Absence Reporting
Additional Absence Notification Form
Address Change
Use only after you have
submitted a 2006 dividend application
Address Change Form
Assignment of Rights
Assignment of Rights Form and Instructions
Certifications
Adult Certification
Child Certification
Direct Deposit
Use the form below only after
you have submitted a 2006 dividend application
Direct Deposit Form
Education Verification
National Student Clearinghouse verifications do
not suffice for the PFD verification because they do not provide
tuition information required by PFD.
Education Verification Form
Eligibility
Adult Eligibility Form 54
Adult Eligibility Form 87
Eligibility Verification Form 74
Information Request
Adult Information Request
Child Information Request
Internet Signature
Adult Internet Signature Page
Child Internet Signature Page
Medical Treatment Verification
Medical Treatment Verification
Name Change
Adult Name or SSN Change Form
Child Name or SSN Change Form
Prior Year Non-Filer
Adult Prior Year Non-Filer
Child Prior Year Non-Filer
Request to Withdraw Competing
Application
Competing Application Withdrawl Form
Supplemental Schedule
Supplemental Schedule
SSN Change
Adult Name or SSN Change Form
Child Name or SSN Change Form
UA College Savings
Adult UA Savings Withdrawal
Child UA Savings Withdrawal
Withdraw an Application
Request to Withdraw an Application Form
Verifiers Designation
Verifiers Designation Form
If you have any trouble with these forms or need a form from a
prior year, please
contact your
nearest
Dividend Information Office .