
3600.
Additional Questions for Certain Drug and Weapons Offenses Committed on or After June 24, 1998 (Plea 08)
1
Simple 23
3601.
Plea-11 Supplemental Plea Form for Graves Act Offenses (N.J.S.A. 2C: 43-6c)
1
Simple 23
3602.
Superior Court of New Jersey, Certification in Support of Establishing Paternity
1
Moderate 47
3603.
Certification for Support Order to be Administered Through Probation Division
1
Basic 35
3604.
Superior Court of New Jersey Law Division Disclosure Concerning Continuation of Mediation and Mediation Preparation Time
1
Simple 26
3605.
Taxing District Complaint (Local Property Tax)
1
Basic 34
3606.
Superior Court of New Jersey Certification of Non-Military Service
1
Basic 36
3607.
Form II, Legal Services Plan - Union
1
Basic 30
3608.
Form I, Legal Services Plan - Non-Union
1
Basic 38
3609.
Superior Court of New Jersey Civil Action Complaint
1
Basic 36
3610.
Financial Statement for Summary Support Actions
1
Complex 64
3611.
Monthly Report of Probate Part and Surrogate Court Cases - Effective July 1, 2008
1
Basic 43
3612.
Superior Court of New Jersey, Writ of Execution - Appendix XII-D
1
Basic 36
3613.
Writ of Wage Execution - Appendix XII-E
1
Basic 35
3614.
Notice of Application for Wage Execution - Appendix XI-I
1
Basic 30
3615.
Notice to Client/Pro Se Party Pursuant to R. 4:23-5(a)(1) - Appendix II-A
1
Simple 12
3616.
Notice to Client/Pro Se Party Pursuant to R. 4:23-5(a)(2) - Appendix II-B
1
Simple 19
3617.
Appendix XI-X, Verified Complaint - Residential Landlord Tenant
1
Moderate 53
3618.
Foreclosure Mediation Financial Worksheet
1
Complex 64
3619.
Subpoena Ad Testificandum - Tax Court (Request Someone’s Testimony in Court)
1
Basic 30
3620.
Subpoena Duces Tecum - Tax Court (Request an Appearance or Documents)
1
Basic 32
3621.
Tax Court of New Jersey Notice of Motion Packet (CN 11283)
1
Basic 44
3622.
New Jersey Judiciary Reporters/Transcribers Transcript Transmittal (CN 11304)
1
Moderate 50
3623.
New Jersey Judiciary Incorrect Transcript Request Notice
1
Basic 38
3624.
New Jersey Judiciary, Appellate Division, Request for Extension of Transcript Filing
1
Basic 29
3625.
Superior Court of New Jersey Electronic Access Program Enrollment Form
1
Basic 31
3626.
Supreme Court of New Jersey Disciplinary Review Board Notice of Appeal from the Dismissal of an Ethics Grievance
1
Simple 25
3627.
Supreme Court of New Jersey Disciplinary Review Board Notice of Appeal From a District Fee Arbitration Committee Determination
1
Basic 29
3628.
Supreme Court of New Jersey Disciplinary Review Board Request for Copy of DRB Decision
1
Simple 26
3629.
Superior Court of New Jersey, Certification of Child Support Arrears
1
Simple 26
3630.
CPR Voluntary Placement - Review Board Recommendation to the Judge
1
Moderate 53
3631.
New Jersey Judiciary Superior Court - Family Division: Initial Review - Child Placement Review (CPR) Board Recommendation to the Judge
1
Basic 42
3632.
Superior Court of New Jersey, Chancery Division, Interim Provisional Settlement (IPS) Form
1
Simple 24
3633.
Mediation Continuation Accord, Superior Court of New Jersey, Chancery Division
1
Simple 28
3634.
New Jersey Judiciary, Board on Continuing Legal Education, Individual Attorney Application for CLE Credit
1
Basic 37
3635.
Supreme Court of New Jersey, Board on Continuing Legal Education, Application for an Extension of Time
1
Simple 26
3636.
Form SR-38, Certification to Director NJ MVC
1
Basic 33
3637.
Notification to Director NJ MVC (SR-39)
1
Simple 26
3638.
Stipulation of Settlement - Added / Added Omitted (CN 11404)
1
Moderate 47
3639.
Stipulation of Settlement With Exemption (Local Property Tax)
1
Moderate 48
3640.
Order for Appointment of Attorney-Trustee (R. 1:20-19)
1
Basic 32
3641.
Verified Petition for Appointment of Attorney-Trustee (R. 1:20-19)
1
Simple 26
3642.
Complaint and Proposed Form of Order for Action Seeking Title to Motor Vehicle
1
Moderate 61
3643.
Addendum to Juvenile Plea Agreement - Mandated Questions for Certain Sexual Offenses
1
Basic 36
3644.
