Other Forms

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Other and Miscellaneous Forms 

Category Form Number Title
Collections Forms 10523 Tax Clearance Application
Other Forms 01-QCO Application for Certification for Qualifying Charitable Organization
Other Forms 01-QFCO Application for Certification for Qualifying Foster Care Charitable Organization
Other Forms 05-5542 Notification of Health Insurance Coverage
Other Forms 10205 Bond Exemption Application
Other Forms 10366 Electronic Funds Transfer (EFT) Disclosure Agreement for ACH Credit filers
Other Forms 10523 Tax Clearance Application
Other Forms 10566 ACH Credit Addenda Format
Other Forms 10621 Public School Report
Other Forms 10724 Application for Certificate of Eligibility for the Health Insurance Premium Tax Credit – Small Business Only
Other Forms 10725 Application for Certificate of Eligibility for the Health Insurance Premium Tax Credit – Individuals Only
Other Forms 10738 Criminal Investigation Information Referral
Other Forms 10894 Nexus Unit Questionnaire Regarding Activities in Arizona
Other Forms 11131 Application for STO Certification to Receive Corporate Donations
Other Forms 11137 Application for STO Certification to Receive Individual Donations
Other Forms 11153 Application for Approval of Renewable Energy Production Tax Credit
Other Forms 11158 Voluntary Disclosure Application
Other Forms 11171 Application for Approval of University Research and Development Tax Credit
Other Forms 11350 Speaker Event Request
Other Forms 11351 Claim for Refund of Vehicle Use Tax Paid at ADOT - Motor Vehicle Division
Other Forms 290 Request for Penalty Abatement
Other Forms 291 Bypass Conference Request
Other Forms 292 Electronic Filing and Payment Waiver Application
Other Forms 293 Consent to Receive Electronic Notices and Assessments
Other Forms 439 Identity Theft Affidavit