Form preview

Get the free - template

Get Form
Commonwealth of MassachusettsExecutive Office of Health and Human ServicesRequest for ResponsesForHealth Information Exchange Next Generation Direct Messaging System November 21, 2016Document Number:
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign template

Edit
Edit your template form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your template form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit template online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Sign into your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit template. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

What is - Form?

The - is a fillable form in MS Word extension that can be completed and signed for specific reasons. Then, it is provided to the relevant addressee to provide specific details and data. The completion and signing is possible in hard copy by hand or via an appropriate service e. g. PDFfiller. Such tools help to fill out any PDF or Word file without printing out. It also allows you to edit it according to the needs you have and put an official legal digital signature. Upon finishing, you send the - to the recipient or several ones by mail and even fax. PDFfiller has a feature and options that make your blank printable. It provides various options for printing out. It does no matter how you will distribute a form after filling it out - physically or by email - it will always look neat and organized. In order not to create a new document from scratch every time, make the original Word file into a template. Later, you will have a customizable sample.

- template instructions

Before start filling out - Word form, make sure that you have prepared all the necessary information. That's a important part, because typos can trigger unwanted consequences from re-submission of the whole blank and filling out with deadlines missed and even penalties. You have to be careful filling out the figures. At first glimpse, it might seem to be dead simple. Nonetheless, it is simple to make a mistake. Some use some sort of a lifehack storing everything in another document or a record book and then add this into document template. Anyway, try to make all efforts and provide valid and solid information in your - word template, and check it twice when filling out all necessary fields. If you find any mistakes later, you can easily make amends when you use PDFfiller tool and avoid missed deadlines.

How to fill - word template

First thing you will need to begin completing - writable doc form is editable copy. For PDFfiller users, there are the following ways how you can get it:

  • Search for the - form in the PDFfiller’s filebase.
  • If you have the very template in Word or PDF format on your device, upload it to the editor.
  • Create the file from scratch with the help of PDFfiller’s form building tool and add the required elements with the help of the editing tools.

Regardless of the variant you prefer, you are able to edit the form and add different nice things in it. But yet, if you want a word template that contains all fillable fields, you can find it in the catalogue only. The second and third options are short of this feature, so you will need to insert fields yourself. Nonetheless, it is really easy and fast to do as well. After you finish this process, you will have a convenient template to be filled out. The writable fields are easy to put when you need them in the word file and can be deleted in one click. Each function of the fields corresponds to a separate type: for text, for date, for checkmarks. If you want other persons to sign it, there is a corresponding field as well. Electronic signature tool makes it possible to put your own autograph. When everything is completely ready, hit Done. And then, you can share your word template.

Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.8
Satisfied
44 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The premium version of pdfFiller gives you access to a huge library of fillable forms (more than 25 million fillable templates). You can download, fill out, print, and sign them all. State-specific template and other forms will be easy to find in the library. Find the template you need and use advanced editing tools to make it your own.
When you use pdfFiller's add-on for Gmail, you can add or type a signature. You can also draw a signature. pdfFiller lets you eSign your template and other documents right from your email. In order to keep signed documents and your own signatures, you need to sign up for an account.
Use the pdfFiller Android app to finish your template and other documents on your Android phone. The app has all the features you need to manage your documents, like editing content, eSigning, annotating, sharing files, and more. At any time, as long as there is an internet connection.
Fill out your template online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.