Bi-Annual New Jersey Accredited Service Provider Reporting Form Part 1
1
Simple 24
3645.
Bi-Annual Reporting Form Part 2
1
Complex 64
3646.
Certification of Diligent Search
1
Moderate 62
3647.
Americans with Disabilities Act (ADA) Accommodation Appeal Form for Court Users
1
Basic 34
3648.
New Jersey Emergent Application (Order to Show Cause)
1
Basic 33
3649.
Superior Court of New Jersey Bail Program Registration Form
1
Moderate 48
3650.
New Jersey Judiciary Voluntary Stipulation and Admission to Child Abuse and/or Neglect Pursuant to N.J.S.A. 9:6-8.21(c)
1
Moderate 48
3651.
False Claims Act Cover Sheet (CN: 11543)
1
Simple 25
3652.
New Jersey Lawyers’ Fund For Client Protection Certification of Retirement
1
Simple 16
3653.
New Jersey Lawyers' Fund for Client Protection Statement of Claim
1
Moderate 52
3654.
Notification of Right to Seek Legal Advice on Immigration Status Consequences
1
Simple 26
3655.
Answer - Auto Accident - Appendix XI-E
1
Basic 34
3656.
Answer - Appendix XI-F, Superior Court of New Jersey, Law Division, Special Civil Part
1
Basic 36
3657.
Writ of Possession - Appendix XI-Y
1
Simple 21
3658.
New Jersey Judiciary Supreme Court Emergent Matter Intake
1
Simple 28
3659.
New Jersey Lawyers' Fund for Client Protection Certification of Unearned Retainer/Fee
1
Basic 32
3660.
Notice Of Arbitration Hearing - Appendix XXIX
1
Basic 29
3661.
Superior Court of New Jersey Electronic Access Program (EAP) Customer Update Form
1
Basic 39
3662.
Superior Court of New Jersey Electronic Access Program (EAP) Cancellation Form
1
Basic 29
3663.
Waiver of First Appearance for Indictable Offenses - For Attorney Use Only (Directive #29-21)
1
Simple 28
3664.
New Jersey Judiciary Voluntary Stipulation and Admission Pursuant to N.J.S.A. 30:4C-12
1
Basic 43
3665.
Plea-13 Notice to Defendant Pursuant to N.J.S.A. 2C:29-2b Mandatory Suspension of Driving Privileges
1
Simple 27
3666.
New Jersey Attorney Designation of Clerk of the Supreme Court as Agent Upon Whom Service of Process May Be Made (Rule 1:21-1(a)(2))
1
Basic 31
3667.
Application for Assignment of Counsel (CIC 5A)
1
Moderate 48
3668.
Plea-RC (12), Supplemental Plea Form Mandatory Sentence to Special Probation Pursuant to N.J.S.A. 2C:35-14.2 "Recovery Court"
1
Simple 24
3669.
New Jersey Judiciary Family Practice Division Economic Mediation Roster Change/Update Form
1
Simple 26
3670.
Adult Guardianship - Report of the Guardian Cover Page (CN 11797)
1
Basic 37
3671.
Adult Guardianship - Report of Well-Being
1
Moderate 47
3672.
Adult Guardianship - Guardian Inventory
1
Moderate 50
3673.
New Jersey Judiciary Guardianship Report EZ Accounting Form
1
Moderate 48
3674.
Adult Guardianship - EZ-Accounting Form - Additional pages
1
Complex 64
3675.
New Jersey Judiciary Guardianship Report Comprehensive Accounting Form
1
Complex 74
3676.
Adult Guardianship - Judgment of Incapacity and Appointment of Guardian(s) of the Person and Estate (CN 11802)
1
Basic 39
3677.
Superior Court of New Jersey, Civil Action Summons, Appendix XI-A(1)
1
Basic 37
3678.
Information Subpoena - Appendix XI-L
1
Complex 67
3679.
Certification Regarding Appearance as a Multijurisdictional Practitioner
1
Simple 16
3680.
Request for Permission to Photograph, Electronically Record or Broadcast a Court Proceeding
1
Basic 29
3681.
Attorney Access Verification Form
1
Basic 29
3682.
Municipal Court Incarcerated Defendant Request for Relief Form
1
Basic 38
3683.
Special Civil Part Interrogatories - Model Questions for Contract and Debt Collection Cases Where the Demand Exceeds $3,000
1
Basic 40
3684.
Application to Take Oral Proficiency Interview (OPI)
1
Basic 31
3685.
New Jersey Judiciary Domestic Violence Economic Mediation Case Information Form
1
Basic 29
3686.
New Jersey Judiciary Domestic Violence Economic Mediation Protected Party Post-Mediation Questionnaire
1
Basic 44
3687.
New Jersey Judiciary – Tax Court Case Jacket Access Request
1
Moderate 46
3688.
