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