Form 08Ad092E PDF Details

Form 08Ad092E is a document used in the United States to apply for a tax ID number. This form can be used by individuals or businesses, and is available from the Internal Revenue Service (IRS) website. The IRS website also has instructions on how to complete the form. The process of applying for a tax ID number can be completed online or by mail. Applying for a tax ID number is an important step in starting a new business, as it allows you to conduct business transactions with other companies without having to use your social security number. Completing Form 08Ad092E is easy, and can be done in just a few minutes.

Form NameForm 08Ad092E
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other names08AD092E 08ad092eadm 92revised form

Form Preview Example

*ADM92 *



Case name:

Case number:

County number:

Supervisor/worker number: /

Client Contact and Information Request

My name is






. If you need to contact me, my days

in the office and my telephone number are shown below.




It is necessary for you to:










be interviewed











in our office

in your home

by telephone regarding



contact your worker










complete, sign, and return attached Form





provide PROOF of item(s) checked on the back of this form.

contact your worker to establish good cause for failure or refusal to participate in Temporary Assistance for Needy Families (TANF) Work activities.

Because you needed expedited

food benefits and/or

child care benefits, we

postponed asking you to give us certain information. You must now provide proof

of the information checked on the back of this page.




If the action checked above is not met before









, effective



. If

you applied for

child care benefits,


earliest date you will be approved is the date you provide all requested verification and you have been interviewed.

If you disagree with a decision affecting your case, you have the right to request a fair hearing at the local OKDHS office within 30 days, or 90 days for food benefits, from the date of the notice you will receive advising you of the action.

Worker signature

Days in office

Telephone number

FAX number

If you do not want to receive benefits, please give a reason below, sign, date, and return to the local OKDHS office.

I wish to withdraw my application or discontinue my benefits because:

Your signature


Form 08AD092E (ADM-92) revised 11-1-2010 may continue on next page, page 1 of 2




Case number:



Provide proof of items checked.





Earned income for the months of

. Provide pay stubs that include date, name

or Social Security number, and total income before deductions. If pay stubs are not available, provide a signed statement from your employer showing the dates and amounts paid, hourly rate, and hours worked. It must include any tips, bonuses, vacation or sick pay, and uniform allowance. It must be signed, dated, and include the address and phone number of the business.

Self-employment. Provide a copy of last year's tax return. If not available, provide current record books of earnings and business expenses.

Unearned income. Proof of income for the months of . Examples of unearned

income include, but are not limited to, Social Security; veterans, unemployment, or retirement benefits; pensions; child support; worker's compensation; and contributions. Provide award letter, letter from person or agency that provides the income, copy of check, or court order.

Citizenship or alien status. If citizen, provide birth certificate, United States passport, Certificate of Naturalization, Medicare card, or tribal membership card. If non- citizen, provide alien registration card or other document that shows legal status.

Identity. Provide driver's license, work/school/benefit ID card, birth certificate, voter registration card, or pay stub showing name.

Social Security and/or Medicare card. You may provide the Social Security number instead of the Social Security card.

Resources or assets. Provide copies of bank statements, life or burial insurance policies, property deed and/or mineral rights, title to vehicle and amount owed, stocks, bonds, certificates of deposit (CD), individual retirement accounts (IRA), trust funds, or other documents. If you own land or a house you are not living in, provide proof of the equity amount you have in the property.

Accident or health insurance. Provide a copy of insurance card or policy that includes the name of the company, policy number, and who is insured.

Persons living in your home. Proof may be statements from other persons or the names and phone numbers of persons to contact.

Utility bill for LIHEAP. Provide a recent bill showing the name on the account, the account number, and utility supplier. If you have a cut off notice, provide the notice.

Medical expenses. Provide proof such as monthly health insurance premiums, prescription costs, medical supplies, and payments to medical providers.

Need for child care. Provide work, training, or school schedule showing the days of the week and the hours of the day you attend. If hours vary, you may provide a signed and dated statement with contact number from the employer or instructor explaining your schedule.


Please send copies. Originals cannot be returned.

Form 08AD092E (ADM-92) revised 11-1-2010 may continue on next page, page 2 of 2

How to Edit Form 08Ad092E Online for Free

You are able to fill in Form 08Ad092E without difficulty using our online PDF editor. The editor is consistently updated by us, getting useful features and turning out to be better. Getting underway is effortless! What you need to do is adhere to the next simple steps down below:

Step 1: Click the "Get Form" button above on this page to get into our tool.

Step 2: Using this handy PDF tool, you'll be able to accomplish more than simply fill out blanks. Try all of the functions and make your forms look faultless with customized text added in, or optimize the original input to perfection - all that accompanied by an ability to add any kind of images and sign it off.

This document requires specific info to be typed in, so you should take your time to provide what is expected:

1. To start with, once filling out the Form 08Ad092E, start in the area with the following blank fields:

Part # 1 for submitting Form 08Ad092E

2. Once your current task is complete, take the next step – fill out all of these fields - Name, Case number, Provide proof of items checked, Earned income for the months of, Provide pay stubs that include, or Social Security number and, Selfemployment Provide a copy of, current record books of earnings, Examples of unearned, income include but are not limited, and Citizenship or alien status If with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Filling out segment 2 of Form 08Ad092E

As for current record books of earnings and income include but are not limited, ensure you get them right in this current part. Both these are viewed as the most significant fields in this PDF.

Step 3: Immediately after taking one more look at your fields and details, press "Done" and you are done and dusted! Make a 7-day free trial option with us and gain instant access to Form 08Ad092E - with all transformations kept and available in your FormsPal cabinet. FormsPal is dedicated to the personal privacy of our users; we make certain that all personal information handled by our system remains confidential.