FORMS
Publications, Forms, Applications and BrochureHave you ever been told... "you need a form"
COMMUNITY - LIBRARY
Have you ever been told...
"you need a form"
This pages contains "some" of the forms we can find - if you know of any other ones, please let us know to help someone.
Some of this forms are in "PDF" (Portable Document Format) - you may need to get, the free Adobe Reader may be required to view these files.
"YOU NEED TO DOWNLOAD THE FORMS TO YOUR COMPUTER FOR PRINTING"
Serving With Love Seniors Food Program Forms
You Need to download and print two forms (front and back)
YOU NEED TO DOWNLOAD & PRINT TWO FORMS (front & back)
Hendry County District Schools
Bure
Bureau of Vital Statistics
Birth Forms
DH726 Application for Birth Record (English 131K pdf)
DH726S Application for Birth Record (Spanish 137K pdf)
DH726A Application for Birth Record (Apostille 887K pdf)
DH726C Application for Commemorative Birth Record (123K pdf)
DH429 Application for an Amended Birth Certificate (English 1.2M pdf)
DH429 Application for an Amended Birth Certificate (Spanish 60K pdf)
DH432 Acknowledgment of Paternity (English 680K MUST print on legal size paper)
DH432 Acknowledgement of Paternity (Spanish 742K pdf)
DH 1178 Application for Certificate of Foreign Birth (768K pdf)
DH1568 What You As a Parent Must Know Before Signing the Paternity Acknowledgment (23K pdf)
DH1568S What You As a Parent Must Know Before Signing the Paternity Acknowledgment (Spanish 25K pdf)
DH1568H What You As a Parent Must Know Before Signing the Paternity Acknowledgment (Creole 25K pdf)
DH1905 Certified Statement of Final Order of Affirmation of Parental Status (420K pdf)
DH1958 Affidavit to Release a Birth Certificate (44K pdf)
Changes, Corrections and Amendments to Birth Record Forms including Putative Father Forms and Adoption
DH427 Report of Legal Name Change (English 43kb pdf)
DH430 Affidavit of Amendment to Certificate of Live Birth (English 34K pdf)
DH527 Certified Statement of Final Decree of Adoption (870K pdf)
DH5075 Petition for Termination of Parental Rights (77k pdf)
DH660 Instructions for Amending a Birth Certificate (English 46K pdf)
DH673 Certified Statement of Final Judgement of Paternity (390K pdf)
DH1963 Putative Father Registry Search (166K pdf)
DH1963H Putative Father Registry Search (Creole 152K pdf)
DH1963S Putative Father Registry Search (Spanish 168K pdf)
DH1964 Putative Father Registry Update Claim of Paternity (English 157K pdf)
DH1964H Putative Father Registry Update Claim of Paternity (Creole 152K pdf)
DH1964S Putative Father Registry Update Claim of Paternity (Spanish 183K pdf)
DH1965 Putative Father Registry Claim of Paternity (123K pdf)
DH1965H Putative Father Registry Claim of Paternity (Creole 116K pdf)
DH1965S Putative Father Registry Claim of Paternity (Spanish 123K pdf)
DH2102 Paternity Acknowledgement Rescission Affidavit (560K pdf)
Birth Resulting in Stillbirth
How to Apply for a Florida Certificate of Birth Resulting in Stillbirth (1.08M pdf)
DH728 Application for Certificate of Birth Resulting in Stillbirth (675K pdf)
Nonviable Birth
Nonviable Birth Application (286K pdf)
Nonviable Birth Brochure (685K pdf)
Nonviable Birth Brochure (Spanish 754K pdf)
Death and Fetal Death Forms
DH727 Application for Death Record (556K pdf)
DH727S Application for Death Record (Spanish 400K pdf)
DH727A Application for Death Record (Apostille 556K pdf)
DH1959 Affidavit to Release Death Certificate with Cause (90K pdf)
DH1959S Affidavit to Release Death Certificate with Cause (Spanish 77K pdf)
DH1959H Affidavit to Release Death Certificate with Cause (Creole 77K pdf)
DH1966 Notification of Disposition of Fetal Demise (23K pdf)
Changes, Corrections and Amendments to Death and Fetal Death Records
DH670 Instructions for Correcting a Death Certificate (58K pdf)
DH433A Affidavit of Amendment to a Certificate of Fetal Death (730K pdf)
DH433 Affidavit of Amendment of Certificate of Death (370K pdf)
DH434A Affidavit of Amendment to Medical Certification of Death (70K pdf)
DH524 Application for Amendment to Florida Death Record (English 955K pdf)
DH1355 Delayed Report of Death (732K pdf)
Marriage and Dissolution of Marriage (Divorce) Forms
DH261 Application for Marriage Record (English 141K pdf)
DH261A Application for Marriage Record (Apostille English 644K pdf )
DH261C Application for Commemorative Marriage Record(English 108K pdf)
DH260 Application for Dissolution of Marriage (English 138K pdf)
DH260A Application for Dissolution of Marriage (Apostille 644K pdf)
Apostilles
DH726A Apostille Birth Application (English 197kb pdf)
DH726A Apostille Birth Application (Spanish 53kb pdf)
DH727A Apostille Death Application (English 223K pdf)
DH727A Apostille Death Application (Spanish 71kb pdf)
DH261A Apostille Marriage Application (English 215kb pdf)
DH260A Apostille Dissolution Application (English 208kb pdf)
Other Publications and Informational Items
Veterans Service Related Disability Benefits Brochure (1.3 MB pdf)
DH150-356 What You As A Parent Should Know Before Signing Your Baby's Birth Record (1.3 MB pdf)
DH150-995 Electronic Death Registration System (EDRS) Informational Brochure (741K pdf)
Veterans Service-Connected Disability Benefits Brochure (1.3 MB pdf). The Veteran’s Administration has published an information brochure about service-connected disability benefits following the death of a veteran. This brochure may be shared by a funeral professional, veteran’s family and medical practitioner involved in certifying the cause of death.
SOCIAL SECURITY
SS-5 - Application for a Social Security Card
In some areas, you may request a replacement Social Security card online.
SSA-827 - Authorization to Disclose Information to the Social Security Administration
SSA-3820-BK - Disability Report - Child
IRS W-4V - Voluntary Withholding Request
CMS-40B - Application for Enrollment in Medicare - Part B (Medical Insurance)
CMS-L564 - Request for Employment Information
CMS-L564S -Solicitud De Información Sobre El Empleo
HA-501-U5 -Request for Hearing by Administrative Law Judge
HA-520-U5 - Request for Review of Hearing Decision/Order
HA-539 - Notice Regarding Substitution of Party Upon Death of Claimant
HA-539-SP -Aviso Sobre La Substitución De La Parte Interesada Tras El Fallecimiento Del Reclamante
HA-4608 - Waiver of Your Right to Personal Appearance Before an Administrative Law Judge
HA-4631 - Claimant's Recent Medical Treatment
HA-4632 - Claimant's Medications
HA-4633 - Claimant's Work Background
IRS SS-4 - Application for Employer Identification Number Online
Adult Disability Report - Online
Appeal a Recent Medical Decision - Online
Apply for Disability Benefits - Online
Apply for Retirement, Spouse's or Medicare Benefits - Online
Apply Online for Extra Help with Medicare Prescription Drug Plan Costs - Online
Change Address or Telephone Number - Online
Child Disability Report - Online
Get a Replacement Medicare Card - Online
Representative Payee Accounting Report - Online
Request a Form SSA-1099/1042 (Benefit Statement) for tax or other purposes - Online
Request a Proof of Social Security Benefits Letter - Online
Request Special Notices for the Blind or Visually Impaired - Online
Sign Up For or Change Direct Deposit
SS-5-FS - Application for a Social Security Card (Outside of the U.S.)