Arbitration/Alternate Dispute Resolution Questionnaire - Appendix XXIX-A
1
Simple 27
3689.
Attorney Supplement to Complaint/Modification - Non-Dissolution Action
1
Basic 40
3690.
New Jersey Judiciary Adult Guardianship Case Information Statement (CIS)
1
Basic 41
3691.
Supreme Court of New Jersey Request for Exception from Electronic Attorney Registration and Payment
1
Basic 29
3692.
State of New Jersey Intensive Supervision Program (ISP) Voluntary Withdrawal
1
Simple 23
3693.
Certification in Support of Application for Arrest Warrant - Appendix XI-P
1
Basic 39
3694.
Notice of Motion for Order Enforcing Litigant’s Rights - Appendix XI-M
1
Basic 31
3695.
Supreme Court of New Jersey Board on Continuing Legal Education Compliance Reporting Form for Reinstatement from the CLE Ineligible List
1
Moderate 61
3696.
EAP - Subscriber Agreement, Terms and Conditions of Access to and Participation in New Jersey Judiciary Electronic Applications
1
Simple 25
3697.
Adult Guardianship - Judgment of Incapacity and Appointment of Guardian(s) of the Person
1
Basic 39
3698.
Verified Complaint to Appoint Guardian(s) of the Person (CN 12010)
1
Moderate 50
3699.
Superior Court of New Jersey, Chancery Division - Probate Part, Certification of Assets
1
Basic 43
3700.
Adult Guardianship - Certification of Physician or Psychologist
1
Basic 42
3701.
Adult Guardianship - Order Fixing Hearing Date and Appointing Attorney for Alleged Incapacitated Person
1
Basic 37
3702.
Adult Guardianship - Certification in Support of Guardianship
1
Basic 38
3703.
Verified Complaint to Appoint Guardian of the Person and Estate (Property)
1
Moderate 52
3704.
Arraignment/Status Conference Order Directive #33-17
1
Basic 40
3705.
Adult Guardianship - Certification of Examining Professional
1
Basic 29
3706.
New Jersey Superior Court Appellate Division Pretrial Detention Appeal (PDA) – Expedited Information Form
1
Basic 35
3707.
Certification in Support of Motion for Order Enforcing Litigant’s Rights - Appendix XI-N
1
Basic 37
3708.
Warrant for Arrest and Mandatory Appearance Before a Judge of the Superior Court in Accordance with Rule 6:7-2(g) - Appendix XI-Q
1
Simple 25
3709.
Non-Dissolution (FD) Complex Track Case Management Order
1
Moderate 55
3710.
Superior Court of New Jersey Certification in Support of Request for Excuse from Jury Service: Personal Obligation to Provide Care for Minor Child(ren)
1
Basic 30
3711.
New Jersey Judiciary Domestic Violence Economic Mediation Non-Protected Party Post-Mediation Questionnaire
1
Basic 35
3712.
New Jersey Judiciary - Notice of Parental Rights in Adoption Proceeding - Agency Placement
1
Basic 31
3713.
New Jersey Judiciary - Family Practice Division Notice of Parental Rights in Adoption Proceeding - Non-Agency Placement
1
Simple 28
3714.
New Jersey Superior Court Appellate Division Pretrial Detention Appeal (PDA) – State’s Response
1
Basic 37
3715.
Superior Court of New Jersey Notice of Appearance (CN 12204)
1
Simple 26
3716.
Superior Court of New Jersey, Substitution of Attorney
1
Simple 26
3717.
Superior Court of New Jersey, Warrant to Satisfy Judgment - Child Support
1
Basic 37
3718.
Notice of Motion & Order for Admission to Practice Pro Hac Vice - Fosamax Litigation
1
Basic 29
3719.
Electronic Monitoring Screening Criteria (for Electronic Monitoring as a Condition of Pretrial Release)
1
Moderate 47
3720.
New Jersey Judiciary Certification of Service - Appellate
1
Basic 35
3721.
Certification in Support of Non-Disclosure (for use with Personal Information Form for UIFSA 311)
1
Simple 20
3722.
New Jersey Judiciary Photo Release Agreement for Minors
1
Simple 25
3723.
Tax Court of New Jersey Withdrawal of Complaint
1
Simple 23
3724.
Certification in Support of Request to be Excused from Jury Service Due to Severe Financial Hardship
1
Basic 29
3725.
New Jersey Judiciary Custody/Parenting Time Social Investigation Report
1
Moderate 48
3726.
Special Civil Answer and Counterclaim, Cross-claim, Third Party Complaint - Appendix XI-Z
1
Basic 39
3727.
Superior Court of New Jersey Criminal Division Pretrial Intervention Program Application
1
Basic 41
3728.
Physician Certification In Support of Medical Excuse Request (Jury)
1
Simple 28
3729.
