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Alabama Small Court Forms
Re-employed State Retiree Health Insurance Form
Request for Disability Accommodation for Industrial Radiography Examination
A Notice of Change in Defendant's Employment and Request for Service
Address Change Notification
ADPH‐HS‐33 Amendment Package for Alabama Birth and Death Certificates
Affidavit for Service of Withholding Order
Affidavit for Termination of Withholding Order for Support
Affidavit in Support of Establishing Paternity
Agency Access Authorization Form
Alabama Board of Licensure for Professional Geologists Form for personal reference
Alabama College System Records Disposition Authority Annual Implementation Report
Alabama CS 42 Form
Alabama Department of Agriculture And Industries Internship Application
Alabama Department of Agriculture and Industries Internship Applications
Alabama Medical Licensure Commission and Alabama Board of Medical Examiners Change of Address Form
Alabama Public University Records Disposition Authority Annual Implementation Report
Amendment Package for Alabama Birth and Death Certificates
Annual Agency Records Disposition Authority Implementation Report
Annual Investment Option Election
Annual Investment Option Election for DROP Rollover or 457 Transfer
Annual Tobacco User Premium Discount Application IB06
Answer and Waiver Acceptance of Service
Answer to Order of Withholding
Appendix E Medicaid Forms
Application Affidavit and Entry of Default and Default Judgement Paternity
Application Affidavit and Entry of Default and Default Judgement Support
Application and Certification for Out of State Service Credit
Application and Certification for Out-of-State Service
Application for a Birth, Death, Marriage, or Divorce Certificate
Application for a Certificate of Qualification Under the Retired Senior Volunteer Physician Program RSVP
Application for Examination
Application For Farmland Protection Program Conservation Easement
Application For Licensure of Anesthesiologist Assistant
Application for Licensure of Physician Assistant
Application for Name Change Alabama Medical License
Application for Registration of Anesthesiologist Assistant
Application for Registration of Physician Assistant
Application for Reinstatement of Physician Assistant/ Anesthesiologist Assistant License
Application for Replacement/New Wall Certificate Alabama Medical License
Application of Surviving Spouse for Retirement Benefits
Application to Obtain Service Credit for Maternity Leave Without Pay
Applying for DROP Distribution - Death During DROP Participation
Applying for DROP Distribution - Early Termination
Applying for DROP Distribution - Participation Period Completed
Applying for DROP Distribution - Post DROP Termination
Archival Records Transmittal Form
Archival Transmittal Continuation Form
Authorization to Defer Compensation
Background Information on Endorser
BC/BS Expense Claim
Beneficiary Designation
Board of Licensure for Professional Engineers and Land Surveyors Complaint Form
Certificate of Authorization Sopplemental
Certificate of Authorization Supplemental Form
Certificate of Supervising Attorney
Certification of Free Medical Clinic
Certification of Service
Certification of Teacher Aide Service, Teacher Corps Service, and Job Corps Service - Acts 93-768 / 98-385
Child Support Enforcement Transmittal Initial Request
Child Support Enforcement Transmittal Request for Assistance Discovery
Child Support Enforcement Transmittal Subsequent Actions
Child Support Guidelines
Child Support Guidelines Notice of Compliance
Child Support Information Sheet
Child Support Obligation Income Statement Affidavit
CL-438 Medical Expense Claim
Claim Form
COBRA Form 11 IB11
Common OTC Meds Eligible for Your Health Care Spending Account -
Conditional Judgement Against Employer
Confirmation of Registered Order Model
Contact Preference Forms for Parents of Adopted Child Born in Alabama
Contempt Petition for Non Payment of Support
Covering Physician Letter
Death Benefit Claim Form
Default Judgement Establishing Paternity and Settling Amount of Child Support
Default Judgement Setting Amount of Support
Department of Defense Dependent School Service
Dependent Premium Conversion Plan – for Open Enrollment IB08
Direct Deposit Authorization
Dispensing Physician’s Registration Form
DROP Participation Period Completed - Will Continue Employment
Electronic Archival Records Transmittal Form
ERS 10MB Multiple Beneficiaries Attachment
ERS F Service Calculation
Experience Verification Form For Alabama
Federal Poverty Level (FPL) Discount Application
Federal Poverty Level Discount (FPL) Application
Final Judgement Against Employer
Financial Hardship Distribution Request
Firefighter Certification
Flexible Spending Accounts Direct Deposit Form
Flexible Spending Accounts Enrollment Application
Flexible Spending Accounts Status Change
Form - Bd Eval Professional Engineer Licensure Request for Board Evaluation of Transcript Related Science
Form 1-C, Enrollment Blank
Form 100, Enrollment Form: Member Information Record
Form 1023 Application for Recognition of Exemption under Section 501(c)(3) of the Internal Revenue Code
Form 10_2011 MedImpact Prescription Drug Claim Form
Form 12, Insurance Authorization
Form 1B02 Health Insurance Enrollment Form
Form 1B06 Annual Tobacco User Premium Discount Application
Form 1B08 New Employee Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan
Form 20-E Corporate Income Tax Estimated and Extension
Form 20C Corporation Income Tax Return
Form 20C Corporation Income Tax Return
Form 20C Schedule AB
Form 20C-C Consolidated Corporate Income Tax Return
Form 20C-CRE Election to File Consolidated Corporate Income Tax Return
Form 20S S Corporation Information/Tax Return
Form 20S S Corporation Information/Tax Return
Form 2210AL Underpayment of Estimated Tax by Individuals
Form 2210AL Underpayment of Estimated Tax by Individuals
Form 2210AL Underpayment of Estimated Tax by Individuals
Form 2220AL Estimated Tax Penalties for Corporations
Form 2300 Request For Bulk Alabama Income Tax Forms
Form 2848A Power of Attorney and Declaration of Representation
Form 3 Application for Examination
Form 40 Alabama Individual Income Tax Return (Printable)
Form 40 Alabama Individual Income Tax Return (Printable)
Form 40 Alabama Individual Income Tax Return Instructions
Form 40 or 40NR Schedule OC Other Available Credits
Form 40 or 40NR Schedule OC Other Available Credits
Form 40 or 40NR Schedule OC Other Available Credits
Form 40 Schedule CR Additional Worksheet for Credit for Taxes Paid to Other States
Form 40 Schedule D & E Profit from Sale of Real Estate, Stocks, Bonds, etc. and Income from Pensions, Annuities, Rents, Royalties, Partnerships, etc.
Form 40 Schedule D & E Profit from Sale of Real Estate, Stocks, Bonds, etc. and Income from Pensions, Annuities, Rents, Royalties, Partnerships, etc.
