CMS-855I Medicare Enrollment Application
CMS-855I is the Medicare Enrollment Application for Individual Practitioners. It is used by healthcare providers who are applying to become Medicare providers or who are making changes to their Medicare enrollment information.
FDA Form 1572 Statement of Investigator
FDA Form 1572, also known as the Statement of Investigator, is a form used by the U.S. Food and Drug Administration (FDA) to document that an investigator who is conducting a clinical trial has agreed to follow the regulations governing the study.
VA Form 10-10EZ. Application for Health Benefits
VA Form 10-10EZ is the Health Benefits Renewal Form which is used to renew your enrollment for VA Health Benefits. It is used to update your personal, insurance, and financial information to ensure that your healthcare benefits are up-to-date.
SF 95. Claim for Damage, Injury or Death
The SF 95 Claim for Damage, Injury, or Death is a form used to file a claim for damages, injuries, or death that was caused by the negligence or wrongful act of a federal employee or agency, or by the property of the federal government.
UB-04 Claim Form (CMS-1450)
The UB-04 Claim Form, also known as the CMS-1450 form, is a standard form used by healthcare providers to submit claims for payment to Medicare and Medicaid. It is also used by some private insurance companies.
CMS-1500 Health Insurance Claim Form (HCFA)
The CMS-1500 Health Insurance Claim Form is a standard form used by healthcare providers to submit claims for payment to insurance companies.
IRS Form 3949a. Information Referral
IRS Form 3949a is a document used to report suspected tax fraud or evasion to the Internal Revenue Service (IRS) in the United States. This form is used to report individuals or businesses that are suspected of not complying with tax laws or committing tax fraud.
Lease Renewal Letter
A lease renewal letter is a document that is used to request the renewal of a lease agreement between a landlord and a tenant.
IRS Form 4506-T. Request for Transcript of Tax Return
Form 4506-T is a Request for Transcript of Tax Return form issued by the Internal Revenue Service (IRS). It is used to request a transcript or copy of a previously filed tax return or a Verification of Non-Filing Letter.
Verification of Non-Filing Letter
A Verification of Non-Filing Letter is a document issued by the Internal Revenue Service (IRS) to confirm that an individual or entity did not file a tax return for a specific tax year.