DVEM - Certification of Plaintiff in Support of Request for Amendment of Final Restraining Order (FRO) to Allow Economic Mediation
1
Simple 25
3730.
Order of Referral to Domestic Violence Economic Mediation Program (DVEM)
1
Basic 34
3731.
New Jersey Notice to Caregivers
1
Basic 32
3732.
New Jersey Judiciary Affidavit of Identity
1
Basic 31
3733.
Petition for Extreme Risk Protective Order (ERPO)
1
Moderate 49
3734.
Petition for Termination of a Final Extreme Risk Protective Order (FERPO) (CN 12433)
1
Simple 25
3735.
Superior Court of New Jersey Civil Action Order to Delete - eCourts
1
Basic 30
3736.
Superior Court of New Jersey, Consent Order to Delete - eCourts
1
Basic 32
3737.
Superior Court of New Jersey, Civil Action, Order to Correct Data - eCourts
1
Basic 31
3738.
Superior Court of New Jersey, Consent Order to Correct Data - eCourts
1
Basic 33
3739.
Tax Court - Consent Order to Correct Data - eCourts (CN 12467)
1
Basic 30
3740.
Tax Court - Order to Correct Data - eCourts
1
Basic 30
3741.
Tax Court - Consent Order to Delete Data - eCourts
1
Basic 30
3742.
Tax Court - Order to Correct Data in eCourts
1
Basic 29
3743.
New Jersey Judiciary Sound Recording Request Form (Tax Court)
1
Basic 35
3744.
Application to Suspend Employment/Occupational Disabilities Related to Criminal Convictions (CN: 12535)
1
Simple 28
3745.
Order to Show Cause - Model Form for Dissolution, Non–Dissolution and Domestic Violence (FM, FD & FV) dockets
1
Basic 35
3746.
New Jersey Judiciary – Tax Court Supplemental eCourts Proof of Service (used for service after electronic filing)
1
Simple 23
3747.
Matrimonial Early Settlement Panel (MESP) Case Information Form
1
Simple 26
3748.
Superior Court of New Jersey Universal Family Adjournment Order
1
Simple 27
3749.
Request for Audio Records of Appellate Division Oral Argument
1
Basic 31
3750.
New Jersey Judiciary - Request for Audio or Video Records of Proceedings
1
Basic 37
3751.
Certification in Support of Judgment of Divorce without a Court Appearance (CN 12620)
1
Basic 39
3752.
Federal Coronavirus Aid, Relief, and Economic Security Act (CARES Act) Compliance Certification
1
Simple 26
3753.
New Jersey Judiciary Domestic Violence Contempt and Related Disorderly Persons and Petty Disorderly Persons Plea Form
1
Moderate 48
3754.
Adult Guardianship - Certification of Criminal and Civil Judgment History (Directive #06-23)
1
Basic 37
3755.
New Jersey Judiciary Application to Serve as a Landlord/Tenant Settlor (CN 12743)
1
Basic 31
3756.
New Jersey Judiciary Volunteer Application for Intensive Supervision Program (ISP)
1
Moderate 55
3757.
Landlord Case Information Statement (LCIS)
1
Basic 37
3758.
Tenant Case Information Statement (TCIS)
1
Basic 30
3759.
New Jersey Judiciary Landlord Tenant Procedures
1
Simple 19
3760.
Request by Defendant/Juvenile for Copies of Their Own Expunged and/or Sealed Records
1
Basic 33
3761.
Superior Court of New Jersey, Request for Residential Warrant of Removal
1
Basic 29
3762.
Motion - Requesting Judicial Review of Certain Marijuana and Hashish Cases Pursuant to The Marijuana Decriminalization Law, L. 2021, c. 19
1
Basic 38
3763.
Certification of Lease and Registration Statement
1
Simple 28
3764.
Mutual Withdrawal of Complaint and Counterclaim and Consent for Entry of Judgment
1
Simple 25
3765.
JACS Request to Change Administrator Form (Judiciary Account Charge System)
1
Simple 26
3766.
New Jersey Judiciary Volunteer Application Office of Attorney Ethics
1
Basic 44
3767.
Home Detention Screening Criteria (for Home Detention as a Condition of Pretrial Release)
1
Moderate 46
3768.
Application for Admission to the Roster of Statewide Approved Parenting Coordinators
1
Basic 42
3769.
Superior Court of New Jersey, Order Appointing Parenting Coordinator (CN:13005)
1
Basic 39
3770.
Roster of Statewide Parenting Coordinators Change/Update Form (CN: 13006)
1
Simple 28
3771.
New Jersey Judiciary Civil Division Landlord/Tenant (LT) Trial Sheet
1
Basic 36
3772.
New Jersey Judiciary Affidavit - Lost Receipts
1
Simple 27
3773.
