Paper copy: [https://www.dropbox.com/scl/fi/2o8k94xw9qhiligwrnoa5/CMS-40B_508-enabled.pdf?rlkey=t5r07jg7z93b7zvaykx4q0fla&st=tsf7672h&dl=0](https://www.dropbox.com/scl/fi/2o8k94xw9qhiligwrnoa5/CMS-40B_508-enabled.pdf?rlkey=t5r07jg7z93b7zvaykx4q0fla&st=tsf7672h&dl=0)
OR
Go to ssa.gov -> sign up for Medicare -> Sign up for Part B only
You will need to attach the request for employment verification form