Form 40 Schedules A, B, CR & DC
Form 40 Schedules A, B, CR & DC
Form 40 Schedules A, B, CR & DC
Form 40 with Calculations Alabama Individual Income Tax Return (Includes Form 4952A, Schedules A, B, CR, D, E and OC)
Form 40 with Calculations Alabama Individual Income Tax Return (Includes Form 4952A, Schedules A, B, CR, D, E and OC)
Form 40 with Calculations Alabama Individual Income Tax Return (Includes Form 4952A, Schedules A, B, CR, D, E and OC)
Form 40A Alabama Individual Income Tax Return (Short Form) (PRINT ONLY)
Form 40A Alabama Individual Income Tax Return (Short Form) (PRINT ONLY)
Form 40A with Calculations Alabama Individual Income Tax Return (Short Form)
Form 40A with Calculations Alabama Individual Income Tax Return (Short Form)
Form 40A with Calculations Alabama Individual Income Tax Return (Short Form)
Form 40A with Calculations Alabama Individual Income Tax Return (Short Form)
Form 40ES Estimated Income Tax Payment Voucher
Form 40ES Estimated Income Tax Payment Voucher
Form 40ES Estimated Income Tax Payment Voucher Instructions
Form 40NR Alabama Individual Income Tax Return Form (Nonresidents Only) (PRINT ONLY)
Form 40NR Alabama Individual Income Tax Return Form (Nonresidents Only) (PRINT ONLY)
Form 40NR Schedules A, B, D, & E
Form 40NR Schedules A, B, D, & E
Form 40NR with Calculations Alabama Individual Income Tax Return Form (Nonresidents Only)
Form 40NR with Calculations Alabama Individual Income Tax Return Form (Nonresidents Only)
Form 40NR with Calculations Alabama Individual Income Tax Return Form (Nonresidents Only)
Form 40NR with Calculations Alabama Individual Income Tax Return Form (Nonresidents Only)
Form 40V Individual Income Tax Payment Voucher
Form 40V Individual Income Tax Payment Voucher
Form 40V Individual Income Tax Payment Voucher
Form 40V Individual Income Tax Payment Voucher (Print Only)
Form 40X Amended Alabama Individual Income Tax Return or Application for Refund
Form 40X Amended Alabama Individual Income Tax Return or Application for Refund
Form 41 Fiduciary Income Tax Return
Form 4506-A Request for Copy of Tax Form or Individual Income Tax Account Information
Form 4506-W Request for Copy of Withholding Tax Form
Form 4952A Investment Interest Expense Deduction
Form 4952A Investment Interest Expense Deduction
Form 4952A Investment Interest Expense Deduction
Form 4952A Investment Interest Expense Deduction
Form 6014-A Authorization For Access To Third Party Records By Alabama Department of Revenue Employees
Form 65 Partnership/LLC Return of Income
Form 8821A Tax Information Authorization
Form 96 Summary of Annual Information Returns
Form 99 Information Returns
Form A Claim Form
Form A-1 Employer's Quarterly Return of Income Tax Withheld
Form A-1-PE-9 Application for Professional Engineer Licensure
Form A-2 Self Sufficiency Income Chart in Forms Preparation and Data Validation
Form A-3 Annual Reconciliation of Alabama Income Tax Withheld
Form A-4 Employee’s Withholding Exemption Certificate
Form A-6 Employer's Monthly Return of Income Tax Withheld
Form ACT-18 Direct Deposit Authorization Agreement
Form ADPH-HS 88 To Get a New Birth Certificate After Adoption
Form ADPH-HS-21 Request for a Certified Copy of Acknowledgment of Paternity
Form ADPH-HS-71 Order Form for Old Vital Record Indexes Available on Microfilm
Form ADPH-HS-75 Request to Add Father to Child's Birth Certificate
Form ADPH-HS-86 Contact Preference Forms for Parents of Adopted Child Born in Alabama
Form ADPH-HS14 Application for a Birth, Death, Marriage, or Divorce Certificate
Form ADV-40 Business Personal Property Return
Form ADV-LD-10 Certificate of Redemption
Form AL Application for Certificate of Existence
Form AL Application for Certificate of Existence
Form AL Application for Marriage License Montgomery County
Form AL Certificate of Limited Partnership
Form AL Clarke County Marriage License Application
Form AL Marriage License Application - Clarke County
Form AL Marriage License Application - Groom
Form AL Name Change Decree Confirming Declaration (Madison County)
Form AL Petition for Change of Name (Jefferson County)
Form AL Petition for Change of Name (Madison County)
Form AL8379 Injured Spouse Allocation
Form Alabama Firearm
Form Application for Marriage License - Montgomery County
Form ASB-PS-04 Petition To Establish Paternity
Form ASB-PS-06 Petition For Visitation
Form ASBPS-05 First Petition For Child Custody
Form ASBPS-07 Request To Change Current Custody Or Visitation Order
Form B Death Benefit Claim Form
Form BA-RS1 Agreement for Extending Period of Limitation for Assessment or Refund
Form BA-RS2 Agreement to Entry of Final Assessment
Form BIT-V Business Income Tax Payment Voucher
Form BPT-V Business Privilege Tax Payment Voucher
Form C Supplemental Claim Form
Form C-2 Petition for Protection from Abuse
Form C-3 Protection Order
Form Certificate of Divorce
Form Certificate of Non Foreign Status
Form CHS IS 6 Obtaining Pre-Adoption and Other Birth Certificates from Alabama Sealed Files
Form CL-438 Medical Expense Claim
Form CL-472 Request for Reimbursement Preferred Health FSA/HRA
Form CL-91 Request for Reimbursement Preferred Dependent Care Account
Form Clarke County Marriage License Application
Form CPT 2008
Form Crash Report Request
Form CS-01 Income Withholding for Support Instructions
Form CS-03 Answer and Waiver and Acceptance of Service
Form CS-05 Application, Affidavit, and Entry of Default and Default Judgment
Form CS-12 Complaint For Paternity And Child Support
Form CS-2 Petition for Support
Form CS-4 Order of Support
Form CS-4R Findings/Recommendations of Support
Form CS-5A Default Judgement Setting Amount of Support
Form CS-5AR Findings/Recommendations/Default Judgment Setting Amount of Support
Form CS-6 Contempt Petition
Form Domestic Business Corporation Articles of Dissolution
Form Domestic Business Corporation Certificate of Formation
Form Domestic Limited Partnership (LP) Amendment of Certificate of Limited Partnership
Form Domestic Limited Partnership (LP) Certificate of Information
Form Domestic Limited Partnership (LP) Statement of Correction
Form Domestic Limited Partnership (LP) Statement of Termination
Form Domestic LLC Articles of Amendment
Form Domestic LLC Articles of Dissolution
Form Domestic LLC Certificate of Formation
Form Domestic LLLP Restated Certificate of Limited Partnership
Form Domestic LLLP Statement of Correction
Form Domestic LLLP Statement of Termination
Form Domestic Nonprofit Corporation Certificate of Formation
Form EOO Tax Payer E-file Opt Out Election Form
Form ERS 10 D-CCE DROP Participation Period Completed/ Continued Service
