U.S. Department of Health and Human Services Forms

This form is used to request a copy of medical records from a third party with the individual's consent.

This form is used for requesting approval for engaging in outside activities.

This form is used for the clearance of employees who are being separated or transferred. It ensures that all necessary processes are completed before the employee leaves their current position.

This form is used for identity verification purposes. It is typically required when applying for certain government benefits or programs.

This Form is used for submitting a final invention statement and certification to the Department of Health and Human Services (HHS). It is required by individuals or organizations that have received grant money from HHS and need to report any inventions resulting from their research.

This form is used for requesting a contract memo for basic training.

This form is used for an individual appellant to give consent to a third party to make copies of their record(s).

This form is used for reporting payment information.

This form is used for requesting a copy of the records in the case file.

This form is used for appointment affidavit for regular corps in the Public Health Service (PHS).

This Form is used for submitting an annual report of outside activity to the U.S. Department of Health and Human Services (HHS).

This form is used to provide a detailed description of a billet. A billet is a designated position or job within an organization. It includes information such as the title, duties, and requirements for the position.

This form is used for requesting reimbursement for travel expenses incurred by PHS Commissioned Officers who are dependent on another individual for travel.

This Form is used for commissioned officers to apply for the shipment of their household goods.

This form is used for selecting eligible candidates for the Merit Promotion Program.

This document certifies the eligibility of candidates for the Merit Promotion Program.

This form is used for agreeing to receive an allowance under the Federal Physicians Comparability Allowance Program.

This form is used to request a medical special pay (MSP) contract for healthcare professionals.

This type of document is used by Public Health Service Commissioned Officers to declare their state tax withholding allowances.

This form is used for applicants to or officers of the Public Health Service Commissioned Corps to provide additional medical history information.

This form is used for requesting an Administrative Law Judge (ALJ) hearing or review of dismissal for multiple claims.

This form is used to provide information about rights and protections against discrimination in various areas such as employment, housing, and public accommodations. It serves as a notice to inform individuals about their civil rights and the process for filing complaints if they encounter any form of discrimination. The form typically includes contact information for the relevant civil rights agency and provides instructions on how to file a complaint.

This form is used for reporting the general status of real property.

This form is used for reporting the current status of real property, such as land or buildings, in terms of disposition or encumbrance. It is used to request information about any plans or actions taken with regards to the property, such as selling, transferring, or putting liens on it.

This form is used for providing a real property status report. It is specifically used for requesting to acquire, improve, or furnish a property.

This Form is used for reporting the status of real property. It provides instructions on how to fill out Form SF429.