SS-5-SP - Solicitud para una tarjeta de Seguro Social - SSA-1-BK
Application for Retirement Insurance Benefits - SSA-1-BK-SP
Solicitud Para Beneficios De Seguro Por Jubliación - SSA-2-BK
Application for Wife's or Husband's Insurance Benefits
SSA-2-BK-SP - Solicitud Para Beneficios De Seguro Como Cónyuge
SSA-3 - Marriage Certification
SSA-4-BK - Application for Child's Insurance Benefits
SSA-4-BK-SP - Solicitud Para Beneficios De Seguro Para Niños
SSA-4-INST - Reporting Responsibilities for Child's Insurance Benefits
SSA-5-BK - Application for Mother's or Father's Insurance Benefits
SSA-5-BK-SP - Application For Mother's Or Father's Insurance Benefits - Spanish
SSA-5-INST - Reporting Responsibilities for Mother's or Father's Insurance Benefits
SSA-7-F6 - Application for Parent's Insurance Benefits
SSA-7-F6-SP - Application for Parent's Insurance Benefits - Spanish
SSA-8 - Application for Lump-Sum Death Payment
SSA-8-SP - SOLICITUD DEL PAGO GLOBAL POR DEFUNCIÓN
SSA-10 - Application for Widow's or Widower's Insurance Benefits
SSA-10-INST - Reporting Responsibilities for Widow's or Widower's Insurance Benefits
SSA-16 - Application for Disability Insurance Benefits
SSA-16-SP - Solicitud para beneficios de seguro por incapacidad
SSA-16-INST - Reporting Responsibilities For Disability Insurance Benefits
SSA-21 - Supplement to Claim of Person Outside the United States
SSA-24 - Application for Survivors Benefits (Payable Under Title II of the Social Security Act)
SSA-25 - Certification of Election for Reduced Spouse's Benefits
SSA-44 - Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event
SSA-88 - Pre-Approval Form for Consent Based Social Security Number Verification (CBSV)
SSA-89 - Authorization for the Social Security Administration To Release Social Security Number (SSN) Verification
SSA-89-SP - Autorización para que la Administración de Seguro Social Divulgue la Verificación de un Número de Seguro Social (SSN)
SSA-131 - Employer Report of Special Wage Payments
SSA-150 - Modified Benefits Formula Questionnaire
SSA-199 - Vocational Rehabilitation Provider Claim
SSA-308 - Modified Benefits Formula Questionnaire, Foreign Pension
SSA-437-BK - Complaint Form for Allegations of Discrimination in Programs or Activities Conducted by the Social Security Administration
SSA-437-BK-SP - Formulario Para Querellas De Alegaciones De Discriminación En Los Programas De La Administración Del Seguro Social
SSA-454-BK - Continuing Disability Review Report
SSA-521 - Request for Withdrawal of Application
SSA-521-SP - Solicitud Para Revocar Una Reclamación
SSA-545-BK - Plan for Achieving Self-Support
SSA-546 - Worker's Compensation/Public Disability Questionnaire
SSA-561-U2 - Request for Reconsideration
SSA-604 - Certificate of Incapacity
SSA-632-BK - Request for Waiver of Overpayment Recovery
SSA-634 - Request for Change in Overpayment Recovery Rate
SSA-634-SP - Solicitud de cambio en la tasa de recuperación de sobrepago
SSA-640 - Financial Disclosure for Civil Monetary Penatly (CMP) Debt
SSA-671 - Railroad Employment Questionnaire
SSA-711 - Request for Deceased Individual's Social Security Record
SSA-714 - You can make your payment by Credit Card
SSA-721 - Statement of Death by Funeral Director
SSA-753 - Statement Regarding Marriage
SSA-754-F5 - Statement of Marital Relationship -
SSA-769-U4 - Request for Change in Time/Place of Disability Hearing
SSA-770-U4 - Notice Regarding Substitution of Party Upon Death of Claimant Reconsideration of Disability Cessation
SSA-773-U4 - Waiver Of Right To Appear - Disability Hearing
SSA-781 - Certificate of Responsibility for Welfare and Care of Child
SSA-783 - Statement Regarding Contributions
SSA-788 - Statement of Care and Responsibility for Beneficiary
SSA-789-U4 - Request for Reconsideration - Disability Cessation
SSA-795 - Statement of Claimant or Other Persons
SSA-820-BK - Work Activity Report (Self-Employed Person)
SSA-821-BK- Work Activity Report
SSA-827-INST - Instructions for Completing the SSA-827
SSA-827-INST-SP - Instrucciones para completar el formulario SSA-827
SSA-1020-INST - General Instructions for Completing the Application for Extra Help with Medicare Prescription Drug Plan Costs
SSA-1021 - Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs
SSA-1021-SP - Apelación de la determinación para recibir el Beneficio Adicional con los gastos del plan de medicamentos recetados de Medicare
SSA-1021-INST - Instructions for Completing the Appeal of Determination for Extra Help with Medicare Prescription Drug Plan Costs
SSA-1021-INST-SP - Instrucciones para llenar la apelación de la determinación para recibir el beneficio adicional con los gastos del plan de medicamentos recetados de Medicare
SSA-1199 - International Direct Deposit (IDD)
SSA-1372-BK - Advanced Notice of Termination of Child's Benefits
SSA-1372-BK-FC - Advanced Notice of Termination of Child's Benefits (Foreign Claims)
SSA-1372-BK-FC-SP - Adviso Por Adelantado De Cese De Beneficios Para Niños
SSA-1383 - Student Reporting Form
SSA-1383-FC - Reporting to Social Security Administration by Student Outside the United States
SSA-1414 - Credit Card Payment Form
SSA-1458 - Certification By Religious Group
SSA-1560 - Petition For Authorization To Charge And Collect A Fee For Services Before The Social Security Administration
SSA-1693 - Fee Agreement for Representation Before the Social Security Administration
SSA-1694 - Request for Business Entity Taxpayer Information
SSA-1696 - Claimant's Appointment of Representative
SSA-1696-SUP1 - Claimant's Revocation of the Appointment of a Representative
SSA-1696-SUP2 - Representative's Withdrawal of Acceptance of Appointment
SSA-1699 - Registration for Appointed Representative Services and Direct Payment
SSA-1724-F4 - Claim for Amounts due in case of a Deceased Beneficiary
SSA-1945 - Statement Concerning Your Employment in a Job Not Covered by Social Security
SSA-2010-F6 - Statement for Determining Continuing Entitlement for Special Veterans Benefits (SVB)
SSA-2032-BK - Request for Waiver of Special Veterans Benefits (SVB) Overpayment Recovery or Change in Repayment Rate
SSA-2512 - Pre-1957 Military Service Federal Benefit Questionnaire
SSA-2519 - Child Relationship Statement
SSA-2855 - Statement of Funds you Received
SSA-3033 - Employee Work Activity Questionnaire
SSA-3105 - Important information about your appeal, waiver rights, and repayment options
SSA-3194 - Permanent Medical Parking Renewal Certification
SSA-3288 - Consent for Release of Information
Consentimiento para divulgar información
SSA-3368-BK - Disability Report - Adult
SSA-3369-BK - Work History Report