Form ERS 10 D-E Request for Early Termination of DROP
Form ERS 10 DMB Designation of Multiple Beneficiaries for DROP
Form ERS 10MB Multiple Beneficiaries Attachment
Form ERS 7IR Ineligible Member Refund Request
Form ERS F SC Service Calculation
Form ERS SMS Statement of Military Service Act 66
Form ERS SS General Statement of Service
Form ERS TRF TR-2 Transfer of Membership from Employees' Retirement System
Form ERS100 ERS Enrollment Member Information Record
Form EST-1 Application For Estate Tax Waiver
Form EST-123 Application for Refund of Estate Tax
Form FDT-V Fiduciary Income Tax Payment Voucher
Form For-profit Corporation Articles of Amendment of Articles of Incorporation
Form IB04 Retiree Enrollment Form
Form IB05 Non-Tobacco User Discount Insurance Application
Form IB07 Wellness Discount Certification Form
Form IB09 Revoke Election Form
Form IB10 Refund Request
Form IB11 COBRA Employer Notice Memo
Form IB13 Provider Screening Form
Form IB14 State Employee Plan Change Form
Form IB15 Retired State Employee Plan Change Form
Form IB16 Retiree Employment Verification
Form IB18 Retiree Years of Service Verification Form
Form IB20 Southland Vision Enrollment/Cancellation Form
Form IT:489 Taxpayer Refund Information
Form IT:AFF1 Affidavit of Estate Tax
Form IT:FA4 Petition for Review of Preliminary Assessment
Form J400 ADA Dental Claim Form
Form JRF 1-C Enrollment Blank
Form JRF 12 Insurance Authorization Form
Form JRF MMCR - FEE Monthly Member Contribution Remittance Probate Judges on Fee
Form JRF MMCR - Salary Monthly Member Contribution Remittance Probate Judges on Salary
Form JRF SS Application of Surviving Spouse for Retirement Benefits
Form Marriage License Application - Bride
Form Marriage License Application - Groom
Form MB, Designation of Multiple Beneficiaries for DROP
Form Name Change Decree For Madison County
Form Name Change For Jefferson county
Form Name Change Petition For Madison County
Form NOL-85 Computation of Net Operating Loss
Form NOL-85 Computation of Net Operating Loss
Form NOL-85A Net Operating Carryback or Carryforward
Form NOL-85A Net Operating Carryback or Carryforward
Form NOL-F85 Computation of Net Operating Loss for Fiduciary Return (Form 41)
Form NOL-F85A Application of Net Operating Loss Carryback or Carryforward for Fiduciary Return (Form 41)
Form Nonprofit Corporation Articles of Dissolution
Form NR-AF1 Affidavidit of Seller's Residence
Form PEEHIP Change Health Insurance and Optional Status Change
Form PEEHIP Enroll Health Insurance and Optional Enrollment Application
Form PEEHIP FPL 2G Federal Poverty Level Assistance Application
Form PEEHIP FSA Change 21 Flexible Spending Account Status Change
Form PEEHIP FSA Enroll 2H Flexible Spending Account Enrollment Application
Form PEEHIP REV 2U Retiree Employment Verification
Form PEEHIP RR 2G Refund Request
Form Pistol Permit Application
Form PS-02 Request to Change Child Support
Form PS-02 Request To Change Child Supports
Form PS-04 Petition to Establish Paternity
Form PS-05 First Petition for Child Custody
Form PS-06 Petition for Visitation
Form PS-08 Divorce Complaint
Form PS-10 Request for Divorce Judgment by Default
Form PS-11 Request to be Guardian of a Mentally Retarded Adult, Child, Brother or Sister
Form PTE-C Subchapter K-entities/S Corporations Nonresident Composite Payment Return
Form RSA 10 D-D Request for DROP Distribution and Rollover Election
Form RSA 14 APAD Acceptable Proof of Age Documents
Form RSA 50B Application and Certification for Out-of-State Service
Form RSA 50B OSS Application and Certification for Out-of-State Service Credit
Form RSA 7 Notice of Final Deposit and Request for Refund
Form RSA ADDCHGF Address Change Notification
Form RSA CS Certification of Service
Form RSA DDR Direct Deposit Authorization
Form RSA DROP BEN Applying for Beneficiary Payment DROP
Form RSA FCFERS Firefighter Certification
Form RSA LEOCFERS Law Enforcement Officer Certification
Form RSA PUR TRAN Purchase Transfer Request
Form RSA RFAI Request to Fax Account Information
Form RSA SB Application for Survivor Benefit
Form RSA SWDS Statement of Withdrawn Service
Form RSA WCPAP Withholding Certificate for Pension or Annuity Payments
Form RSA-1 457 IN TRANS Incoming Transfer from Other Section 457 Plans to RSA-1
Form RSA-1 ADC Authorization to Defer Compensation RSA-1 Deferred Compensation Plan
Form RSA-1 CATCH UP Special Catch-Up Election and Worksheet RSA-1 Deferred Compensation Plan
Form RSA-1 EMERG Financial Hardship Distribution Request
Form RSA-1 EN IOE 457 Transfer Investment Option Election for Incoming 457 Transfer
Form RSA-1 EN IOE New Investment Option Election for New Accounts RSA-1 Deferred Compensation Plan
Form RSA-1 EN RSA-1 Enrollment RSA-1 Deferred Compensation Plan
Form RSA-1 IOE Annual Investment Option Election RSA-1 Deferred Compensation Plan
Form RSA-1 IOE DROP or TRANSFER Annual Investment Option Election for DROP Rollover or 457 Transfer RSA-1 Deferred Compensation Plan
Form RSA-1 PEIRAF BEN Beneficiary Designation RSA-1 & PEIRAF
Form RSA-1 PURSVC In-Service Transfer to Purchase Permissive Service Credit RSA-1 Deferred Compensation Plan
Form Schedule K-1 Fiduciary Beneficiary Information (Form 41)
Form Schedule K-1 Partnership, LLC and S Corporation Shareholder's Statement of Income and Deductions
Form Schedule NRA Agreement of Nonresident Shareholder
Form Schedule PAB Add-Back Form
Form Schedule QIP-C Qualified Investment Partnership Certification
Form SM-1 Statement of Claim (Complaint, General)
Form SM-2 Statement of Claim (Complaint, For Specific Property)
Form SM-3 Defendant’s Answer
Form SM-4 Notice of Trial
Form SM-6 Defendant’s Counterclaim
Form SM-7 Summons
Form SM-8 Case Action Summary
Form ST:EX-1 Certificate of Exemption - Out of State/City/County Delivery
Form ST:EX-A1 Application for Sales Tax Certificate of Exemption and Instructions
Form ST:EX-A2 Application for Sales and Use Tax Certificate of Exemption for an Industrial or Research Enterprise Project
Form ST:EX-A3 Application for State Utility/Mobile Communication Services Tax Certificate of Exemption and Instructions
Form TRS 10 D-CCE DROP Participation Period Completed/ Continued Service
Form TRS 10MBAR Designation of Multiple Beneficiaries After Retirement
Form TRS 12-T Insurance Authorization
Form TRS DODDSS Department of Defense Dependent School Service Purchase Information
Form TRS SMS 1109 State Military Service Purchase
Form TRS SMS 90-528 Statement of Military Service
Form TRS TRFTR-1 Transfer of Membership from Teachers' Retirement System
Form WC 18 WC Application for Certification Bill Screening and Utilization Review