Certification of Retirement - Continuing Legal Education Provider
1
Simple 15
3774.
2026 Pro Hac Vice Admission in New Jersey (PHV-26)
1
Basic 37
3775.
How to Ask the Court to Change Your Name - Adults Only (For Use in the Superior Court of New Jersey - Law Division - Civil Part), CN 10551
1
Moderate 58
3776.
Condominium Schedule (CN 10336-English)
1
Moderate 59
3777.
Verified Complaint for Special Immigrant Juvenile Status (SJIS) Predicate Order
1
Basic 42
3778.
Protective Order for Guardian ad Litem (GAL) Report
1
Basic 30
3779.
Dissolution (FM) Judgment for Name Change and Addendum
1
Basic 33
3780.
Municipal Courts Order Restricting Use of Electronic Devices (Directive #06-24)
1
Simple 13
3781.
Certification in Support of Request for Excuse from Jury Service: Mothers Nursing or Expressing Milk for their Child(ren) One Year of Age or Younger
1
Simple 24
3782.
Victim’s Assistance and Survivor Protection Act (VASPA) Filing Packet
1
Complex 63
3783.
Certification for Dismissal of Victim’s Assistance and Survivor Protective Order
1
Simple 26
3784.
Confidential Litigant Contact form for Kinship Legal Guardianship (KLG) Matters
1
Basic 37
3785.
Order Appointing Guardian ad Litem (GAL) for Minor(s) Pursuant to R. 5:8B (CN: 13322)
1
Basic 43
3786.
New Jersey Judiciary New Jersey Lawyers’ Fund for Client Protection Notice of Designated Successor Counsel
1
Basic 29
3787.
Certification that Submission Contains No Confidential Information or Confidential Personal Identifiers
1
Simple 17
3788.
Certification of Attorney Regarding Cybersecurity Incident and Request for Restoration of Access to New Jersey State Judiciary Systems
1
Basic 37
3789.
Family Department Pleading/Motion and Order
1
Moderate 49
3790.
Disclosure Statement (Superior Court of Arizona in Maricopa County)
1
Complex 65
3791.
Proposed Divorce / Legal Separation Resolution Statement
1
Complex 63
3792.
Notice of Default Hearing, Superior Court of Arizona in Maricopa County
1
Basic 33
3793.
Acceptance of Service for Family Court Cases, A.R.F.L.P. Rule 40(F)
1
Basic 45
3794.
Affidavit of Direct Payments (Superior Court of Arizona in Maricopa County)
1
Moderate 52
3795.
Affidavit of Financial Information, Superior Court of Arizona in Maricopa County
1
Complex 66
3796.
Affidavit of Non-Compliance (Form DR41f)
1
Basic 36
3797.
Affidavit Regarding Minor Children (Superior Court of Arizona in Maricopa County)
1
Basic 44
3798.
Affidavit of Service with Signature Confirmation for Family Cases
1
Moderate 46
3799.
Alternative Dispute Resolution Statement to the Court (A.R.F.L.P. 66(E))
1
Basic 35
3800.
Current Employer or Other Payor Information (DRS88f)
1
Simple 25
3801.
Joint Legal Decision-Making Education Order
1
Basic 39
3802.
Sole Legal Decision-Making Education Order
1
Basic 38
3803.
Family Department Sensitive Data Coversheet with Children
1
Moderate 51
3804.
Family Department Sensitive Data Coversheet without Children (Superior Court of Arizona in Maricopa County)
1
Basic 44
3805.
Good Faith Consultation Certificate
1
Basic 37
3806.
Joint Request and Certification for Setting of Family Court Alternative Dispute Resolution (ADR) Settlement Conference
1
Basic 29
3807.
Superior Court of Arizona in Maricopa County, Motion and Order to Extend Dismissal Time
1
Basic 37
3808.
Superior Court of Arizona, Maricopa County - Motion for More Time to Serve the Other Party
1
Basic 38
3809.
Motion and Order to Appear Telephonically
1
Basic 44
3810.
Motion to Set Trial Date and Certificate of Readiness
1
Basic 38
3811.
Superior Court of Arizona in Maricopa County, Notice of Issues
1
Moderate 48
3812.
Notice of Lodging (ARFLP Rules 30; 43.1; 44.1; 45)
1
Basic 34
3813.
Notice of Termination of Child Support Obligation when there is No Income Withholding Order
1
Simple 28
3814.
Superior Court of Arizona in Maricopa County, Order to Appear
1
Basic 31
3815.
Pre-Trial Statement for Family Court Cases, Superior Court of Arizona in Maricopa County
1
Moderate 62
3816.
Superior Court of Arizona in Maricopa County, Protected Address Request for eFiling Only
1
Simple 26
3817.
Request for Protected Address and Order
1
Basic 35
3818.
