Office of the General Counsel (OGC)

Official Website: https://www.hhs.gov/about/agencies/ogc/index.html

Forms & Documents

Browse all Office of the General Counsel (OGC) government forms

61 - 80 of 111 forms

Form Title Topics
PHS Service Award, Campaign Medal, and Training Ribbons Nomination Record
PHS Training Purposes and Objectives
Post-9/11 GI Bill Educational Benefits Transferability Commitment and Statement of Understanding
Practice Hours Waiver Request
Procedures for Submission of Final Invention Statement
Protection of Human Subjects: Assurance Identification/Certification/Declaration of Exemption (Formerly Optional Form 310) [DOCX, 28 KB]
Public Health Service - Commissioned Officer's Request for Dependency Determination
Purchased/Referred Care Proof of Residency
Quarters Allowance Certificate
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 Administrative Law Judge (ALJ) Hearing or Review of Dismissal Form OMHA-100
Request for Administrative Law Judge (ALJ) Hearing or Review of Dismissal Form OMHA-100 (Large Print)
Request for Administrative Law Judge (ALJ) Hearing or Review of Dismissal Form OMHA-100 (Large Print) - (in Spanish)
Request for Administrative Law Judge (ALJ) Hearing or Review of Dismissal – Multiple Claim AttachmentForm OMHA-100A
Request for Administrative Law Judge (ALJ) Hearing or Review of Dismissal – Multiple Claim Attachment Form OMHA-100A - (in Spanish)
Request for Administrative Law Judge (ALJ) Hearing or Review of Dismissal Spanish

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