SSA-3373-BK - Function Report - Adult
SSA-3375-BK - Function Report - Child Birth to 1st Birthday
SSA-3376-BK - Function Report - Child Age 1 to 3rd Birthday
SSA-3377-BK - Function Report - Child Age 3 to 6th Birthday
SSA-3378-BK - Function Report - Child Age 6 to 12th Birthday
SSA-3379-BK - Function Report - Child Age 12 to 18th Birthday
SSA-3380-BK - Function Report - Adult - Third Party Form
SSA-3441-BK- Disability Report - Appeal
SSA-3881-BK - Questionnaire for Children Claiming SSI Benefits
SSA-3885 - Government Pension Questionnaire
SSA-4111- Certification of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits
SSA-4162 - Child Care Dropout Questionnaire
SSA-4814 - Medical Report on Adult with Allegation of Human Immunodeficiency Virus (HIV) Infection
SSA-4815 - Medical Report on Child with Allegation of Human Immunodeficiency Virus (HIV) Infection
SSA-5062 - Claimant's Statement about Loan of Food or Shelter
SSA-5665-BK - Teacher Questionnaire
SSA-5666 - Request for Administrative Information
SSA-7008 - Request for Correction of Earnings Record
SSA-7050-F4 - Request for Social Security Earnings Information
SSA-7104 - Partnership Questionnaire
SSA-7156 - Farm Self Employment Questionnaire
SSA-7157-F4 - Farm Arrangement Questionnaire
SSA-7160 - Employment Relationship Questionnaire
SSA-7163 - Questionnaire about Employment or Self Employment
SSA-7163A-F4 - Supplemental Statement Regarding Farming Activities
SSA-8240 - Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers
SSA-8510 - Authorization for the Social Security Administration to Obtain Personal Information
SSA-L447 - Medicare Savings Programs Eligible Letters
SSA-L447-SP - Cartas para saber si tiene derecho al Programa de ahorros de Medicare
IMMIGRATION
AR-11 | Alien’s Change of Address Card
Most individuals can change their address in two ways: Through your existing USCIS online account if you filed your form online; or Filing Form AR-11, Alien’s Change of Address Card, online.
EOIR-29 | Notice of Appeal to the Board of Immigration Appeals from a Decision of a DHS Officer
Use this form to appeal a USCIS decision on a Form I-130 or Form I-360 Widow(er).
G-28 | Notice of Entry of Appearance as Attorney or Accredited Representative
Use this form to provide information about your eligibility to act on behalf of an applicant, petitioner, or respondent.
Use this form to provide notice that an attorney admitted to practice of the law in a country other than the United States seeks to appear before DHS in a matter outside the geographical confines of the United States.
G-325A | Biographic Information (for Deferred Action)
Use this form to provide biographic information when submitting a request for deferred action to USCIS.
G-639 | Freedom of Information/Privacy Act and Online FOIA Request
Use our online FOIA system to request: Your own immigration record, Another person’s immigration record, or Non-A-File information such as policies, data, or communications.
Use this form to verify the immigration status of applications for federal, state, or local public benefits and licenses.
G-845 Supplement | Document Verification Request Supplement
Use this form to request detailed information on an individual’s immigration status, citizenship, and sponsorship.
G-884 | Request for the Return of Original Documents
Use this form to request the return of original documents submitted to establish eligibility for an immigration benefit.
G-1041 | Genealogy Index Search Request
Use Form G-1041 to request a search of USCIS historical indices. (To obtain copies of USCIS historical records, use Form G-1041A, Genealogy Records Request.)
G-1041A | Genealogy Records Request
Use Form G-1041A to obtain copies of USCIS historical records. (To request an index search of USCIS historical records, use Form G-1041, Genealogy Index Search Request.)
Use this form to verify fee information for immigration forms.
G-1145 | E-Notification of Application/Petition Acceptance
Use this form to request a text message and/or email when USCIS accepts your form.
G-1256 | Declaration for Interpreted USCIS Interview
The interviewing officer uses this form to: Record the presence of an interpreter that you have provided for your USCIS interview; Document your satisfaction with the interpreter’s ability to interpret from English to your language, and from your language to English; Acknowledge that your interpreter may learn confidential information during your interview; Ensure the interpreter understands the requirements to serve as an interpreter, which includes accurately, literally, and fully interpreting for both you and the interviewing officer; and Notify you that the interviewing officer can deny permission for the interpreter to participate in the interview
G-1450 | Authorization for Credit Card Transactions
Use this form to pay fees for any form processed at a USCIS Lockbox. There is no additional fee to pay with your credit card.
I-9 | Employment Eligibility Verification
Use Form I-9 to verify the identity and employment authorization of individuals hired for employment in the United States.
I-90 | Application to Replace Permanent Resident Card
Use this form to replace or renew a Green Card.
I-102 | Application for Replacement/Initial Nonimmigrant Arrival-Departure Document
Use this form if you are a nonimmigrant and need to apply for a new or replacement Form I-94 or I-95, Nonimmigrant Arrival-Departure Document.
I-129 | Petition for a Nonimmigrant Worker
Petitioners use this form to file on behalf of a nonimmigrant worker to come to the United States temporarily to perform services or labor, or to receive training, as an H-1B, H-2A, H-2B, H-3, L-1, O-1, O-2, P-1, P-1S, P-2, P-2S, P-3, P-3S, Q-1 or R-1 nonimmigrant worker. Petitioners may also use this form to request an extension of stay in or change of status to E-1, E-2, E-3, H-1B1 or TN, or one of the above classifications for an alien.
I-129CW | Petition for a CNMI-Only Nonimmigrant Transitional Worker
An employer uses this form to petition U.S. Citizenship and Immigration Services (USCIS) for an alien who is ineligible for another employment-based nonimmigrant classification to work as a nonimmigrant in the Commonwealth of the Northern Mariana Islands (CNMI) temporarily as a CW-1, CNMI-Only Transitional Worker.
I-129CWR | Semiannual Report for CW-1 Employers
An employer of an approved Form I-129CW, Petition for Commonwealth of Northern Mariana Islands (CNMI) Only Transitional Worker (CW-1), uses Form I-129CWR to verify the continued employment and payment of each worker under the terms and conditions of the approved petition.
