Insurance Forms and Templates

This form is used for claimants in Missouri to request an appeal

This form is used for filing a joint low earnings claim for partial unemployment benefits in the state of Tennessee.

This is an Arizona legal document needed to verify that you were unemployed during the report week and are eligible to receive Arizona Unemployment Insurance or AZUI.

This form is used for claimants in Colorado to waive their rights and authorize the release of information.

This form is used for reporting changes in aggregate claims administration in the state of Florida.

This form is used for filing a claim for disaster unemployment assistance (DUA) in the state of Missouri. It provides information on how to file for DUA benefits in the event of a disaster.

This form is used for filing a weekly claim for unemployment insurance desk certification in the state of Georgia, United States.

This Form is used for claiming bonus pay in the state of Kansas.

This Form is used for filing a labor dispute statement by a claimant in Kansas. It is used to initiate a claim related to a labor dispute and provide relevant information about the issue at hand.

This Form is used for providing a Reasonable Assurance Statement for claimants in Kansas. It is used to establish eligibility for certain benefits or claims.

This form is used for the Weekly Claim Form in the Self Employment Assistance (SEA) Program in Oregon.

This Form is used for filing an appeal for unemployment insurance benefits in Vermont.

This document is used for canceling insurance policies. It allows policyholders to formally request the cancellation of their insurance coverage.

This form is used for individuals in New York who want to request a hearing for their claim.

This document is used for claimants in South Dakota to update their name and address information.

Physicians and other healthcare providers and professionals may use this legal document to submit claims for medical services. Form CMS-1500 provides information about the patient and insured, their diagnosis, treatment, and insurance details.

This Form is used for submitting health insurance claims. It is a standard form that healthcare providers use to request payment from insurance companies for the services they provide to patients.

This form is used for requesting the withdrawal of a claim in the state of Hawaii.

This Form is used for the Interstate Intercept program in Illinois. It is an agreement statement for claimants participating in the program.

This form is used for applying for unemployment insurance in the state of Illinois.

This form is used for claimants in Iowa to provide an affidavit and grant power of attorney. It helps individuals assert their legal rights and manage their claims effectively.

This document is used for claimants in Iowa to submit an affidavit with their alternate base period wage information for unemployment benefits.

This form is used for job refusal statement by a claimant in Kansas.

This form is used for requesting reemployment trade adjustment assistance claim in Missouri.

This form is used for filing a continued claim for unemployment benefits in the state of New Hampshire. It allows individuals to provide updated information and certify their ongoing eligibility for benefits.

This form is used for filing continued unemployment claims in New Hampshire for training purposes.

This Form is used for filing a continued claim for unemployment benefits in the state of New Hampshire.

This document is used to record a claim in the state of New Jersey. It provides an official record of the details and information related to the claim.

This Form is used for filing a claimant's affidavit of federal civilian service wages and reason for separation for the Unemployment Compensation for Federal Employees (UCFE) program in North Dakota.

This form is used for filing an initial claim for unemployment benefits in the state of Oregon. It is necessary for individuals who have recently become unemployed and wish to apply for financial assistance.

This form is used for residents of Utah to make a statement regarding their claims for benefits.

This document is used for making a statement regarding a claim for worker's compensation benefits in Utah.

This Form is used for claimants in Utah to provide a statement about voluntarily quitting their job.

This form is used for claimants in Utah to provide a statement regarding their job discharge.

This Form is used for claiming a change of address in Vermont.

This document is used for cancelling a combined wage claim in Virginia.