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Permanent Fund Dividend Division

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State of Alaska > Departments > Revenue > PFD Division > Forms

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PDFAddress Change Form
PDFAdult Certification Form
PDFAdult Estate Application
PDFAdult Information Change/Addition Form
PDFAdult Prior Year Non-Filer
PDFAdult Supplemental Schedule(Division Requested)
PDFAudit Form
PDFCharitable Contributions Withdrawal
PDFChild Certification Form
PDFChild Estate Application
PDFChild information Change/Addition Form
PDFChild Prior Year Non-Filer
PDFDirect Deposit Form(Add change or Withdraw)
PDFDisabled Application
PDFDividend Assignment of Rights
PDFEducation Verification Form
Note: National Student Clearinghouse verifications do not suffice for the PFD verification because they do not provide tuition information required by PFD
PDFExtended Absence Questionnaire
PDFLicensed Health Care Provider's Certification of Disability
PDFMedical Treatment Verification
PDFPhysician's Statement for Terminally Ill Care
PDFRequest to Withdraw Application
PDFRequest to Withdraw Competing Application
PDFSponsor Eligibility Form
PDFUA College Savings Plan Add or Withdrawal
PDFVerifiers Designation
PDFWorking Out Of State Questionnaire

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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