I-129F | Petition for Alien Fiancé(e)
Use this to petition to bring your fiancé(e) (K-1) and their children (K-2) to the U.S. so you may marry your fiancé(e), or to bring your spouse (K-3) and their children (K-4) to the U.S. to apply for lawful permanent resident status.
I-129S | Nonimmigrant Petition Based on Blanket L Petition
Use this form to classify alien employees as L-1 nonimmigrant intracompany transferees (executives, managers, or specialized knowledge professionals) under a previously approved blanket L petition.
I-130 | Petition for Alien Relative
Use this form if you are a U.S. citizen or lawful permanent resident (LPR) and you need to establish your relationship to an eligible relative who wishes to come to or remain in the United States permanently and get a Permanent Resident Card (also called a Green Card).
I-131 | Application for Travel Document
Use this form to apply for a re-entry permit, refugee travel document, or advance parole travel document, to include parole into the U.S. for humanitarian reasons.
I-131A | Application for Travel Document (Carrier Documentation)
Use this form if you are a lawful permanent resident (LPR), including an LPR with conditions, and wish to apply for a travel document (carrier documentation) that allows you to board an airline or other transportation carrier without the airline or transportation carrier being penalized.
Use this form to sponsor a visa applicant and show they will not become public charges while in the United States. You must file a separate affidavit for each applicant.
I-140 | Immigrant Petition for Alien Workers
Use this form to petition for an alien worker to become a permanent resident in the United States.
Use this form if you are a lawful permanent resident and wish to file for relief under former INA section 212(c).
I-192 | Application for Advance Permission to Enter as a Nonimmigrant
Use this form if you want to apply for advance permission to temporarily enter the United States and you are an: Inadmissible nonimmigrant and already have the appropriate documents; or Applicant for T or U nonimmigrant status.
I-193 | Application for Waiver of Passport and/or Visa
For an alien who is a legal resident of the United States to reenter the United States without the alien's passport and/or visa.
Use this form to seek consent to reapply if you are inadmissible under the Immigration and Nationality Act (INA) section 212(a)(9)(A) or (C).
I-290B | Notice of Appeal or Motion
Use this form to file: An appeal with the Administrative Appeals Office (AAO); A motion with the USCIS office that issued the latest decision in your case (including a field office, service center, or the AAO); or Certain appeals of the denial of an Immigration and Customs Enforcement (ICE) Form I-17, “Petition for Approval of School for Attendance by Nonimmigrant Student” with the ICE Student and Exchange Visitor Program.
I-356 | Request for Cancellation of Public Charge Bond
If you have posted a public charge bond (Form I-945, Public Charge Bond) with USCIS, use this form to request cancellation of that bond.
I-360 | Petition for Amerasian, Widow(er), or Special Immigrant
Use this form to classify an alien as: An Amerasian (Born after 12/31/1950 and before 10/23/1982); The widow(er) of a U.S. citizen; Self-petitioning spouse or child of an abusive U.S. citizen or lawful permanent resident; Self-petitioning parent of an abusive U.S. citizen; or
To be filed in support of Form I-360, Petition to Classify Public Law 97-359 Amerasian as the Child, Son, or Daughter of a United States Citizen.
If, after admission to the United States, the beneficiary of a petition for a Public Law 97-359 Amerasian requires enforcement of the guarantee of financial support and intent to petition for legal custody, which was executed by the beneficiary's sponsor, the beneficiary may file this form with USCIS.
I-407 | Record of Abandonment of Lawful Permanent Resident Status
Use this form to let us know you are voluntarily abandoning your status as a lawful permanent resident (LPR) of the United States. We will update your records to show you are no longer an LPR.
I-485 | Application to Register Permanent Residence or Adjust Status
Use this form to apply for lawful permanent resident status if you are in the United States.
I-485 Supplement A | Supplement A to Form I-485, Adjustment of Status Under Section 245(i)
Use this form to provide USCIS with additional information if you are seeking to adjust status under section 245(i) of the Immigration and Nationality Act.
Confirm that the job offered to you in Form I-140, Petition for Alien Worker, remains a bona fide job offer that you intend to accept once we approve your Form I 485, Application to Register Permanent Residence or Adjust Status. OR Request job portability under INA section 204(j) to a new, full-time, permanent job offer that you intend to accept once we approve your Form I-485.
I-508 | Request for Waiver of Certain Rights, Privileges, Exemptions and Immunities
Use this form to waive certain diplomatic rights privileges, exemptions, and immunities associated with your occupational status
I-526 | Immigrant Petition by Alien Investor
Use this form if you are an investor who wishes to immigrate to the United States.
I-539 | Application To Extend/Change Nonimmigrant Status
The following groups use this form: Certain nonimmigrants extending their stay or changing to another nonimmigrant status; CNMI residents applying for an initial grant of status; F and M nonimmigrants applying for reinstatement; and, Persons seeking V nonimmigrant status or an extension of stay as a V nonimmigrant.
Submit this form with your application for: Dependent employment authorization as an eligible A-1, A-2, G-1, G-3, G-4, or NATO 1-6 dependent; or Change or adjustment of status to, or from, A, G or NATO status
I-589 | Application for Asylum and for Withholding of Removal
Use this form to apply for asylum in the United States and for withholding of removal (formerly called “withholding of deportation”). You may file for asylum if you are physically in the United States and you are not a U.S. citizen.
I-600 | Petition to Classify Orphan as an Immediate Relative
ALERT: On Aug. 3, we announced a final rule, published in the Federal Register, that adjusts the fees required for most immigration applications and petitions. The new fees will be effective Oct. 2, 2020. Applications and petitions postmarked on or after Oct. 2, 2020, must include the new fees or we will not accept them.
I-600A | Application for Advance Processing of an Orphan Petition
U.S. citizens who plan to adopt a foreign-born child use this form to allow USCIS to adjudicate the application that relates to the suitability and eligibility of the applicant(s) as prospective adoptive parent(s).
I-601 | Application for Waiver of Grounds of Inadmissibility
User this form to seek a waiver of grounds of inadmissibility if you are inadmissible to the United States and are seeking an immigrant visa, adjustment of status, certain nonimmigrant statuses, or certain other immigration benefits.
I-601A | Application for Provisional Unlawful Presence Waiver
Certain immigrant visa applicants who are relatives of U.S. citizens or lawful permanent residents may use this application to request a provisional waiver of the unlawful presence grounds of inadmissibility under Immigration and Nationality Act section 212 (a)(9)(B).
I-602 | Application by Refugee for Waiver of Inadmissibility Grounds
Use this form if you are a refugee who has been found inadmissible to the United States for reasons such as felony conviction or health conditions and you want to apply for a waiver of inadmissibility for humanitarian reasons, family unity, or national interest.
J-1 and J-2 visas holders and their families may use this form to apply for a waiver of the two-year foreign residence requirement.
Use this form to apply to USCIS for benefits under the terms and conditions of certain settlement agreements.
