Forms

Fillable Forms and Resources

  • This site supports Fillable PDF forms and can be found by searching by the state form number (SFN), title or agency that owns the form.
  • Definitions:
    • Internal Forms: Forms used by customers internal to North Dakota State Government.
    • Public Forms: Forms used by the general public or entities external to North Dakota State Government
Important: These forms MUST be downloaded to function properly (may contain automatic calculations, field validations, tab order, etc.). Using the PDF viewer within the browser disables this functionality.

Information Tech Dept - Public Form(s)

SFNTitleSizeDateFillable
62253 ACCOUNTING OF DISCLOSURE 665 kb 11/18/2022 Y
62228 AUTHORIZATION FOR USE OR DISCLOSURE OF PROTECTED HEALTH INFO 758 kb 09/21/2022 Y
60297 AUTHORIZED USER AGREEMENT 692 kb 04/04/2023 Y
19436 ND TELECOMMUNICATIONS RELAY SERVICE FUND QUARTERLY SURCHARGE 696 kb 01/28/2021 Y
60436 REQUEST FOR REIMBURSEMENT - ND HITAC 413 kb 07/30/2013 Y