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Health and Human Services (HHS, PHS, PSC, & SAMHSA)
Forms in Word

All forms are Microsoft Word documents that are completely fillable and easy to use, save, and copy.  Our MS Office-certified designers make current, correct, and easy government forms in Word with automatic form fill features. We always do a careful proof of each form to be sure it looks just like the federal form. We are happy to answer questions that you have, and we usually e-mail your document to you right away! The only information we receive from PayPal to contact you is your email address, so if you prefer that we send your form to another e-mail or if you typed it in wrong, e-mail us (forms@formsinword.com) about where to send your form (include your phone number). Thank you for using Forms in Word! Questions? E-mail or call 907-745-5674 for personalized service!

Form
Number

Title

Price in Word

Buy Now in Word

 

Health and Human Services (HHS)

   

HHS-568

Procedures for Submission of Final Invention Statement

$9.99

HHS-687

Consent to Sterilization

$9.99

HHS-687-1

Consent to Sterilization (Spanish Version)

$9.99

HHS-690

Assurance of Compliance

$9.99

HHS-719

Request for Copy of the Record(s) in the Case File

$9.99

HHS-720

Request for Copy of Record(s): Third-Party with the Individual Appellant's Consent

$9.99

HHS-721

Individual Appellant's Consent to Third-Party for Copies of the Individual Appellant's Record(s)

$9.99

HHS-722

Request for Substitution of Party Upon Death of Party

$9.99

HHS-723

Waiver of Right to an Administrative Law Judge (ALJ) Hearing

$9.99

HHS-724

Request to Correct, Amend, or Delete a Record(s)

$9.99

HHS-725

Request for Administrative Law Judge (ALJ) to Review Dismissal by the Qualified Independent Contractor

$9.99

HHS-727

Extension Request to File a Request for an Administrative Law Judge (ALJ) Hearing

$9.99

HHS-728

Filing of New Evidence

$9.99

HHS-729

Response to Notice of Hearing

$9.99

HHS-730

Withdrawal of Request for an Administrative Law Judge (ALJ) Hearing

$9.99

HHS-731

Withdrawal of Waiver of Right to an Administrative Law Judge (ALJ) Hearing

$9.99

HHS-733

Identity Verification

$9.99

HHS-734

Payment Information Report

$9.99

HHS-T-001

Response to Notice of Hearing

$9.99

 

 Public Health Service (PHS)

 

PHS-50

Application for Appointment as a Commissioned Officer in the US Public Health Service Commissioned Corps

$9.99

PHS-398

Application for PHS Grant

$9.99

PHS-416-1

Application for PHS Individual National Research Service Award

$9.99

PHS-416-5

Research Fellowship Activation Notice

$9.99

PHS-416-7

Termination Notice NRSA

$9.99

PHS-416-9

Application for PHS Individual National Research Service Continuation Award

$9.99

PHS-1813

Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps

$9.99

PHS-2271

Statement of Appointment of Trainee

$9.99

PHS-2590

Application for Continuation of a PHS Grant

$9.99

PHS-3734

Official Statement Relinquishing Interest and Rights in a PHS Research Grant

$9.99

PHS-3734

Grant Application for Non-Construction Projects

$9.99

PHS-6031

National Research Service Award

$9.99

PHS-6031-1

Annual National Research Service Award

$9.99

PHS-6349

Annual Report on Possible Research Misconduct

$9.99

 

Program Support Center (PSC)

   

PSC-270

Student Loan Repayment Plan (Program Support Center (PSC) and PSC-Serviced HHS Components)

$9.99

 

Substance Abuse and Mental Health Services Administration (SAMHSA)

   

SMA-162

Application for Certification to Use Opioid Drugs in a Treatment Center

$9.99

SMA-167

Notification of Intent to Use Opioid Drugs for Maintenance and Treatment

$9.99

SMA-171

Prevention Registry

$9.99

SMA-172

SAMHSA Application for Peer Grant Review

$9.99

 

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