Form WC 4 Claims Summary Form
Form WC4 Worker's Compensation Claim Summary Form
Form WCC10 Assessment Report 2012 For Insurance Companies, Self-Insurers, and Group Funds
FormCS-2 Petition for Support
FPL Application
General Statement of Service
General Testimony
Health Insurance and Optional Enrollment Application
Health Insurance and Optional Status Change
Health Insurance Enrollment IB02 - New employees only
Hospital Medical Claim Form - Group 61000 and 14000
Income Reporting Schedules (For Use w/Form 40NR)
Ineligible Member Refund Request
Instructions for Employer
Insurance Authorization
Investment Interest Expense Deduction
Investment Option Election for 457 Transfers
Investment Option Election for New Accounts
Itemized Deductions, Interest and Dividend Income, and Credit for Taxes Paid to Other States (For Use w/Form 40)
Law Enforcement Officer Certification
Law School Dean's Certification
Local Government Records Destruction Notice
Locate Data Sheet
MedImpact Medication Request Form
MedImpact Prescription Drug Claim Form
MedImpact Prior Authorization Request Form
Modification Order for Support
Modification Petition for Support
Monthly Member Contribution Remittance - Fee
Monthly Member Contribution Remittance - Salary
Motion for Withholding Order or Motion to Continue Proceedings
Motion to Continue Proceedings for Support Order of Continuance
Name Reservation Request for Domestic Entities
New Birth Certificate After Adoption
Non-Tobacco User Discount Application IB05
Notice and Summons Termination of Withholding for Support
Notice and Summons Withholding for Support
Notice of Determination of Controlling Order
Notice of Hearing on Registered Order Model
Notice of Registration of Order Model
Notification of Commencement of Collaborative Practice
Obtaining Pre-Adoption and Other Birth Certificates from Alabama Sealed Files
Office Based Surgery/ Procedures Physician Registration Form
Office-Based Surgery Adverse Event Report Form
Order Establishing Paternity and Setting Amount of Child Support (Testimony)
Order for Probate
Order Form for Old Vital Record Indexes Available on Microfilm
Order of Arrearage Contempt Non Payment of Support
Order of Support
Order on Affidavit to Terminate Withholding Order of Support
Order Setting A Date for Hearing
Patient Approval Forms 2010 Alabama Dental Hygiene Licensure Exam
Petition for Support
Petition for Termination Upon Payment of Arrearages
Petition for Withholding for Payment of Support
Physician Assistant Job Description
Plan Change Form State Employee IB14
Procedures Using Lasers or Other Modalities Affecting Living Tissue Adverse Event Report Form
Profit from Sale of Real Estate, Stocks, Bonds, and Income from Pensions, Annuities, Rents, Royalties, Partnerships, S Corps, Estate and Trusts (For U
Provider Screening Form IB13
Purchase Transfer Request
Refund Request
Refund Request IB10
Registration Statement
Report of Disability Packet
Request for a Certified Copy of Acknowledgment of Paternity
Request for Admissions
Request for DROP Distribution and Rollover Election
Request for Exam for Record Purposes
Request for Hearing on Registered Order Model
Request for Reimbursement Form for Flexible Dependent Care Account
Request for Reimbursement Form for Flexible Health Care Account
Request for Waiver from CME Due to Retirement
Request to Add Father to Child's Birth Certificate
Request to Fax Account Information
Retired State Employee Plan Change Form IB15
Retiree Employment Verification IB16
Retiree Enrollment Form IB04
Retiree Re-Employed Form
Retiree Years of Service Verification IB18
Retirement Application Packet for Non-State Employees Part I
Retirement Application Packet for State Employees Part I
Retirement Application Packet Part I
Retirement Application Packet Part I Non-State
Retirement Application Packet Part I State
Review your State's Guidelines
Revoke Election Form IB09
RSA 100-C Change of Beneficiary Form
RSA 100-C Change of Beneficiary Form - Prior to Retirement
RSA 100-C Change of Beneficiary Prior to Retirement
RSA 100-C Change of Beneficiary Prior to Retirement Form
RSA 14, Acceptable Proof of Age Documents
RSA 7 Notice of Final Deposit and Request for Refund
RSA 7, Notice of Final Deposit and Request for Refund
RSA SB PRDB, Application for Survivor Benefit
RSA-1 Enrollment
Southland Benefit Solutions Employee's Statement
Southland Benefit Solutions Injury or Sickness Insurance Claim
Southland Benefit Solutions Vision Claim Form
Southland Dental Claim
Southland Hospital Cancer Claim
Southland National Dental Claim Form
Southland National Indemnity and Cancer Claim Form
Southland National Vision Claim Form
Southland Vision Claim
Southland Vision Enrollment/Cancellation Form IB20
Special Catch-Up Election and Worksheet
State Agency Records Disposition Authority (RDA) Project Records Inventory List
State Record Center Reference Request
State Records Center Destruction Notice
State Records Center Transmittal Form
Statement of Withdrawn Service
Student Intern Certification
Supplemental Certificate to Application for Registration as a Physician Assistant
Supplemental Claim Form
Support Requirement
Teacher Aide Service Information Teacher Corps Service Information Job Corps Service Information
Temporary Custody Receipt of Hardware
Transfer of Membership from the ERS
Transfer of Membership from the TRS
Transfer to Purchase Service Credit
Transfers from 457 Plans to RSA-1
Transmittal of Withholding Order
TRS 10MBAR Designation of Multiple Beneficiaries After Retirement
TRS SMS 1109, State Military Service Purchase
TRS SMS 90-528, Military Service Purchase Act
Verification of Licensure
Verification of Other State Licenses/Registrations
WC Application for Self Insurance Form WC 18
WC Assessment Form WCC10
WC Claim Summary Form WC 4
WC Claim Summary Forms WC 4
WC Combination Supplementary and Claim Summary Form
WC Form 3 Worker's Compensation Supplementary Report
WC Form 8 Worker's Compensation Notice of Coverage
WC Form 9 Worker's Compensation Notice of Cancellation
WC Notice of Cancellation Form WC
WC Notice of Coverage Form WC 8
WC Supplementary Report WC Form 3
Wellness Discount Certification Form IB07
Withholding Certificate for Pension or Annuity Payments
Withholding Certificate for Pension or Annuity Payments W-4P
Withholding Order Payment of Child and Spousal Support
Withholding Order Payment of Child Support
Worker's Compensation Combination Supplementary and Claim Summary Form
Request for Disability Accommodation for Industrial Radiography Examination
A Notice of Change in Defendant's Employment and Request for Service
Address Change Notification
