State of Alaska - Permanent Fund Dividend Division

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

If you are having any trouble viewing these forms, you must have the Adobe Acrobat Reader 7.0. If you do not, you can get it at Adobes' website:


	Additional Absence Form	Additional Absence Form
	Address Change	Address Change
	Use only after you have submitted a 2009 dividend application

	Application - Disabled	Application by Disabled Adult
	Application - Estate Adult	Application on Behalf of an adult Estate
	Application Withdraw Request	Request to Withdraw Application
	Audit Form	Audit Form
	Certification Form - Adult	Adult Certification Form
	Certification Form - Child	Child Certification Form
	Competing Application Withdrawal	Request to Withdraw Competing Application
	Direct Deposit Form (Add, Change or Withdraw)	Direct Deposit Form
	Education Verification Form	Education Verification Form
	Note: National Student Clearinghouse verifications do not suffice for the PFD verification because they do not provide tuition information required by PFD

	Extended Absence Questionnaire	Extended Absence Questionnaire
	Information Change, Addition Form (SSN, Name) - Adult	Adult Information Change/Addition Form
	Information Change, Addition Form (SSN, Name) - Child	Child Information Change/Addition Form
	Limited Power of Attorney	Limited Power of Attorney
	Medical Treatment Verification	Medical Treatment Verification
	Physician's Certification of Disability	Physician's Certification of Disability
	Prior Year Non-Filer - Adult	Adult Prior Year Non-Filer
	Prior Year Non-Filer - Child	Child Prior Year Non-Filer
	Sponsor Eligibility Form	Sponsor Eligibility Form
	Supplemental Schedule	Adult Supplemental Schedule
	Verifier Designation	Verifier Designation
	Working Out of State Questionnaire	Working 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.



	Program Links

	External Links

Site Map

PFD image is public domain.