| Name of Form |
Form Owner |
Revision Date |
Windows 95/98/NT |
| -A- |
| Acknowledgment Form |
Kentucky Retirement Systems |
08/10/00 |
krs4170.exe |
| Advice of Personnel Action |
Kentucky Retirement Systems |
08/10/00 |
krs2020.exe |
| Affidavit (B-210-13) |
Finance Cabinet - Contracting & Administration |
03/23/00 |
b21013.exe |
| Affidavit of Well Log and Completion Report |
Division of Oil and Gas |
06/09/00 |
ed3.exe |
| Affidavit to Time and Manner of Plugging and Filling Well |
Division of Oil and Gas |
06/09/00 |
ed38.exe |
| Annual Report of Monthly Production for Natural Gas and/or Crude Oil |
Division of Oil and Gas |
06/09/00 |
ed17.exe |
| Application for Direct Transfer of Surplus State Property to Non-State Agencies (B-217-42A) |
Finance - Surplus Property |
02/28/00 |
b21742ac.exe |
| Application for Permit |
Division of Oil and Gas |
06/09/00 |
ed1.exe |
| Application for Permit for Use of Vacuum |
Division of Oil and Gas |
06/09/00 |
ed9.exe |
| Application to Use Commonwealth Facilities (EXTERIOR USE) |
Finance Cabinet - Historic Properties |
02/28/00 |
exnarrat.exe |
| Application to Use Commonwealth Facilities (INTERIOR USE) |
Finance Cabinet - Historic Properties |
02/28/00 |
intnarrt.exe |
| -B- |
| Beneficiary Designation |
Kentucky Retirement Systems |
08/10/00 |
krs2035.exe |
| Birth Certificate Application |
Cabinet for Health Services |
08/16/00 |
vs37.exe |
| Blanket Surety Bond |
Division of Oil and Gas |
06/09/00 |
ed6.exe |
| -C- |
| Casing and Cementing Plan as Required for Permit |
Division of Oil and Gas |
06/09/00 |
ed7.exe |
| Certificate of Completion for an Injection Well |
Division of Oil and Gas |
06/09/00 |
ed23.exe |
| -D- |
| Declared Surplus (B-217-2) (includes the B-217-2 Continuation Page) |
Finance - Surplus Property |
02/28/00 |
b2172.exe |
| Declared Surplus Continuation Page (B-217-2 Continuation) |
Finance - Surplus Property |
02/28/00 |
b2172con.exe |
| Death Certificate Application |
Cabinet for Health Services |
11/19/01 |
vs31.exe |
| -E- |
| Environmental Information Form |
Local Government |
10/31/00 |
lgenvinf.exe |
| -F- |
| Federal Income Tax Withholding Preference for KY Retirement System Benefits |
Kentucky Retirement Systems |
08/10/00 |
krs6017.exe |
| -G- |
| GED Transcript/Diploma Request |
GED Administration Branch |
05/04/00 |
gedsdreq.exe |
| -H- |
| Housing Assistance |
Local Government |
09/11/00 |
housasst.exe |
| -I- |
Informed Consent and Release of Information and Records
(Cabinet for Families and Children) |
Cabinet for Families and Children |
10/01/01 |
cfs1.exe |
Informed Consent and Release of and Records Supplement
(Cabinet for Families and Children) |
Cabinet for Families and Children |
11/19/01 |
cfs1a.exe |
| Instructions for Completing Property Bonds |
Division of Oil and Gas |
06/09/00 |
prbdinst.exe |
| -K- |
| KAC Millennium Project Grant Application |
Ky. Arts Council |
02/28/00 |
millen1.exe |
| -L- |
| Letter of Credit |
Division of Oil and Gas |
06/09/00 |
ed16.exe |
| Letter of Credit EXP |
Division of Oil and Gas |
06/09/00 |
ltrcrexp.exe |
| -M- |
| Marriage/Divorce Certificate Application |
Cabinet for Health Services |
05/05/00 |
vs230.exe |
MARS FORMS Internet
(Travel Vouchers and Other MARS Forms) |
MARS |
06/19/00 |
MARS Forms (Internet) |
| Membership Information |
Kentucky Retirement Systems |
08/10/00 |
krs2001.exe |
| Miscellanous Expense Voucher |
Workforce Development Cabinet |
08/21/01 |
com118.exe |
| -O- |
| Open Records Request |
Kentucky Forms Management Program |
08/27/00 |
com116.exe |
| Operator Certification of Formation Offset and Vertical Depth |
Division of Oil and Gas |
06/09/00 |
ed8.exe |
| -P- |
Pre-Submission Form
(KY Community Development Block Grant) |
Local Government |
06/19/00 |
presubfm.exe |
| Plan to Prevent Erosion of and Sedimentation for a Well Site |
Division of Oil and Gas |
06/09/00 |
ed10.exe |
| -R- |
| Request for Special Testing Accommodations (P5) |
Personnel Cabinet |
02/28/00 |
spectest.exe |
| Requisition: Surplus Personal Property (B-217-3) |
Finance - Surplus Property |
02/28/00 |
b2173.exe |
| -S- |
| Surety Bond |
Division of Oil and Gas |
06/09/00 |
ed5.exe |
| -T- |
| Transportation Cabinet Forms |
Transporation Cabinet |
03/30/01 |
KYTC Forms |
| Temporary Abandonment Permit |
Division of Oil and Gas |
06/09/00 |
ed12.exe |
Timesheet
(Cabinet for Families and Children) |
Cabinet for Families and Children |
09/14/00 |
cfctime2.exe |
Two-Page Timesheet
(inc. page 2)
(Cabinet for Families and Children) |
Cabinet for Families and Children |
09/14/00 |
cfcts2pg.exe |
| Tour Confirmation |
Finance Cabinet - Historic Properties |
02/28/00 |
tourconf.exe |
| Electronic Forms Training Demo Form |
Kentucky Forms Management |
01/25/00 |
training.exe |
| Electronic Forms Training 2-Page Demo Form |
Kentucky Forms Management |
01/25/00 |
traing2.exe |
| Electronic Forms Training Multi-Part Demo Form |
Kentucky Forms Management |
01/25/00 |
trainmpt.exe |
| -V- |
| Verification of Certificate of Deposit |
Division of Oil and Gas |
06/09/00 |
ed20.exe |
| Verification of Past Employment |
Kentucky Retirement Systems |
08/12/00 |
krs4225.exe |
| Verification of Past School Board Employment |
Kentucky Retirement Systems |
08/12/00 |
krs4226.exe |
| -W- |
| Well Transfer |
Division of Oil and Gas |
06/09/00 |
ed13wt.exe |
| W-2c Substitute Form (Corrected Wage and Tax Statement) |
Division of Social Security |
7/01/03 |
w2cnewa.exe |
| W-3c Substitute Form (Transmittal of Forms W-2c) |
Division of Social Security |
7/01/03 |
w3cnewa.exe |