ADPH‐HS‐33 Amendment Package for Alabama Birth and Death Certificates
Affidavit for Service of Withholding Order
Affidavit for Termination of Withholding Order for Support
Affidavit in Support of Establishing Paternity
Agency Access Authorization Form
Alabama Board of Licensure for Professional Geologists Form for personal reference
Alabama College System Records Disposition Authority Annual Implementation Report
Alabama CS 42 Form
Alabama Department of Agriculture And Industries Internship Application
Alabama Department of Agriculture and Industries Internship Applications
Alabama Medical Licensure Commission and Alabama Board of Medical Examiners Change of Address Form
Alabama Public University Records Disposition Authority Annual Implementation Report
Amendment Package for Alabama Birth and Death Certificates
Annual Agency Records Disposition Authority Implementation Report
Annual Investment Option Election
Annual Investment Option Election for DROP Rollover or 457 Transfer
Annual Tobacco User Premium Discount Application IB06
Answer and Waiver Acceptance of Service
Answer to Order of Withholding
Appendix E Medicaid Forms
Application Affidavit and Entry of Default and Default Judgement Paternity
Application Affidavit and Entry of Default and Default Judgement Support
Application and Certification for Out of State Service Credit
Application and Certification for Out-of-State Service
Application for a Birth, Death, Marriage, or Divorce Certificate
Application for a Certificate of Qualification Under the Retired Senior Volunteer Physician Program RSVP
Application for Examination
Application For Farmland Protection Program Conservation Easement
Application For Licensure of Anesthesiologist Assistant
Application for Licensure of Physician Assistant
Application for Name Change Alabama Medical License
Application for Registration of Anesthesiologist Assistant
Application for Registration of Physician Assistant
Application for Reinstatement of Physician Assistant/ Anesthesiologist Assistant License
Application for Replacement/New Wall Certificate Alabama Medical License
Application of Surviving Spouse for Retirement Benefits
Application to Obtain Service Credit for Maternity Leave Without Pay
Applying for DROP Distribution - Death During DROP Participation
Applying for DROP Distribution - Early Termination
Applying for DROP Distribution - Participation Period Completed
Applying for DROP Distribution - Post DROP Termination
Archival Records Transmittal Form
Archival Transmittal Continuation Form
Authorization to Defer Compensation
Background Information on Endorser
BC/BS Expense Claim
Beneficiary Designation
Board of Licensure for Professional Engineers and Land Surveyors Complaint Form
Certificate of Authorization Sopplemental
Certificate of Authorization Supplemental Form
Certificate of Supervising Attorney
Certification of Free Medical Clinic
Certification of Service
Certification of Teacher Aide Service, Teacher Corps Service, and Job Corps Service - Acts 93-768 / 98-385
Child Support Enforcement Transmittal Initial Request
Child Support Enforcement Transmittal Request for Assistance Discovery
Child Support Enforcement Transmittal Subsequent Actions
Child Support Guidelines
Child Support Guidelines Notice of Compliance
Child Support Information Sheet
Child Support Obligation Income Statement Affidavit
CL-438 Medical Expense Claim
Claim Form
COBRA Form 11 IB11
Common OTC Meds Eligible for Your Health Care Spending Account -
Conditional Judgement Against Employer
Confirmation of Registered Order Model
Contact Preference Forms for Parents of Adopted Child Born in Alabama
Contempt Petition for Non Payment of Support
Covering Physician Letter
Death Benefit Claim Form
Default Judgement Establishing Paternity and Settling Amount of Child Support
Default Judgement Setting Amount of Support
Department of Defense Dependent School Service
Dependent Premium Conversion Plan – for Open Enrollment IB08
Direct Deposit Authorization
Dispensing Physician’s Registration Form
DROP Participation Period Completed - Will Continue Employment
Electronic Archival Records Transmittal Form
ERS 10MB Multiple Beneficiaries Attachment
ERS F Service Calculation
Experience Verification Form For Alabama
Federal Poverty Level (FPL) Discount Application
Federal Poverty Level Discount (FPL) Application
Final Judgement Against Employer
Financial Hardship Distribution Request
Firefighter Certification
Flexible Spending Accounts Direct Deposit Form
Flexible Spending Accounts Enrollment Application
Flexible Spending Accounts Status Change
Form - Bd Eval Professional Engineer Licensure Request for Board Evaluation of Transcript Related Science
Form 1-C, Enrollment Blank
Form 100, Enrollment Form: Member Information Record
Form 1023 Application for Recognition of Exemption under Section 501(c)(3) of the Internal Revenue Code
Form 10_2011 MedImpact Prescription Drug Claim Form
Form 12, Insurance Authorization
Form 1B02 Health Insurance Enrollment Form
Form 1B06 Annual Tobacco User Premium Discount Application
Form 1B08 New Employee Open Enrollment Salary Reduction Agreement Dependent Premium Conversion Plan
Form 20-E Corporate Income Tax Estimated and Extension
Form 20C Corporation Income Tax Return
Form 20C Corporation Income Tax Return
Form 20C Schedule AB
Form 20C-C Consolidated Corporate Income Tax Return
Form 20C-CRE Election to File Consolidated Corporate Income Tax Return
Form 20S S Corporation Information/Tax Return
Form 20S S Corporation Information/Tax Return
Form 2210AL Underpayment of Estimated Tax by Individuals
Form 2210AL Underpayment of Estimated Tax by Individuals
Form 2210AL Underpayment of Estimated Tax by Individuals
Form 2220AL Estimated Tax Penalties for Corporations
Form 2300 Request For Bulk Alabama Income Tax Forms
Form 2848A Power of Attorney and Declaration of Representation
Form 3 Application for Examination
Form 40 Alabama Individual Income Tax Return (Printable)
Form 40 Alabama Individual Income Tax Return (Printable)
Form 40 Alabama Individual Income Tax Return Instructions
Form 40 or 40NR Schedule OC Other Available Credits
Form 40 or 40NR Schedule OC Other Available Credits
Form 40 or 40NR Schedule OC Other Available Credits
Form 40 Schedule CR Additional Worksheet for Credit for Taxes Paid to Other States
Form 40 Schedule D & E Profit from Sale of Real Estate, Stocks, Bonds, etc. and Income from Pensions, Annuities, Rents, Royalties, Partnerships, etc.
Form 40 Schedule D & E Profit from Sale of Real Estate, Stocks, Bonds, etc. and Income from Pensions, Annuities, Rents, Royalties, Partnerships, etc.
