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State of Alaska Department of Health and Social Services Division of Public Assistance Permanent Fund Dividend Report Form Use this form to report information about receiving a Permanent Fund Dividend.
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How to fill out permanent fund dividend report

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How to fill out permanent fund dividend report?

01
Gather necessary documents: Gather your Permanent Fund Dividend (PFD) application, Social Security number, proof of Alaska residency, and any other required documentation.
02
Fill in personal information: Start by entering your name, address, contact information, and Social Security number in the designated fields.
03
Verify Alaska residency: Provide proof of your Alaska residency, such as a driver's license, utility bill, or lease agreement. Make sure to follow the specific instructions outlined by the PFD program.
04
Declare eligibility: Indicate your eligibility for the PFD by answering any questions regarding your age, citizenship, and residency duration in Alaska.
05
Include household information: If you have family members or dependents living with you, provide their details and relationship to you. This information is necessary for calculating the household dividend.
06
Verify your earnings: Provide accurate information about your income and employment status. In some cases, additional documents, such as W-2s or pay stubs, may be required for verification.
07
Apply for direct deposit: Opt for direct deposit to receive your dividend directly into your bank account. Submit your bank account details, including routing number and account number, for seamless payment.
08
Review and submit: Double-check all the information provided in the form to ensure accuracy. Make sure you haven't left any required fields blank. Sign and date the form before submitting it as instructed.

Who needs a permanent fund dividend report?

01
Residents of Alaska: The permanent fund dividend report is needed by residents of Alaska who meet the eligibility requirements.
02
US citizens: To qualify for the permanent fund dividend, you must be a US citizen or an eligible non-citizen as per the PFD program guidelines.
03
Individuals who meet residency duration: The report is necessary for individuals who have been residing in Alaska for a specific period as determined by the PFD program.
04
Individuals with eligible dependents: If you have family members or dependents living with you, their information is required to calculate the household dividend.
05
Individuals seeking financial support: The permanent fund dividend aims to provide financial support to Alaskan residents, making the report necessary for those who wish to benefit from this program.
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Permanent Fund Dividend report is a document that reports the income earned from the Permanent Fund Dividend program.
Alaska residents who receive income from the Permanent Fund Dividend program are required to file the report.
The report can be filled out online or through paper forms provided by the Alaska Department of Revenue.
The purpose of the report is to accurately report income earned from the Permanent Fund Dividend program for tax purposes.
Income earned from the Permanent Fund Dividend program, any deductions, and personal information of the filer must be reported.
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