CMS Memorandums and Related Materials

CMS Release Form

Social Security Form 3288

Conditional Payment Requirements for a Workers’ Compensation Case

Conditional Payment Requirements for a Liability Case

Medicare & You

Medicare & You (Spanish)

Self-Administration Tool Kit

Claimant Self-Attestation Form (Lump Sum)

Claimant Self-Attestation Form (Structured)

Additional sample files available by request, see the Find Out More page for more information.