Form 40 Schedules A, B, CR & DC
Form 40 Schedules A, B, CR & DC
Form 40 Schedules A, B, CR & DC
Form 40 with Calculations Alabama Individual Income Tax Return (Includes Form 4952A, Schedules A, B, CR, D, E and OC)
Form 40 with Calculations Alabama Individual Income Tax Return (Includes Form 4952A, Schedules A, B, CR, D, E and OC)
Form 40 with Calculations Alabama Individual Income Tax Return (Includes Form 4952A, Schedules A, B, CR, D, E and OC)
Form 40A Alabama Individual Income Tax Return (Short Form) (PRINT ONLY)
Form 40A Alabama Individual Income Tax Return (Short Form) (PRINT ONLY)
Form 40A with Calculations Alabama Individual Income Tax Return (Short Form)
Form 40A with Calculations Alabama Individual Income Tax Return (Short Form)
Form 40A with Calculations Alabama Individual Income Tax Return (Short Form)
Form 40A with Calculations Alabama Individual Income Tax Return (Short Form)
Form 40ES Estimated Income Tax Payment Voucher
Form 40ES Estimated Income Tax Payment Voucher
Form 40ES Estimated Income Tax Payment Voucher Instructions
Form 40NR Alabama Individual Income Tax Return Form (Nonresidents Only) (PRINT ONLY)
Form 40NR Alabama Individual Income Tax Return Form (Nonresidents Only) (PRINT ONLY)
Form 40NR Schedules A, B, D, & E
Form 40NR Schedules A, B, D, & E
Form 40NR with Calculations Alabama Individual Income Tax Return Form (Nonresidents Only)
Form 40NR with Calculations Alabama Individual Income Tax Return Form (Nonresidents Only)
Form 40NR with Calculations Alabama Individual Income Tax Return Form (Nonresidents Only)
Form 40NR with Calculations Alabama Individual Income Tax Return Form (Nonresidents Only)
Form 40V Individual Income Tax Payment Voucher
Form 40V Individual Income Tax Payment Voucher
Form 40V Individual Income Tax Payment Voucher
Form 40V Individual Income Tax Payment Voucher (Print Only)
Form 40X Amended Alabama Individual Income Tax Return or Application for Refund
Form 40X Amended Alabama Individual Income Tax Return or Application for Refund
Form 41 Fiduciary Income Tax Return
Form 4506-A Request for Copy of Tax Form or Individual Income Tax Account Information
Form 4506-W Request for Copy of Withholding Tax Form
Form 4952A Investment Interest Expense Deduction
Form 4952A Investment Interest Expense Deduction
Form 4952A Investment Interest Expense Deduction
Form 4952A Investment Interest Expense Deduction
Form 6014-A Authorization For Access To Third Party Records By Alabama Department of Revenue Employees
Form 65 Partnership/LLC Return of Income
Form 8821A Tax Information Authorization
Form 96 Summary of Annual Information Returns
Form 99 Information Returns
Form A Claim Form
Form A-1 Employer's Quarterly Return of Income Tax Withheld
Form A-1-PE-9 Application for Professional Engineer Licensure
Form A-2 Self Sufficiency Income Chart in Forms Preparation and Data Validation
Form A-3 Annual Reconciliation of Alabama Income Tax Withheld
Form A-4 Employee’s Withholding Exemption Certificate
Form A-6 Employer's Monthly Return of Income Tax Withheld
Form ACT-18 Direct Deposit Authorization Agreement
Form ADPH-HS 88 To Get a New Birth Certificate After Adoption
Form ADPH-HS-21 Request for a Certified Copy of Acknowledgment of Paternity
Form ADPH-HS-71 Order Form for Old Vital Record Indexes Available on Microfilm
Form ADPH-HS-75 Request to Add Father to Child's Birth Certificate
Form ADPH-HS-86 Contact Preference Forms for Parents of Adopted Child Born in Alabama
Form ADPH-HS14 Application for a Birth, Death, Marriage, or Divorce Certificate
Form ADV-40 Business Personal Property Return
Form ADV-LD-10 Certificate of Redemption
Form AL Application for Certificate of Existence
Form AL Application for Certificate of Existence
Form AL Application for Marriage License Montgomery County
Form AL Certificate of Limited Partnership
Form AL Clarke County Marriage License Application
Form AL Marriage License Application - Clarke County
Form AL Marriage License Application - Groom
Form AL Name Change Decree Confirming Declaration (Madison County)
Form AL Petition for Change of Name (Jefferson County)
Form AL Petition for Change of Name (Madison County)
Form AL8379 Injured Spouse Allocation
Form Alabama Firearm
Form Application for Marriage License - Montgomery County
Form ASB-PS-04 Petition To Establish Paternity
Form ASB-PS-06 Petition For Visitation
Form ASBPS-05 First Petition For Child Custody
Form ASBPS-07 Request To Change Current Custody Or Visitation Order
Form B Death Benefit Claim Form
Form BA-RS1 Agreement for Extending Period of Limitation for Assessment or Refund
Form BA-RS2 Agreement to Entry of Final Assessment
Form BIT-V Business Income Tax Payment Voucher
Form BPT-V Business Privilege Tax Payment Voucher
Form C Supplemental Claim Form
Form C-2 Petition for Protection from Abuse
Form C-3 Protection Order
Form Certificate of Divorce
Form Certificate of Non Foreign Status
Form CHS IS 6 Obtaining Pre-Adoption and Other Birth Certificates from Alabama Sealed Files
Form CL-438 Medical Expense Claim
Form CL-472 Request for Reimbursement Preferred Health FSA/HRA
Form CL-91 Request for Reimbursement Preferred Dependent Care Account
Form Clarke County Marriage License Application
Form CPT 2008
Form Crash Report Request
Form CS-01 Income Withholding for Support Instructions
Form CS-03 Answer and Waiver and Acceptance of Service
Form CS-05 Application, Affidavit, and Entry of Default and Default Judgment
Form CS-12 Complaint For Paternity And Child Support
Form CS-2 Petition for Support
Form CS-4 Order of Support
Form CS-4R Findings/Recommendations of Support
Form CS-5A Default Judgement Setting Amount of Support
Form CS-5AR Findings/Recommendations/Default Judgment Setting Amount of Support
Form CS-6 Contempt Petition
Form Domestic Business Corporation Articles of Dissolution
Form Domestic Business Corporation Certificate of Formation
Form Domestic Limited Partnership (LP) Amendment of Certificate of Limited Partnership
Form Domestic Limited Partnership (LP) Certificate of Information
Form Domestic Limited Partnership (LP) Statement of Correction
Form Domestic Limited Partnership (LP) Statement of Termination
Form Domestic LLC Articles of Amendment
Form Domestic LLC Articles of Dissolution
Form Domestic LLC Certificate of Formation
Form Domestic LLLP Restated Certificate of Limited Partnership
Form Domestic LLLP Statement of Correction
Form Domestic LLLP Statement of Termination
Form Domestic Nonprofit Corporation Certificate of Formation
Form EOO Tax Payer E-file Opt Out Election Form
Form ERS 10 D-CCE DROP Participation Period Completed/ Continued Service
Form ERS 10 D-E Request for Early Termination of DROP
Form ERS 10 DMB Designation of Multiple Beneficiaries for DROP
Form ERS 10MB Multiple Beneficiaries Attachment
Form ERS 7IR Ineligible Member Refund Request
Form ERS F SC Service Calculation
Form ERS SMS Statement of Military Service Act 66
Form ERS SS General Statement of Service
Form ERS TRF TR-2 Transfer of Membership from Employees' Retirement System
Form ERS100 ERS Enrollment Member Information Record
Form EST-1 Application For Estate Tax Waiver
Form EST-123 Application for Refund of Estate Tax
Form FDT-V Fiduciary Income Tax Payment Voucher
Form For-profit Corporation Articles of Amendment of Articles of Incorporation