I-690 | Application for Waiver of Grounds of Inadmissibility
Use this form to apply for a waiver of inadmissibility if you are an applicant for adjustment of status under section 245A or 210 of the Immigration and Nationality Act.
I-693 | Report of Medical Examination and Vaccination Record
If you are applying for adjustment status to become a lawful permanent resident, use this form to establish that you are not inadmissible to the United States on public health grounds.
Use this form to notify USCIS that an alien who was denied permanent residence, temporary residence or a waiver of grounds of inadmissibility under the amnesty program provisions of the Immigration Reform and Control Act of 1986 (IRCA) is appealing the decision to the USCIS Administrative Appeals Office.
Use this form to apply for adjustment to permanent resident status under the amnesty program provisions of the Immigration Reform and Control Act of 1986 (IRCA).
I-730 | Refugee/Asylee Relative Petition
If you were admitted to the United States as a principal refugee or if you were granted status in the United States as a principal asylee within the previous two years, you may use this form to request follow-to-join benefits for your spouse and/or unmarried children under 21 years of age only.
I-751 | Petition to Remove Conditions on Residence
Use this form if you are a conditional permanent resident who obtained status through marriage and want to apply to remove the conditions on your permanent resident status.
I-765 | Application for Employment Authorization
Certain aliens who are in the United States may file Form I-765, Application for Employment Authorization, to request employment authorization and an Employment Authorization Document (EAD).
I-765V | Application for Employment Authorization for Abused Nonimmigrant Spouse
Certain abused nonimmigrant spouses may use Form I-765V to request an employment authorization document (EAD).
I-800 | Petition to Classify Convention Adoptee as an Immediate Relative
Use this form to determine the child's eligibility for classification as a Convention adoptee.
I-800A | Application for Determination of Suitability to Adopt a Child from a Convention Country
USCIS uses this form to adjudicate the eligibility and suitability of the applicant(s) who want to adopt a child who habitually resides in a Hague Adoption Convention country.
I-817 | Application for Family Unity Benefits
Use this form to request initial benefits under the Family Unity Program, or to request an extension of such benefits.
I-821 | Application for Temporary Protected Status
If you are an eligible national of a designated country, use this form to apply for Temporary Protected Status (TPS).
I-821D | Consideration of Deferred Action for Childhood Arrivals
Use this form to request that we consider granting or renewing deferred action on a case-by-case basis using guidelines described in the Secretary of Homeland Security's memorandum issued June 15, 2012.
I-824 | Application for Action on an Approved Application or Petition
Use this form to request additional action on a previously approved application or petition.
I-829 | Petition by Investor to Remove Conditions on Permanent Resident Status
Use this form if you are a conditional permanent resident who obtained status through entrepreneurship and want to remove the conditions on your residence.
I-854 | Inter-Agency Alien Witness and Informant Record
Law enforcement agencies use Form I-854A to request an alien witness and/or informant receive classification as an S nonimmigrant.
I-864 | Affidavit of Support Under Section 213A of the INA
Most family-based immigrants and some employment-based immigrants use this form to show they have adequate means of financial support and are not likely to rely on the U.S. government for financial support.
I-864A | Contract Between Sponsor and Household Member
Use this form if you are a household member and want to promise to make your income and/or assets available to help support sponsored immigrants.
I-864EZ | Affidavit of Support Under Section 213A of the Act
Use this form to show that the applying immigrant has enough financial support to live without concern of becoming reliant on U.S. government welfare.
I-864P | 2020 HHS Poverty Guidelines for Affidavit of Support
Use the HHS Poverty Guidelines to complete Form I-864, Affidavit of Support Under Section 213A of the INA.
I-865 | Sponsor's Notice of Change of Address
Use this form to report a sponsor's new address and/or residence
Use this form if you are an alien who is eligible to apply for suspension of deportation or special rule cancellation of removal under the Nicaraguan Adjustment and Central American Relief Act (NACARA).
I-905 | Application for Authorization to Issue Certification for Health Care Workers
For an organization to apply for authorization to issue certificates to health care workers.
I-907 | Request for Premium Processing Service
Employers may use this form to request faster processing of Form I-129, Petition for a Nonimmigrant Worker, and Form I-140, Immigrant Petition for Alien Worker.
I-910 | Application for Civil Surgeon Designation
Use this form to apply for civil surgeon designation. You may not need to apply for civil surgeon designation if you fall under a limited number of blanket designations.
I-912 | Request for Fee Waiver
Use this form to request a fee waiver (or submit a written request) for certain immigration forms and services based on a demonstrated inability to pay.
I-912P Supplement | 2020 HHS Poverty Guidelines for Fee Waiver Request
Use the HHS Poverty Guidelines to complete Form I-912, Fee Waiver Request.
I-914 | Application for T Nonimmigrant Status
Use this form to request temporary immigration benefits if you are a victim of a severe form of trafficking in persons, also known as human trafficking.
I-918 | Petition for U Nonimmigrant Status
If you are an alien and are a victim of a qualifying criminal activity, use this form to petition for temporary immigration benefits for yourself and your qualifying family members, as appropriate.
I-924 | Application For Regional Center Designation Under the Immigrant Investor Program
This form is used by any economic unit, public or private, in the United States that is involved with promoting economic growth (including increased export sales, improved regional productivity, job creation, or increased domestic capital investment).
I-924A | Annual Certification of Regional Center
Regional centers use this form to demonstrate continued eligibility for regional center designation.
I-929 | Petition for Qualifying Family Member of a U-1 Nonimmigrant
Use this form to request immigration benefits on behalf of a family member who never held U nonimmigrant status.
I-941 | Application for Entrepreneur Parole
Use this form if you are an entrepreneur and want to: Make an initial request for parole based upon significant public benefit; Make a subsequent request for parole for an additional period; or File an amended application to notify USCIS of a material change.
I-942 | Request for Reduced Fee
Use this form to request a reduced filing fee for Form N-400, Application for Naturalization, if your documented annual household income is greater than 150 percent but not more than 200 percent of the Federal Poverty Guidelines at the time you file.
I-942P Supplement | Income Guidelines for Reduced Fees
Use this information as income guidelines to complete Form I-942, Reduced Fee Request.
I-944 | Declaration of Self-Sufficiency
Starting with applications for adjustment of status postmarked on or after Feb. 24, 2020, if you are subject to the public charge ground of inadmissibility (INA section 212(a)(4)), you must submit this form with your Form I-485, Application to Register Permanent Residence or Adjust Status, to demonstrate that you are not inadmissible based on the public charge ground.
Only use this form if USCIS has notified you that you may submit a public charge bond.
Use this form to apply for initial NM-1, Commonwealth of the Northern Mariana Islands (CNMI) long-term resident status. You must file this form with your Form I-765, Application for Employment Authorization.
N-4 | Monthly Report Naturalization Papers
The clerk of any court conducting naturalization activities under section 339 of the Immigration and Nationality Act (8 U.S.C. 1450) and 8 CFR 339 uses this form to provide information to USCIS to finalize the record process regarding naturalized individuals and to determine payments to the courts as provided by law.