Waiver of Right to Delay or Overturn Court Action Under the Service Members Civil Relief Act
1
Simple 25
3819.
Original Petition for Divorce [Set A - No Children]
1
Moderate 50
3820.
Form FM-DivAD-404, Notice of Current Address [Divorce Sets A and D]
1
Basic 32
3821.
Original Petition for Divorce [Set B]
1
Moderate 60
3822.
Form FM-DivB-201, Final Decree of Divorce [Set B]
1
Complex 63
3823.
Exhibit: Out-of-State Party Declaration (Form FM-OSP-302)
1
Moderate 57
3824.
Texas Form VS-165, Information on Suit Affecting the Family Relationship
1
Basic 41
3825.
Standard Possession Order
1
Basic 45
3826.
Petition to Modify the Parent-Child Relationship
1
Moderate 60
3827.
Counter-Petition to Modify the Parent-Child Relationship
1
Moderate 59
3828.
Declaration in Support of Changing Primary Custody within One Year
1
Basic 37
3829.
FM-Mod1-200, Order Modifying the Parent-Child Relationship
1
Moderate 54
3830.
Form OMB 0970-0154, Income Withholding for Support (IWO)
1
Moderate 50
3831.
Form 1828A, Record of Support Order with Application
1
Moderate 50
3832.
Petition to Change the Name of an Adult (Form FM-NCA-100)
1
Moderate 52
3833.
FM-NCA-112, Declaration for Prove-Up of Adult Name Change
1
Basic 44
3834.
FM-NCA-200, Order Changing the Name of an Adult
1
Basic 45
3835.
CV-House-102 Defendant's Answer [Eviction]
1
Basic 43
3836.
Form CV-House-401, Verified Notice of Appeal [Eviction]
1
Basic 35
3837.
Motion to Set Aside Default Judgment [Eviction] (Form PR-DJ-135-B)
1
Basic 39
3838.
Petition to Enforce Tenant Privacy (CV-House-100)
1
Basic 32
3839.
CV-ANS-103, Debt Lawsuit Answer [Justice Court]
1
Basic 42
3840.
Form CV-GENERIC-100, Generic Civil Motion
1
Basic 42
3841.
CV-GENERIC-200 Generic Civil Order
1
Basic 29
3842.
Civil Case Information Sheet
1
Moderate 52
3843.
Statement of Inability to Afford Payment of Court Costs or an Appeal Bond
1
Complex 63
3844.
PR-DJ-110, Certificate of Last Known Mailing Address
1
Basic 30
3845.
PR-DJ-111 Military Status Affidavit
1
Basic 35
3846.
Form FM-AV-100, Motion to Enforce and for Contempt
1
Basic 43
3847.
Order to Appear and Show Cause (Form FM-AV-101)
1
Simple 25
3848.
Petition for Expunction of Criminal Records [Charges Not Filed] (Form CV-EXPU-100)
1
Complex 65
3849.
Form CV-EXPU-106, Private Entity List
1
Basic 43
3850.
CRT-Expu-110 Notice of Expunction Hearing
1
Simple 26
3851.
CV-ODL-100, Petition for Occupational Driver's License
1
Moderate 60
3852.
Texas Transfer on Death Deed (Revocable)
1
Moderate 52
3853.
Affidavit of Death for Transferring Title on Property Listed in a Transfer on Death Deed
1
Basic 36
3854.
Texas Statutory Durable Power of Attorney
1
Basic 35
3855.
LADWP Service Planning Information
2
Complex 68
3856.
Form IL444-2790, Self-Employment Record
2
Complex 70
3857.
Form GC-141, Order Appointing Temporary Conservator (Probate—Guardianships and Conservatorships)
2
Moderate 59
3858.
Form GC-150, Letters of Temporary Guardianship or Conservatorship
2
Moderate 46
3859.
Form GC-330, Order Appointing Court Investigator
2
Basic 36
3860.
Form GC-020, Notice of Hearing—Guardianship or Conservatorship
2
Moderate 48
3861.
Form GC-348, Duties of Conservator and Acknowledgment of Receipt of Handbook for Conservators
7
Basic 44
3862.
Discovery Life Personal Life Insurance Application for the Classic, Essential and Purple Life Plans on Adviser 360
49
Complex 69
3863.
Amateur Sports Application Leagues / Camps / Clinics
10
Complex 76
3864.
Local Form 2084-4, Chapter 13 Plan
10
Complex 63
3865.
MPC 801, Bond
2
Moderate 51
3866.
MPC 120, Petition for Appointment of Guardian for an Incapacitated Person
6
Complex 67
3867.
Form 4, Motion and Affidavit for Permission to Proceed in Forma Pauperis
7
Complex 65
3868.
Form IMM 5444, Application for a Permanent Resident Card
5
Complex 73
3869.
Standard Form 3107, Application for Immediate Retirement, Federal Employees Retirement System
14
Complex 70
3870.