Form IB04 Retiree Enrollment Form
Form IB05 Non-Tobacco User Discount Insurance Application
Form IB07 Wellness Discount Certification Form
Form IB09 Revoke Election Form
Form IB10 Refund Request
Form IB11 COBRA Employer Notice Memo
Form IB13 Provider Screening Form
Form IB14 State Employee Plan Change Form
Form IB15 Retired State Employee Plan Change Form
Form IB16 Retiree Employment Verification
Form IB18 Retiree Years of Service Verification Form
Form IB20 Southland Vision Enrollment/Cancellation Form
Form IT:489 Taxpayer Refund Information
Form IT:AFF1 Affidavit of Estate Tax
Form IT:FA4 Petition for Review of Preliminary Assessment
Form J400 ADA Dental Claim Form
Form JRF 1-C Enrollment Blank
Form JRF 12 Insurance Authorization Form
Form JRF MMCR - FEE Monthly Member Contribution Remittance Probate Judges on Fee
Form JRF MMCR - Salary Monthly Member Contribution Remittance Probate Judges on Salary
Form JRF SS Application of Surviving Spouse for Retirement Benefits
Form Marriage License Application - Bride
Form Marriage License Application - Groom
Form MB, Designation of Multiple Beneficiaries for DROP
Form Name Change Decree For Madison County
Form Name Change For Jefferson county
Form Name Change Petition For Madison County
Form NOL-85 Computation of Net Operating Loss
Form NOL-85 Computation of Net Operating Loss
Form NOL-85A Net Operating Carryback or Carryforward
Form NOL-85A Net Operating Carryback or Carryforward
Form NOL-F85 Computation of Net Operating Loss for Fiduciary Return (Form 41)
Form NOL-F85A Application of Net Operating Loss Carryback or Carryforward for Fiduciary Return (Form 41)
Form Nonprofit Corporation Articles of Dissolution
Form NR-AF1 Affidavidit of Seller's Residence
Form PEEHIP Change Health Insurance and Optional Status Change
Form PEEHIP Enroll Health Insurance and Optional Enrollment Application
Form PEEHIP FPL 2G Federal Poverty Level Assistance Application
Form PEEHIP FSA Change 21 Flexible Spending Account Status Change
Form PEEHIP FSA Enroll 2H Flexible Spending Account Enrollment Application
Form PEEHIP REV 2U Retiree Employment Verification
Form PEEHIP RR 2G Refund Request
Form Pistol Permit Application
Form PS-02 Request to Change Child Support
Form PS-02 Request To Change Child Supports
Form PS-04 Petition to Establish Paternity
Form PS-05 First Petition for Child Custody
Form PS-06 Petition for Visitation
Form PS-08 Divorce Complaint
Form PS-10 Request for Divorce Judgment by Default
Form PS-11 Request to be Guardian of a Mentally Retarded Adult, Child, Brother or Sister
Form PTE-C Subchapter K-entities/S Corporations Nonresident Composite Payment Return
Form RSA 10 D-D Request for DROP Distribution and Rollover Election
Form RSA 14 APAD Acceptable Proof of Age Documents
Form RSA 50B Application and Certification for Out-of-State Service
Form RSA 50B OSS Application and Certification for Out-of-State Service Credit
Form RSA 7 Notice of Final Deposit and Request for Refund
Form RSA ADDCHGF Address Change Notification
Form RSA CS Certification of Service
Form RSA DDR Direct Deposit Authorization
Form RSA DROP BEN Applying for Beneficiary Payment DROP
Form RSA FCFERS Firefighter Certification
Form RSA LEOCFERS Law Enforcement Officer Certification
Form RSA PUR TRAN Purchase Transfer Request
Form RSA RFAI Request to Fax Account Information
Form RSA SB Application for Survivor Benefit
Form RSA SWDS Statement of Withdrawn Service
Form RSA WCPAP Withholding Certificate for Pension or Annuity Payments
Form RSA-1 457 IN TRANS Incoming Transfer from Other Section 457 Plans to RSA-1
Form RSA-1 ADC Authorization to Defer Compensation RSA-1 Deferred Compensation Plan
Form RSA-1 CATCH UP Special Catch-Up Election and Worksheet RSA-1 Deferred Compensation Plan
Form RSA-1 EMERG Financial Hardship Distribution Request
Form RSA-1 EN IOE 457 Transfer Investment Option Election for Incoming 457 Transfer
Form RSA-1 EN IOE New Investment Option Election for New Accounts RSA-1 Deferred Compensation Plan
Form RSA-1 EN RSA-1 Enrollment RSA-1 Deferred Compensation Plan
Form RSA-1 IOE Annual Investment Option Election RSA-1 Deferred Compensation Plan
Form RSA-1 IOE DROP or TRANSFER Annual Investment Option Election for DROP Rollover or 457 Transfer RSA-1 Deferred Compensation Plan
Form RSA-1 PEIRAF BEN Beneficiary Designation RSA-1 & PEIRAF
Form RSA-1 PURSVC In-Service Transfer to Purchase Permissive Service Credit RSA-1 Deferred Compensation Plan
Form Schedule K-1 Fiduciary Beneficiary Information (Form 41)
Form Schedule K-1 Partnership, LLC and S Corporation Shareholder's Statement of Income and Deductions
Form Schedule NRA Agreement of Nonresident Shareholder
Form Schedule PAB Add-Back Form
Form Schedule QIP-C Qualified Investment Partnership Certification
Form SM-1 Statement of Claim (Complaint, General)
Form SM-2 Statement of Claim (Complaint, For Specific Property)
Form SM-3 Defendant’s Answer
Form SM-4 Notice of Trial
Form SM-6 Defendant’s Counterclaim
Form SM-7 Summons
Form SM-8 Case Action Summary
Form ST:EX-1 Certificate of Exemption - Out of State/City/County Delivery
Form ST:EX-A1 Application for Sales Tax Certificate of Exemption and Instructions
Form ST:EX-A2 Application for Sales and Use Tax Certificate of Exemption for an Industrial or Research Enterprise Project
Form ST:EX-A3 Application for State Utility/Mobile Communication Services Tax Certificate of Exemption and Instructions
Form TRS 10 D-CCE DROP Participation Period Completed/ Continued Service
Form TRS 10MBAR Designation of Multiple Beneficiaries After Retirement
Form TRS 12-T Insurance Authorization
Form TRS DODDSS Department of Defense Dependent School Service Purchase Information
Form TRS SMS 1109 State Military Service Purchase
Form TRS SMS 90-528 Statement of Military Service
Form TRS TRFTR-1 Transfer of Membership from Teachers' Retirement System
Form WC 18 WC Application for Certification Bill Screening and Utilization Review
Form WC 4 Claims Summary Form
Form WC4 Worker's Compensation Claim Summary Form
Form WCC10 Assessment Report 2012 For Insurance Companies, Self-Insurers, and Group Funds
FormCS-2 Petition for Support
FPL Application
General Statement of Service
General Testimony
Health Insurance and Optional Enrollment Application
Health Insurance and Optional Status Change
Health Insurance Enrollment IB02 - New employees only
Hospital Medical Claim Form - Group 61000 and 14000
Income Reporting Schedules (For Use w/Form 40NR)
Ineligible Member Refund Request
Instructions for Employer
Insurance Authorization
Investment Interest Expense Deduction
Investment Option Election for 457 Transfers
Investment Option Election for New Accounts
Itemized Deductions, Interest and Dividend Income, and Credit for Taxes Paid to Other States (For Use w/Form 40)
Law Enforcement Officer Certification
Law School Dean's Certification
Local Government Records Destruction Notice
Locate Data Sheet
MedImpact Medication Request Form
MedImpact Prescription Drug Claim Form
MedImpact Prior Authorization Request Form
Modification Order for Support
Modification Petition for Support
Monthly Member Contribution Remittance - Fee
Monthly Member Contribution Remittance - Salary
Motion for Withholding Order or Motion to Continue Proceedings
Motion to Continue Proceedings for Support Order of Continuance