N-300 | Application to File Declaration of Intention
Use this form if you are a permanent resident and want to declare your intent to become a U.S. citizen.
Use this form to request a hearing before an immigration officer on the denial of your Form N-400, Application for Naturalization.
N-400 | Application for Naturalization
Use this form to apply for U.S. citizenship.
N-426 | Request for Certification of Military or Naval Service
This form is used by an applicant for naturalization to request that the Department of Defense verify the applicant's military or naval service.
N-470 | Application to Preserve Residence for Naturalization Purposes
Use this form if you are a lawful permanent resident who must leave the United States for a period of one year or longer for certain employment purposes and you want to preserve your status as an immigrant to pursue naturalization.
N-565 | Application for Replacement Naturalization/Citizenship Document
Use this form to apply for a replacement Declaration of Intention; Naturalization Certificate; Certificate of Citizenship; or Repatriation Certificate; or to apply for a special certificate of naturalization as a U.S. citizen to be recognized by a foreign country.
N-600 | Application for Certificate of Citizenship
Use this form to apply for a Certificate of Citizenship.
N-600K | Application for Citizenship and Issuance of Certificate Under Section 322
Children who regularly reside in a foreign country may use this form to claim U.S. citizenship based on their parents.
N-644 | Application for Posthumous Citizenship
The certificate establishes only that the person is considered to be a citizen of the United States as of the date of his/her death, and is invalid for all other purposes.
N-648 | Medical Certification for Disability Exceptions
Use this form if you are applying for U.S. citizenship and need to request an exception to the English and civics testing requirements for naturalization because of physical or developmental disability or mental impairment.
U.S. DEPARTMENT OF LABOR
5500 Series (Form Number - 5500; Agency - Employee Benefits Security Administration)
Administrative Subpoena to Appear & Testify at a Deposition (Form Number - N/A; Agency - Office of Administrative Law Judges)
Administrative Subpoena to Appear & Testify at a Hearing (Form Number - N/A; Agency - Office of Administrative Law Judges)
Administrative Subpoena to Produce Documents, Information or Objects, or to Permit Inspection of Premises (Form Number - N/A; Agency - Office of Administrative Law Judges)
Agreement and Activities Report (Form Number - LM-20; Agency - Office of Labor-Management Standards)
Agreement and Undertaking (Insurance Carrier) (Form Number - LS-275ic; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Agreement and Undertaking (Self-Insured Employer) (Form Number - LS-275si; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Agricultural and Food Processing Clearance Order (Form Number - 790; Agency - Employment and Training Administration)
Appeal Form (Form Number - AB-1; Agency - Employees' Compensation Appeals Board)
Application for Alien Employment Certification - Part A (Form Number - 750A; Agency - Employment and Training Administration)
Application for Alien Employment Certification - Part B (Form Number - 750B; Agency - Employment and Training Administration)
Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by The U.S. Department of Labor (Form Number - CM-972; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Application for Authority to Employ Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 C.F.R. Part 519 (Form Number - WH-200; Agency - Wage and Hour Division)
Application for Authority to Employ Six or Fewer Full-Time Students at Subminimum Wages in Retail or Service Establishments or Agriculture Under Regulations 29 C.F.R. Part 519 (Form Number - WH-202; Agency - Wage and Hour Division)
Application for Authority to Employ Workers with Disabilities at Subminimum Wages (Form Number - WH-226 ; Agency - Wage and Hour Division)
Application for Certificateto Employ Homeworkers (Form Number - WH-46; Agency - Wage and Hour Division)
Application for Continuation of Death Benefit for Student (Form Number - LS-266; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Application for Permanent Employment Certification (Form Number - 9089; Agency - Employment and Training Administration)
Application for Prevailing Wage Determination (Form Number - 9141; Agency - Employment and Training Administration)
Application for Prevailing Wage Determination (Form Number - 9141C; Agency - Employment and Training Administration)
Application For Special Relief Fund (Form Number - LS-5; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Application for Security Deposit Determination. State Guarantee Fund Longshore Security Factor Chart (Form Number - LS-276; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Application for Self-Insurance instructions (Form Number - LS-271; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Application for Special Industrial Homeworker Certificate (Form Number - WH-2; Agency - Wage and Hour Division)
Application to Employ Student-Learners at Subminimum Wages (Form Number - WH-205; Agency - Wage and Hour Division)
Application to write Longshore Insurance (Carriers) (Form Number - LS-272; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Approval of Compromise of Third Person Cause of Action (Form Number - LS-33; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Attending Physician's Report (Form Number - CA-20; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Attending Physician's Supplementary Report (Form Number - LS-204; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Attorney Fee Approval Request (Form Number - LS-4; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Authorization For Release Of Medical Information (Black Lung Benefits) (Form Number - CM-936; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Black Lung Benefits Act Evidence Summary Form (Form Number - N/A; Agency - Office of Administrative Law Judges)
Carrier's Report of Issuance of Policy (formerly Card Report of Insurance) (Form Number - LS-570; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Certificate of Electrical/Noise Training (Form Number - 5000-1; Agency - Mine Safety and Health Administration)
Certificate of Medical Necessity (Form Number - CM-893; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Certificate of Physical Qualification for Mine Rescue Work (Form Number - 5000-3; Agency - Mine Safety and Health Administration)
Certificate of Training (Form Number - 5000-23; Agency - Mine Safety and Health Administration)
Certificate of Training Form (Form Number - WH-5; Agency - Wage and Hour Division)
Certificates of Achievement in Safety (Form Number - N/A; Agency - Mine Safety and Health Administration)
Certification by School Official (Form Number - CM-981; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Certification of Funeral Expenses (Form Number - LS-265; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Claim for Compensation (Form Number - CA-7; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Claim for Compensation by Parents, Brothers, Sisiters, GrandParents, or GrandChildren (Form Number - CA-5b; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Claim for Compensation by Widow, Widower, and/or Children (Form Number - CA-5; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Claim For Continuance of Compensation Under the Federal Employees' Compensation Act (Form Number - CA-12; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Claim for Death Benefits (Form Number - LS-262; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Claim For Medical Reimbursement (Form Number - OWCP-915; Agency - Office of Workers' Compensation Programs)
Claim for Reimbursement Assisted Reemployment (Form Number - CA-2231; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act (Form Number - CA-278; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Claim for Survivor Benefits Under the Federal Employees’ Compensation Act Section 8102a Death Gratuity (Form Number - CA-41; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Claimant's Statement (Form Number - LS-267; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Commutation Application (Form Number - LS-6; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Complaint/Apparent Violation Form (Form Number - 8429; Agency - Employment and Training Administration)
