Health and Human Services (HHS, PHS, PSC, & SAMHSA) Forms in Word

Form # Form Title Price Buy Now
Health and Human Services (HHS)
HHS-568 Form Procedures for Submission of Final Invention Statement $12.99
HHS-687 Form Consent to Sterilization $12.99
HHS-687-1 Form Consent to Sterilization (Spanish Version) $12.99
HHS-690 Form Assurance of Compliance $12.99
HHS-719 Form Request for Copy of the Record(s) in the Case File $12.99
HHS-720 Form Request for Copy of Record(s): Third-Party with the Individual Appellant’s Consent $12.99
HHS-721 Form Individual Appellant’s Consent to Third-Party for Copies of the Individual Appellant’s Record(s) $12.99
HHS-722 Form Request for Substitution of Party Upon Death of Party $12.99
HHS-723 Form Waiver of Right to an Administrative Law Judge (ALJ) Hearing $12.99
HHS-724 Form Request to Correct, Amend, or Delete a Record(s) $12.99
HHS-725 Request for Administrative Law Judge (ALJ) to Review Dismissal by the Qualified Independent Contractor $12.99
HHS-727 Form Extension Request to File a Request for an Administrative Law Judge (ALJ) Hearing $12.99
HHS-728 Form Filing of New Evidence $12.99
HHS-729 Form Response to Notice of Hearing $12.99
HHS-730 Withdrawal of Request for an Administrative Law Judge (ALJ) Hearing $12.99
HHS-731 Form Withdrawal of Waiver of Right to an Administrative Law Judge (ALJ) Hearing $12.99
HHS-733 Identity Verification $12.99
HHS-734 Payment In Formation Report $12.99
HHS-T-001 Response to Notice of Hearing $12.99
Public Health Service (PHS)
PHS-50 Form Application for Appointment as a Commissioned Officer in the US Public Health Service Commissioned Corps $12.99
PHS-398 Form Application for PHS Grant $12.99
PHS-416-1 Form Application for PHS Individual National Research Service Award $12.99
PHS-416-5 Form Research Fellowship Activation Notice $12.99
PHS-416-7 Form Termination Notice NRSA $12.99
PHS-416-9 Form Application for PHS Individual National Research Service Continuation Award $12.99
PHS-1813 Form Reference Request for Applicants to the U.S. Public Health Service Commissioned Corps $12.99
PHS-2271 Form Statement of Appointment of Trainee $12.99
PHS-2590 Form Application for Continuation of a PHS Grant $12.99
PHS-3734 Form Official Statement Relinquishing Interest and Rights in a PHS Research Grant $12.99
PHS-3734 Form Grant Application for Non-Construction Projects $12.99
PHS-6031 Form National Research Service Award $12.99
PHS-6031-1 Annual National Research Service Award $12.99
PHS-6349 Annual Report on Possible Research Misconduct $12.99
ProgramSupport Center(PSC)
PSC-270 Student Loan Repayment Plan (Program Support Center (PSC) and PSC-Serviced HHS Components) $12.99
Substance Abuse and Mental Health Services Administration (SAMHSA)
SMA-162 Form Application for Certification to Use Opioid Drugs in a Treatment Center $12.99
SMA-167 Form Notification of Intent to Use Opioid Drugs for Maintenance and Treatment $12.99
SMA-171 Form Prevention Registry $12.99
SMA-172 Form SAMHSA Application for Peer Grant Review $12.99