Name Reservation Request for Domestic Entities
New Birth Certificate After Adoption
Non-Tobacco User Discount Application IB05
Notice and Summons Termination of Withholding for Support
Notice and Summons Withholding for Support
Notice of Determination of Controlling Order
Notice of Hearing on Registered Order Model
Notice of Registration of Order Model
Notification of Commencement of Collaborative Practice
Obtaining Pre-Adoption and Other Birth Certificates from Alabama Sealed Files
Office Based Surgery/ Procedures Physician Registration Form
Office-Based Surgery Adverse Event Report Form
Order Establishing Paternity and Setting Amount of Child Support (Testimony)
Order for Probate
Order Form for Old Vital Record Indexes Available on Microfilm
Order of Arrearage Contempt Non Payment of Support
Order of Support
Order on Affidavit to Terminate Withholding Order of Support
Order Setting A Date for Hearing
Patient Approval Forms 2010 Alabama Dental Hygiene Licensure Exam
Petition for Support
Petition for Termination Upon Payment of Arrearages
Petition for Withholding for Payment of Support
Physician Assistant Job Description
Plan Change Form State Employee IB14
Procedures Using Lasers or Other Modalities Affecting Living Tissue Adverse Event Report Form
Profit from Sale of Real Estate, Stocks, Bonds, and Income from Pensions, Annuities, Rents, Royalties, Partnerships, S Corps, Estate and Trusts (For U
Provider Screening Form IB13
Purchase Transfer Request
Refund Request
Refund Request IB10
Registration Statement
Report of Disability Packet
Request for a Certified Copy of Acknowledgment of Paternity
Request for Admissions
Request for DROP Distribution and Rollover Election
Request for Exam for Record Purposes
Request for Hearing on Registered Order Model
Request for Reimbursement Form for Flexible Dependent Care Account
Request for Reimbursement Form for Flexible Health Care Account
Request for Waiver from CME Due to Retirement
Request to Add Father to Child's Birth Certificate
Request to Fax Account Information
Retired State Employee Plan Change Form IB15
Retiree Employment Verification IB16
Retiree Enrollment Form IB04
Retiree Re-Employed Form
Retiree Years of Service Verification IB18
Retirement Application Packet for Non-State Employees Part I
Retirement Application Packet for State Employees Part I
Retirement Application Packet Part I
Retirement Application Packet Part I Non-State
Retirement Application Packet Part I State
Review your State's Guidelines
Revoke Election Form IB09
RSA 100-C Change of Beneficiary Form
RSA 100-C Change of Beneficiary Form - Prior to Retirement
RSA 100-C Change of Beneficiary Prior to Retirement
RSA 100-C Change of Beneficiary Prior to Retirement Form
RSA 14, Acceptable Proof of Age Documents
RSA 7 Notice of Final Deposit and Request for Refund
RSA 7, Notice of Final Deposit and Request for Refund
RSA SB PRDB, Application for Survivor Benefit
RSA-1 Enrollment
Southland Benefit Solutions Employee's Statement
Southland Benefit Solutions Injury or Sickness Insurance Claim
Southland Benefit Solutions Vision Claim Form
Southland Dental Claim
Southland Hospital Cancer Claim
Southland National Dental Claim Form
Southland National Indemnity and Cancer Claim Form
Southland National Vision Claim Form
Southland Vision Claim
Southland Vision Enrollment/Cancellation Form IB20
Special Catch-Up Election and Worksheet
State Agency Records Disposition Authority (RDA) Project Records Inventory List
State Record Center Reference Request
State Records Center Destruction Notice
State Records Center Transmittal Form
Statement of Withdrawn Service
Student Intern Certification
Supplemental Certificate to Application for Registration as a Physician Assistant
Supplemental Claim Form
Support Requirement
Teacher Aide Service Information Teacher Corps Service Information Job Corps Service Information
Temporary Custody Receipt of Hardware
Transfer of Membership from the ERS
Transfer of Membership from the TRS
Transfer to Purchase Service Credit
Transfers from 457 Plans to RSA-1
Transmittal of Withholding Order
TRS 10MBAR Designation of Multiple Beneficiaries After Retirement
TRS SMS 1109, State Military Service Purchase
TRS SMS 90-528, Military Service Purchase Act
Verification of Licensure
Verification of Other State Licenses/Registrations
WC Application for Self Insurance Form WC 18
WC Assessment Form WCC10
WC Claim Summary Form WC 4
WC Claim Summary Forms WC 4
WC Combination Supplementary and Claim Summary Form
WC Form 3 Worker's Compensation Supplementary Report
WC Form 8 Worker's Compensation Notice of Coverage
WC Form 9 Worker's Compensation Notice of Cancellation
WC Notice of Cancellation Form WC
WC Notice of Coverage Form WC 8
WC Supplementary Report WC Form 3
Wellness Discount Certification Form IB07
Withholding Certificate for Pension or Annuity Payments
Withholding Certificate for Pension or Annuity Payments W-4P
Withholding Order Payment of Child and Spousal Support
Withholding Order Payment of Child Support
Worker's Compensation Combination Supplementary and Claim Summary Form
Other Alabama Legal Forms
Form C-57 Final Judgment Of Divorce
Alabama Rules of Judicial Administration - Rule 32
Alabama Child Support Table
Alabama Child Care Rates
Instructions for General Testimony
Form 40X Amended Alabama Individual Income Tax Return or Application for Refund Instructions
Figuring Child Support in Alabama
Form 40ES Estimated Income Tax Payment Voucher
Form AL Name Change Instruction Sheet (Madison County)
Explanation of Notice of Registration of Order Model
Instructions for Child Support Enforcement Transmittal Request for Assistance Discovery
Instructions for Affidavit in Support of Establishing Paternity
Explanation of Request for Hearing on Registered Order Model
Explanation of Confirmation of Registered Order Model
Instructions for Registration Statement
Instructions for Child Support Enforcement Transmittal Subsequent Actions
Notice to Defendant Withholding for Support
Explanation of Notice of Hearing on Registered Order Model
Instructions for Uniform Support Petition
Instructions for Child Support Enforcement Transmittal Initial Request
Alabama Rules of Judicial Administration - Rule 32
Alabama Child Support Table
Alabama Child Care Rates
Instructions for General Testimony
Form 40X Amended Alabama Individual Income Tax Return or Application for Refund Instructions
Figuring Child Support in Alabama
Form 40ES Estimated Income Tax Payment Voucher
Form AL Name Change Instruction Sheet (Madison County)
Explanation of Notice of Registration of Order Model
Instructions for Child Support Enforcement Transmittal Request for Assistance Discovery
Instructions for Affidavit in Support of Establishing Paternity
Explanation of Request for Hearing on Registered Order Model
Explanation of Confirmation of Registered Order Model
Instructions for Registration Statement
Instructions for Child Support Enforcement Transmittal Subsequent Actions
Notice to Defendant Withholding for Support
Explanation of Notice of Hearing on Registered Order Model
Instructions for Uniform Support Petition
Instructions for Child Support Enforcement Transmittal Initial Request
Alabama Law
Alabama State Laws
Alabama Tax
Alabama Agencies
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