Contractor ID Request (Form Number - 7000-52; Agency - Mine Safety and Health Administration)
CW-1 Application for Temporary Employment Certification (Form Number - 9142C; Agency - Employment and Training Administration)
DBRA Certified Payroll Form (Form Number - WH-347; Agency - Wage and Hour Division)
DBRA Report of Construction Contractor’s Wage Rates (Form Number - WD-10; Agency - Wage and Hour Division)
Description Of Coal Mine Work and Other Employment (Form Number - CM-913; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a (Form Number - CA-40; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Domestic Agricultural In- Season Wage Report (Form Number - 232; Agency - Employment and Training Administration)
Domestic Agricultural In-season Wage Finding Process (Form Number - 385; Agency - Employment and Training Administration)
Duty Status Report (Form Number - CA-17; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Electrically Operated Equipment Field Approval Application (Coal Only) (Form Number - 2000-38; Agency - Mine Safety and Health Administration)
Electronic Training Plan Advisor (Form Number - N/A; Agency - Mine Safety and Health Administration)
Employee's Claim (Form Number - EE-1; Agency - Office of Workers' Compensation Programs - Division of Energy Employees Occupational Illness Compensation)
Employee's Claim for Compensation (Form Number - LS-203; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Employer Report (Form Number - LM-10; Agency - Office of Labor-Management Standards)
Employer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OES Survey (Form Number - 9165; Agency - Employment and Training Administration)
Employer's First Report of Injury or Occupational Illness (Form Number - LS-202; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Employer's Supplementary Report of Accident or Occupational Illness (Form Number - LS-210; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Employers’ Attestation to Use Alien Crewmembers for Longshore Activities in the State of Alaska (Form Number - 9033-A; Agency - Employment and Training Administration)
Employers’ Attestation to Use Alien Crewmembers for Longshore Activities in U.S. Ports Form ETA 9033 (Form Number - 9033; Agency - Employment and Training Administration)
Employment History (Form Number - CM-911a; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Employment History (Form Number - EE-3; Agency - Office of Workers' Compensation Programs - Division of Energy Employees Occupational Illness Compensation)
Employment History Affidavit (Form Number - EE-4; Agency - Office of Workers' Compensation Programs - Division of Energy Employees Occupational Illness Compensation)
EPPA Notice to Examinee (Form Number - WH-1481; Agency - Wage and Hour Division)
Evidence Required in Support of a Claim for Occupational Disease (Form Number - CA-35; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Federal Contractor Discrimination Complaint (Form Number - N/A; Agency - Office of Federal Contract Compliance Programs)
Federal Contractor Reporting - Veteran Hiring (Form Number - VETS-4212; Agency - Veterans' Employment and Training Service)
Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation (Form Number - CA-1; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
FMLA Certification for Serious Injury or Illness of a Veteran for Wage and Hour Division Military Caregiver Leave (Form Number - WH-385V; Agency - Wage and Hour Division)
FMLA Certification for Serious Injury orIllness of Covered Servicemember -- for Military Family Leave (Form Number - WH-385; Agency - Wage and Hour Division)
FMLA Certification of Health Care Providerfor Employee’s Serious Health Condition (Form Number - WH-380-E; Agency - Wage and Hour Division)
FMLA Certification of Health Care Providerfor Family Member’s Serious Health Condition (Form Number - WH-380-F; Agency - Wage and Hour Division)
FMLA Certification of Qualifying Exigency For Military Family Leave (Form Number - WH-384; Agency - Wage and Hour Division)
FMLA Designation Notice (Form Number - WH-382 ; Agency - Wage and Hour Division)
FMLA Notice of Eligibility and Rights & Responsibilities (Form Number - WH-381; Agency - Wage and Hour Division)
Foreign Labor Certification Quarterly Activity Report (Form Number - 9127; Agency - Employment and Training Administration)
H-1B Nonimmigrant Information (Form Number - WH-4; Agency - Wage and Hour Division)
H-2A Application for Temporary Employment Certification (Form Number - 9142A; Agency - Employment and Training Administration)
H-2B Application for Temporary Employment Certification (Form Number - 9142B; Agency - Employment and Training Administration)
Hazardous Condition Complaint (Form Number - N/A; Agency - Mine Safety and Health Administration)
Health Activity Certification or Hoisting Engineers Qualification Request (Form Number - 5000-41; Agency - Mine Safety and Health Administration)
Health Insurance Claim Form (Form Number - OWCP-1500; Agency - Office of Workers' Compensation Programs)
Higher Education to Employ its Full-time Students at Subminimum Wages Under Regulations 29 C.F.R. Part 519 (Form Number - WH-201; Agency - Wage and Hour Division)
Homeworker Handbook (Form Number - WH-75; Agency - Wage and Hour Division)
Homeworker Handbook (Spanish) (Form Number - WH-75; Agency - Wage and Hour Division)
Inspector General Hotline (Form Number - N/A; Agency - Office of Inspector General)
Instructions For Completion of Form CM-921 (Form Number - CM-921; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Labor Organization Annual Report (Form Number - LM-2; Agency - Office of Labor-Management Standards)
Labor Organization Annual Report (Form Number - LM-3; Agency - Office of Labor-Management Standards)
Labor Organization Annual Report (Form Number - LM-4; Agency - Office of Labor-Management Standards)
Labor Organization Information Report (Form Number - LM-1; Agency - Office of Labor-Management Standards)
Labor Organization Officer and Employee Report (Form Number - LM-30; Agency - Office of Labor-Management Standards)
LCA Online Application (Form Number - 9035; Agency - Employment and Training Administration)
Leave Buy Back (LBB) Worksheet/Certification and Election (Form Number - CA-7b; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Legal Identification Report (Form Number - 2000-7; Agency - Mine Safety and Health Administration)
Letter to Dependants to Verify Claimant Support (Form Number - CA-1031; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Letter to Parents in Death Claim Development (Form Number - CA-1074; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
LHWCA Prehearing Statement Form (Form Number - N/A; Agency - Office of Administrative Law Judges)
LHWCA Uniform Stipulations Form (Form Number - N/A; Agency - Office of Administrative Law Judges)
Manage/Update Diesel Inventory (Form Number - N/A; Agency - Mine Safety and Health Administration)
Medical History and Examination for Coal Mine Workers' Pneumoconiosis (Form Number - CM-988; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Medical Requirements (Form Number - EE-7; Agency - Office of Workers' Compensation Programs - Division of Energy Employees Occupational Illness Compensation)
Medical Travel Refund Request (Form Number - OWCP-957; Agency - Office of Workers' Compensation Programs)
Mine Accident, Injury and Illness Report (Form Number - 7000-1; Agency - Mine Safety and Health Administration)
Mine ID Request (Form Number - 7000-51; Agency - Mine Safety and Health Administration)
Miner's Claim For Benefits Under The Black Lung Benefits Act (Form Number - CM-911; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
MSPA Application for a Farm Labor Contractor or Farm Labor ContractorEmployee Certificate of Registration (Form Number - WH-530; Agency - Wage and Hour Division)
MSPA Application for a Farm Labor Contractor or Farm Labor ContractorEmployee Certificate of Registration (Spanish) (Form Number - WH-530; Agency - Wage and Hour Division)
MSPA Doctor’s Certificate (Form Number - WH-515; Agency - Wage and Hour Division)
MSPA Housing Occupancy Certificate (Form Number - WH-520; Agency - Wage and Hour Division)
MSPA Housing Terms and Conditions (Form Number - WH-521; Agency - Wage and Hour Division)
MSPA Vehicle Mechanical Inspection Report for Transportation Subjectto Department of Transportation Requirements (Form Number - WH-514; Agency - Wage and Hour Division)
