Medicare Notices
As a Medicare beneficiary or provider, it is important to understand your rights and protections related to financial liability and appeals under the Fee-for-Service (FFS) Medicare and the Medicare Advantage (MA) programs.
CMS 10123. FFS & MA NOMNC/DENC
The FFS & MA NOMNC/DENC form is used to notify Medicare beneficiaries of their right to appeal a decision regarding their Medicare coverage.
CMS 40B. Application for Enrollment in Medicare Part B
CMS 40B is a form used by individuals who are eligible for Medicare and wish to enroll in Medicare Part B. The main purpose of this form is to provide the necessary information for the Centers for Medicare & Medicaid Services (CMS) to process the individual's enrollment in Part B.
Hotel complaint letter
A hotel complaint letter is a formal document that is used to report a complaint or issue with a hotel stay. The main purpose of this form is to provide a clear and detailed description of the problem and to request that appropriate action be taken to address the situation.
Complaint letter about manager behavior
A complaint letter about manager behavior is a formal document that is used to report inappropriate behavior by a manager in the workplace.
Credit Card Authorization Form
A credit card authorization form is a legal document that enables a third party to make a payment using a person's written consent and credit card information. Its primary purpose is to ensure that the payment is made by the authorized person and to avoid fraud or unauthorized charges.
Direct Deposit Authorization Form
A direct deposit authorization form is a legal document that authorizes an employer to deposit an employee's paycheck directly into their bank account. The main purpose of this form is to simplify the payment process for both the employer and the employee.
IRS Form 8843. Statement for Exempt Individuals and Individuals with a Medical Condition
The IRS Form 8843, or Statement for Exempt Individuals and Individuals with a Medical Condition, is a tax form that must be completed by certain nonresident aliens who are in the United States for a limited time.
IRS Form 9465. Installment Agreement Request
The IRS Form 9465, also known as the Installment Agreement Request, is designed to help taxpayers who are unable to pay their full tax liabilities at once.
Facebook Settlement Claim Form: Claim Your Share of $725 Million Payout for Data Privacy Breach
Facebook users in the United States who used the platform between May 2007 and December 2022 are eligible to apply for a share of a $725 million settlement that Facebook's parent company, Meta, agreed to pay to settle a class-action lawsuit.