3581
This Form is used for requesting home care services in Rhode Island.
This document is a notarized statement in Rhode Island that is related to the amount of personal needs money available upon a resident's death. It is used to provide information about the funds available for personal expenses after the death of a Rhode Island resident.
This form is used for submitting information about a new product, material, equipment, or process in Rhode Island. It allows individuals or businesses to seek approval for the introduction of something new in the state.
This Form is used for applying for a specific service logo sign in Rhode Island.
This Form is used for filing a complaint about a violation of the Americans with Disabilities Act (ADA) in the state of Rhode Island.
This Form is used for filing a complaint about discrimination in Rhode Island.
This Form is used for certification of the Gross Vehicle Weight Rating (GVWR) by manufacturers in Rhode Island to obtain annual divisible load permits for their vehicles.
This Form is used for reporting incidents that occur in construction work zones in Rhode Island.
This Form is used for disputing a toll invoice in Rhode Island.
This document provides a one-time death benefit for police officers in Rhode Island who died in the line of duty.
This document is used for petitioning for widow/widower benefits in Rhode Island. It provides a way for eligible individuals to request financial assistance and other benefits after the death of their spouse.
This document is a questionnaire that determines eligibility for tuition benefits under Rhode Island General Law 45-19-4.1. It helps individuals assess whether they qualify for tuition assistance in Rhode Island.
This document is used for requesting tuition assistance for widows/widowers, guardians, or children of deceased police officers in Rhode Island.
This form is used for updating your address with the Police and Fire Funds in Rhode Island.
This document is used to notify the Police and Fire Funds in Rhode Island about the death of a widow or dependent.
This form is used for authorizing or canceling direct deposit of payment in the state of Rhode Island.
This type of document is a claim form for annuities to dependents of deceased firefighters in Rhode Island. It is used to apply for financial support for the surviving family members of firefighters who have passed away.
This document is for applying for a one-time death benefit for firefighters in Rhode Island who have lost their lives while on duty.
This Form is used for making public records requests in Rhode Island. Obtain official documents and records from government agencies with this form.
This document is for participants in the Rhode Island Pediatric Primary Care Relief Program. It outlines the financial agreement and requires attestation from the participants.
This document is for the Medicaid Pediatric Primary Care Rate Supplement Program in Rhode Island. It outlines the financial agreement and attestation requirements for healthcare providers participating in the program.
This document is a survey for Rhode Island Medicaid members who speak Hmong.
This document is a questionnaire used to gather information about assisted living residences in Rhode Island.
This type of document is a referral form for assisted living enhanced care in Rhode Island.
This type of document is used for conducting an enhanced care assessment in Rhode Island.
This Form is used for notifying the state of Rhode Island about a discharge.
This document is a survey specifically designed for Medicaid members in Rhode Island. It aims to gather feedback and opinions from Medicaid recipients in the state.
This Form is used for requesting a replacement or return of a FVV device in Rhode Island.
This document is used for tracking the transition process of students with disabilities in Rhode Island.
This form is used to submit a request for a FVV (Futuristic Vehicle Vehicle) in Rhode Island.
This document is used to certify the medical necessity of using disposable gloves in Rhode Island.
This document is used to certify the medical necessity for enteral and parenteral nutrition in Rhode Island.
This Form is used for obtaining a Certificate of Medical Necessity for Pressure Reducing Support Surfaces in Rhode Island. It is required to be filled out by a healthcare provider to justify the need for this type of equipment for a patient's medical condition.
This form is used for reassigning a tax ID for Mapir in Rhode Island.
This document is used to certify the medical necessity for diabetic shoes in the state of Rhode Island.
This document is used to certify the medical necessity of an external infusion pump in Rhode Island.
This form is used for health insurance claim submission in Rhode Island. It provides instructions on how to fill out the CMS-1500 form accurately.
This document is used for certifying the medical necessity of hospital beds in Rhode Island. It is required to ensure that patients who need a hospital bed at home receive proper medical care.
This document is used for documenting the face-to-face encounter required for Medicaid in Rhode Island. It ensures that the recipient has been examined by a healthcare provider before receiving certain services.