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Header: Department of Revenue - Permanent Fund Dividend Division
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Header: Forms
State of Alaska> Departments > Revenue > PFD Division > Forms

If you are having any trouble viewing these forms, you must have Adobe Acrobat Reader 5.0 or above. If not, you can get it here:

Absence Reporting
Additional Absence Notification Form

Address Change

Address Change Form

Applications

Adult PFD Application

Adult PFD Instructions

Child PFD Application

Child PFD Instructions

B Application - Filing on Behalf of Adult

Assignment of Rights

Assignment of Rights Form

Assignment of Rights Instructions

Education Verification

Education Verification Form

 

Internet Signature

Adult Internet Signature Page

Child Internet Signature Page

 

Medical Treatment Verification

Medical Treatment Verification

Supplemental Schedule

Supplemental Schedule

Supplemental Schedule Instructions

SSN Change

Adult Name or SSN Change Form
Child Name or SSN Change Form

Withdraw an Application

Request to Withdraw an Application Form

If you have any trouble with these forms or need a form from a prior year, please contact your nearest  Dividend Information Office

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