MSPA Wage Statement (Form Number - WH-501; Agency - Wage and Hour Division)
MSPA Wage Statement (Spanish) (Form Number - WH-501; Agency - Wage and Hour Division)
MSPA Worker Information – Terms of Employment (Form Number - WH-516; Agency - Wage and Hour Division)
MSPA Worker Information – Terms of Employment (Haitian Creole) (Form Number - WH-516; Agency - Wage and Hour Division)
MSPA Worker Information – Terms of Employment (Spanish) (Form Number - WH-516; Agency - Wage and Hour Division)
Multiple Employer Welfare Arrangements (MEWAs) Annual Report (Form Number - M-1; Agency - Employee Benefits Security Administration)
Notice of Controversion of Right to Compensation (Form Number - LS-207; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Notice of Employee's Injury or Death (Form Number - LS-201; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Notice of Final Payment or Suspension of Compensation Payments (Form Number - LS-208; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Notice of Law Enforcement Officer's Death (Form Number - CA-722; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Notice of Law Enforcement Officer's Injury Or Occupational Disease (Form Number - CA-721; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Notice of Occupational Disease and Claim for Compensation (Form Number - CA-2; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Notice of Recurrence (Form Number - CA-2a; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Notice of Termination, Suspension, Reduction or Increase in Benefit Payments (Form Number - CM-908; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Official Notice of Employees’ Death for Purposes of FECA Section 8102a Death Gratuity (Form Number - CA-42; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Official Supervisor's Report of Employee's Death (Form Number - CA-6; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Operator Response to Notice of Claim (Form Number - CM-2970a; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Operator Response to Schedule for Submission of Additional Evidence (Form Number - CM-2970; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Operator’s Annual Certification of Mine Rescue Teams Qualifications (Form Number - 2000-224; Agency - Mine Safety and Health Administration)
Overpayment Recovery Questionnaire (Form Number - OWCP-20; Agency - Office of Workers' Compensation Programs)
Payment of Compensation Without Award (Form Number - LS-206; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Physician's/Medical Officer's Statement (Form Number - CM-787; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Pre-Hearing Statement (Form Number - LS-18; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Provider Enrollment form (Form Number - OWCP-1168; Agency - Office of Workers' Compensation Programs)
Quarterly Mine Employment and Coal Production Report (Form Number - 7000-2; Agency - Mine Safety and Health Administration)
Receipts and Disbursements Report (Form Number - LM-21; Agency - Office of Labor-Management Standards)
Record of Individual Exposure to Radon Daughters (Form Number - 4000-9; Agency - Mine Safety and Health Administration)
Rehabilitation Action Report (Form Number - OWCP-44; Agency - Office of Workers' Compensation Programs)
Rehabilitation Maintenance Certificate (Form Number - OWCP-17; Agency - Office of Workers' Compensation Programs)
Rehabilitation Plan And Award (Form Number - OWCP-16; Agency - Office of Workers' Compensation Programs)
Report Commencement/Closure of Operation – Metal and Nonmetal Mines (Form Number - N/A; Agency - Mine Safety and Health Administration)
Report of Arterial Blood Gas Study (Form Number - CM-1159; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Report of Changes That May Affect Your Black Lung Benefits (Form Number - CM-929; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Report of Changes That May Affect Your Black Lung Benefits (Form Number - CM-929P; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Report of Earnings (Form Number - LS-200; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Report of Injury Experience of Insurance Carrier or Self-Insured Employer (Form Number - LS-274; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Report of Payments. (Form Number - LS-513; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Report of Ventilatory Study (Form Number - CM-2907; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Report on Selection of Delegates and Officers (Form Number - LM-15A; Agency - Office of Labor-Management Standards)
Representative of Miners Designation Form (Form Number - 2000-238; Agency - Mine Safety and Health Administration)
Representative Payee Report (Form Number - CM-623; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Representative Payee Report (Form Number - CM-623S; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Request an MSHA Individual Identification Number (MIIN) (Form Number - 5000-46; Agency - Mine Safety and Health Administration)
Request for Earnings Information (Form Number - LS-426; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Request for Examination and/or Treatment (Form Number - LS-1; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Request for Intervention (Form Number - LS-7; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Request To Be Selected As Payee (Form Number - CM-910; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Roentgenographic Interpretation (Form Number - CM-933; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Roentgenographic Quality Rereading (Form Number - CM-933b; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Safety and Health Complaint (Form Number - N/A; Agency - Occupational Safety and Health Administration)
Self Contained Self Rescuer (SCSR) Inventory and Report (Form Number - 2000-222; Agency - Mine Safety and Health Administration)
Settlement Approval Request Section 8(i) (Form Number - LS-8; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Settlement Judge Request (Form Number - N/A; Agency - Office of Administrative Law Judges)
Statement of Recovery Letter with Long Form (Form Number - CA-1108; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Statement of Recovery Letter with Short Form (Form Number - CA-1122; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Stipulation Approval Request (Form Number - LS-9; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Subminimum Wages (Form Number - WH-226A; Agency - Wage and Hour Division)
Surety Company Annual Report (Form Number - S-1; Agency - Office of Labor-Management Standards)
Survivor's Claim (Form Number - EE-2; Agency - Office of Workers' Compensation Programs - Division of Energy Employees Occupational Illness Compensation)
Survivor's Form For Benefits Under The Black Lung Benefits Act (Form Number - CM-912; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation)
Terminal Trusteeship Report (Form Number - LM-16; Agency - Office of Labor-Management Standards)
Time Analysis Form, used for claiming compensation, including repurchase of paid leave (Form Number - CA-7a; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Trusteeship Report (Form Number - LM-15; Agency - Office of Labor-Management Standards)
Uniform Billing Form (Form Number - OWCP-04; Agency - Office of Workers' Compensation Programs)
Wage Complaints (Form Number - N/A; Agency - Wage and Hour Division)
Wage Survey Interview Record (Form Number - 232A; Agency - Employment and Training Administration)
Waiver of Service by Registered or Certified Mail for Claimants and Authorized Representatives (Form Number - LS-802; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
Waiver of Service by Registered or Certified Mail for Employers and/or Insurance Carriers (Form Number - LS-801; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation)
What A Federal Employee Should Do When Injured At Work (Form Number - CA-10; Agency - Office of Workers' Compensation Programs - Division of Federal Employees' Compensation)
Work Capacity Evaluation Cardiovascular/Pulmonary Conditions (Form Number - OWCP-5b; Agency - Office of Workers' Compensation Programs)
Work Capacity Evaluation for Musculoskeletal Conditions (Form Number - OWCP-5c; Agency - Office of Workers' Compensation Programs)
Work Capacity Evaluation Psychiatric/Psychological Conditions (Form Number - OWCP-5a; Agency - Office of Workers' Compensation Programs)