Office for Civil Rights, Department of Health and Human Services Forms and Office Locations – Government Agency in U.S.

The Office for Civil Rights helps to protect you from discrimination in certain healthcare and social service programs.

41 - 60 of 72 forms

Form Title	Topics
PHS Sample Memorandum To Request Payment of A Uniform Allowance
PHS Training Purposes and Objectives
Position/Billet Addendum
Post-9/11 GI Bill Educational Benefits Transferability Commitment and Statement of Understanding*
Procedures for Submission of Final Invention Statement
Public Health Service - Commissioned Officer's Request for Dependency Determination
Purchased/Referred Care Proof of Residency
Records Contact Designation
Reimbursement Request Expenses for Adoption
Report of Dental Examination of Applicants to the Commissioned Corps of the Public Health Service
Request and Authority for Leave of Absence (Commissioned Officers)
Request for Accounting of Disclosures
Request for Confidential Communication by Alternative Means or Alternate Location
Request for Correction/Amendment of Protected Health Information
Request for Overseas Allowances
Request for Personnel Action - Commissioned Officer
Request for Ratification of Unauthorized Commitment (UAC)*
Request for Restriction(s)
Request for Revocation of Restriction(s)
Request for Title 38 Physician, Dentist and Podiatrist Pay