Form ETA-9089 – Appendix A: Foreign Worker Information, Application for Permanent Employment Certification
5
Moderate 55
3871.
Form DS-156E, Nonimmigrant Treaty Trader / Investor Application
4
Complex 70
3872.
County Policy of Equity Report/Notification Form
8
Complex 63
3873.
Form DS-5504, Application for a U.S. Passport for Eligible Individuals: Correction, Name Change to Passport Issued 1 Year Ago or Less, and Limited Passport Replacement
6
Moderate 54
3874.
Tax Registration Cancellation Notification
2
Moderate 46
3875.
VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits
15
Complex 72
3876.
State of California Department of Corrections and Rehabilitation CCHCS Acquisitions Quote Worksheet
4
Moderate 57
3877.
Form I-918, Petition for U Nonimmigrant Status
11
Complex 74
3878.
Form CC-GN-019, Physician's Certificate (Md. Rule 10-202(a))
6
Complex 66
3879.
Application for Accident Benefits (OCF-1)
5
Moderate 52
3880.
Form 5471, Information Return of U.S. Persons With Respect to Certain Foreign Corporations
7
Complex 77
3881.
Original Petition for Divorce (Texas)
6
Moderate 56
3882.
Form 1424, Refund request
7
Moderate 58
3883.
Application for a Medicare Entitlement Statement (MS015)
5
Moderate 58
3884.
Form DBPR CILB 6-A, Application for Certified General Contractor Who is Qualifying a Business
18
Complex 77
3885.
Form I-140, Immigrant Petition for Alien Workers
8
Complex 69
3886.
Form 3401, Telephone Solicitation Registration Statement
7
Moderate 46
3887.
Republic of Namibia Ministry of Home Affairs, Immigration, Safety and Security Power of Attorney
2
Basic 40
3888.
Schedule 1 (Form 1040), Additional Income and Adjustments to Income
2
Moderate 55
3889.
Schedule E (Form 1040), Supplemental Income and Loss
2
Complex 75
3890.
Republic of Namibia, Ministry of Home Affairs, Application for Visa (Sections 12 and 13 / Regulation 11)
2
Complex 73
3891.
VA Form 21-526EZ, Application for Disability Compensation and Related Compensation Benefits
7
Complex 76
3892.
Parent(s)/Guardian(s) details for the BASE tax year and CURRENT tax year for dependent Youth Allowance or ABSTUDY customers
21
Complex 67
3893.
Outpatient Behavioral Health (BH) – ABA Treatment Request: Required Information for Precertification
4
Moderate 58
3894.
Aetna Form GC-7 (4-22) R, Medical Benefits Request
6
Complex 70
3895.
Summit Home Care Start of Care & Admission Packet
22
Very Complex 83
3896.
Anthem Blue Cross Member Claim Form (114027NYMENABC)
2
Moderate 53
3897.
VA Form 0857e, Request for Medical Documentation
2
Basic 37
3898.
Form FW-001, Request to Waive Court Fees
2
Complex 71
3899.
Cigna Medical Claim Form
3
Complex 63
3900.
Form 211, Listing Agreement Authority to Offer for Lease
1
Simple 28
3901.
Form 420, Amendment to Agreement to Lease - Residential
2
Moderate 48
3902.
Form 410, Rental Application Residential
2
Complex 73
3903.
Form 240, Amendment to Listing Agreement Authority to Offer for Sale
1
Basic 42
3904.
Form 101, Agreement of Purchase and Sale Condominium Resale
6
Moderate 60
3905.
Form MC-350EX, Petition for Expedited Approval of Compromise of Claim or Action or Disposition of Proceeds of Judgment for Minor or Person With a Disability
13
Complex 79
3906.
EEOC Form 5, Charge of Discrimination
3
Basic 44
3907.
City of Laguna Beach Bid Submittal Documents for Construction of City Hall Elevator Renovation
17
Complex 76
3908.
Form I-129, Petition for a Nonimmigrant Worker
38
Very Complex 91
3909.
Form 14A, Application for Entry Visa
4
Moderate 59
3910.
Form DBPR CILB 6-G, Application for Certified Class-A Air Conditioning Contractor Who is Qualifying a Business
20
Very Complex 83
3911.
VA Form 21-22, Appointment of Veterans Service Organization as Claimant's Representative
4
Moderate 57
3912.
Form WH-380-E, Certification of Health Care Provider for Employee’s Serious Health Condition
4
Moderate 51
3913.
State of Florida Department of Business and Professional Regulation Construction Industry Licensing Board Application for Certification of Registered Contractor (Grandfathering) Qualifying a Business
16
Complex 79
3914.
Form 14256, Federal Occupational Health Case Transmittal
2
Basic 42
3915.
