State of Alaska - Permanent Fund Dividend Division

Permanent Fund Dividend Division

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

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	Address Change Form	Address Change Form
	Adult Information Change/Addition Form	Adult Information Change/Addition Form
	Adult Prior Year Non-Filer (92A)	Adult Prior Year Non-Filer (92A)
	Charitable Contributions Withdrawal Form	Charitable Contributions Withdrawal Form
	Child Information Change/Addition	Child Information Change/Addition
	Child Prior Year Non-Filer (92C)	Child Prior Year Non-Filer (92C)
	Direct Deposit Form (Add Change or Withdraw)	Direct Deposit Form (Add Change or Withdraw)
	Education Verification Form(39/52)	Education Verification Form(39/52)
	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 (87)	Extended Absence Questionnaire (87)
	Medical Treatment Verification (77)	Medical Treatment Verification (77)
	Request to Withdraw Application	Request to Withdraw Application
	Request to Withdraw Competing Application (88)	Request to Withdraw Competing Application (88)
	UA College Savings Plan Add or Withdrawal	UA College Savings Plan Add or Withdrawal
	Verifiers Designation(24)	Verifiers Designation(24)
	Working Out of State Questionnaire (54)	Working Out of State Questionnaire (54)

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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PFD image is public domain.