Form DBPR CILB 30, Application for Certification of Registered Contractor (Grandfathering) Qualifying a Business
16
Very Complex 80
3916.
Form 4, Demand for Discharge Under the Personal Property Security Act
1
Basic 34
3917.
IBC/ CBC ABA Treatment Plan/Concurrent Review Template
7
Very Complex 85
3918.
SF Form 3881, Payment Information Update, ACH Vendor Payment System
2
Basic 34
3919.
Form OLE_PH2, Residence Permit Application for the Spouse of a Finnish Citizen
10
Complex 64
3920.
ISBE 61-08, Application for Employment
3
Complex 77
3921.
CARB Requirement Certification for Certificate of Reported Compliance
2
Basic 32
3922.
Form W-9, Request for Taxpayer Identification Number and Certification
11
Complex 66
3923.
Form N-565, Application for Replacement Naturalization/Citizenship Document
7
Complex 63
3924.
Assignment of Life Insurance Policy as Collateral
2
Basic 44
3925.
Outpatient Behavioral Health (BH) – ABA Treatment Request: Required Information for Precertification
4
Moderate 58
3926.
Form CG-3788B, Enlisted Evaluation Report, Third Class Petty Officer
5
Moderate 53
3927.
Form CH-100, Request for Civil Harassment Restraining Orders (Civil Harassment Prevention)
6
Complex 73
3928.
DSS Form 27156, Financial Declaration
6
Very Complex 83
3929.
VA Form 21P-527EZ, Application for Veterans Pension
17
Very Complex 83
3930.
Trust Certification
2
Moderate 50
3931.
Initial, amendment or renewal application for a prescribing approval for (Schedule 8) psychostimulants under the Medicines and Poisons Act 2019
3
Moderate 49
3932.
Outpatient Behavioral Health (BH) – ABA Treatment Request: Required Information for Precertification
4
Moderate 54
3933.
Official Form 101, Voluntary Petition for Individuals Filing for Bankruptcy
8
Very Complex 87
3934.
Official Form 101, Voluntary Petition for Individuals Filing for Bankruptcy
56
Very Complex 92
3935.
Official Form 106A/B, Schedule A/B: Property
10
Very Complex 93
3936.
Supreme Court of Ohio Uniform Domestic Relations Form 7, Complaint for Divorce with Children
3
Complex 71
3937.
Form DR 9.3, Waiver of Service of Summons
1
Basic 35
3938.
Form GC-110, Petition for Appointment of Temporary Guardian (Probate—Guardianships and Conservatorships)
2
Moderate 54
3939.
Standard Merchant Cash Advance Agreement and Addendum
26
Complex 75
3940.
Request for Services (Birth to Kindergarten) Community Speech-Language Program
2
Moderate 52
3941.
Boy Scouts of America Annual Health and Medical Record (Parts A, B1, and B2)
3
Complex 79
3942.
Customer Information Form - Fact Find
6
Complex 78
3943.
Form OC-016, OneCert Organic System Plan (OSP) - Crops
20
Complex 79
3944.
Appendix XI-X Verified Complaint – Residential Landlord Tenant
5
Complex 67
3945.
Village of Baltimore Contractor Registration Application and Taxpayer Registration
3
Moderate 49
3946.
Oregon Practitioner Credentialing Application
15
Very Complex 100
3947.
Oregon Practitioner Credentialing Application
13
Very Complex 100
3948.
TANN Corporation ACH/EFT Payment Authorization Form
1
Basic 34
3949.
Facility Credentialing Application
3
Moderate 54
3950.
Uniform Residential Loan Application (Fannie Mae Form 1003)
18
Complex 67
3951.
Form TC-656, Utah Title Application
1
Complex 63
3952.
Backflow Prevention Assembly Test and Maintenance Report
1
Complex 71
3953.
Subscription Agreement for a Limited Partnership Interest
25
Complex 70
3954.
Form EOIR-42B, Application for Cancellation of Removal and Adjustment of Status for Certain Nonpermanent Residents
13
Very Complex 88
3955.
Form I-130, Petition for Alien Relative
6
Moderate 53
3956.
Unidentified Multi-Part Form
3
Basic 39
3957.
Form VR-210, Application for Maryland Parking Placards/License Plates for Individuals with a Disability
2
Moderate 62
3958.
Scantron Answer Sheet Form 223-L
2
Moderate 52
3959.
ACORD 90 OK, Oklahoma Personal Auto Application
4
Very Complex 88
3960.
ACORD 90 CA, California Personal Auto Application
2
Complex 77
3961.
ACORD 90 TX, Texas Personal Auto Application
2
Complex 78
3962.
Form FL-460, Qualified Domestic Relations Order for Support (Family Law)
4
Moderate 61
3963.
Form 2290, Heavy Highway Vehicle Use Tax Return
10
Complex 66
Form 2290 examples