Fill and Sign United States Legal Forms

This form is used for Medicaid review for the Wisconsin Veterans Home at King in Wisconsin.

This Form is used for requesting to enter the Appellate Mediation Program in Washington, D.C.

This form is used for requesting a waiver of fees in the Washington, D.C. court system.

This Form is used for filing a criminal docketing statement in Washington, D.C. It provides information about the case, parties involved, and scheduled hearings.

This form is used for filing a civil docketing statement in Washington, D.C. It provides information about the case, parties involved, and other relevant details.

This document is a checklist for emergency motions in Washington, D.C. It helps ensure that all necessary steps are taken when filing an emergency motion in court.

This Form is used for agencies in Washington, D.C. to provide a docketing statement.

This form is used for the approval decision notice of Medicaid Qualified Medicare Beneficiary (QMB), Specified Low-Income Medicare Beneficiary (SLMB), and Specified Low-Income Medicare Beneficiary Plus (SLMB+) in Wisconsin.

This form is used for setting up electronic funds transfer for Medicaid Purchase Plan premiums in Wisconsin for both the member and employer.

This Form is used for providing member and premium information for the Medicaid Purchase Plan (MAPP) in the state of Wisconsin.

This Form is used for stipulating to be placed in the stand-by pool of cases in Washington, D.C.

This form is used for requesting an exemption from electronic public access fees in Washington, D.C.

This form is used for terminally ill residents of a Community Based Residential Facility (CBRF) in Wisconsin to waive hospice or home health services.

This form is used for reviewing and evaluating contracts for home health agencies in Wisconsin.

This form is used for making a HIPAA Privacy Accounting Request in the state of Wisconsin. It allows individuals to request information about the disclosures of their medical records as required by the Health Insurance Portability and Accountability Act (HIPAA).

This form is used for obtaining a hearing order after a seizure in South Carolina.

This form is used for notifying parties involved in a legal case in South Carolina about an upcoming preliminary hearing.

This Form is used for ordering a mental health evaluation in South Carolina.

This document is for placing an order with Ishmell, a company located in South Carolina. It can be used to purchase goods or services from them.

This Form is used for obtaining a property tax certification from the County of Sacramento, California. It is necessary for verifying property tax information related to a specific property in the county.

This Form is used for providing proof of personal service in the County of Sacramento, California. It is a document used to demonstrate that a legal notice or document has been personally served to the intended recipient.

This Form is used for appealing a criminal case in Washington, D.C.

This form is used for certification of need for elective/urgent psychiatric/substance abuse admissions to hospital institutions for mental disease for members under age 21 in Wisconsin.

This Form is used for applying to the Wisconsin Funeral and Cemetery AIDS Program in Wisconsin.

This document is an agreement used in Wisconsin for individuals who have administrative access to the Wisconsin Emergency Assistance Volunteer Registry (WEAVR). The agreement ensures user security and confidentiality.

This form is used for requesting a variance in respite care services provided by institutions in the state of Wisconsin.

This form is used for notifying the government of a change in address for residents of Washington, D.C.

This Form is used for sponsors to make a statement in support of a pro hac vice admission in the District of Columbia.

This type of document is a 24-hour filing depository slip specific to Washington, D.C. It is used for submitting certain forms or documents outside of regular business hours.

This form is used for employer wage withholding for the Medicaid Purchase Plan Premium in Wisconsin.

This form is used for recording vaccine administration in the state of Wisconsin. It is available in both English and Spanish languages.

This Form is used for submitting a prior authorization request or physician attachment in the state of Wisconsin. It provides instructions on how to properly complete the form and submit it for review.

This document provides instructions for completing Form F-11037, which is used for requesting prior authorization for substance abuse day treatment services in Wisconsin.

This form is used for providing instructions on how to complete Form F-11032 Prior Authorization/Substance Abuse Attachment (PA/SAA) in Wisconsin. It is a required document for obtaining prior authorization for substance abuse treatment.

This Form is used for attaching a spell of illness to a prior authorization request in Wisconsin.

This Form is used for requesting prior authorization or preferred drug list for stimulants and related agents in Wisconsin. It provides instructions on how to fill out the form and submit it to the appropriate authority.

This document provides instructions for completing Form F-11305, which is used for prior authorization and preferred drug listing for cytokine and cell adhesion molecule antagonist drugs for Crohn's Disease in Wisconsin. It outlines the necessary information and steps to be followed when requesting approval for these medications.

This document is used for providing an address for a protective order in Harris County, Texas. The address is needed to ensure the safety and well-being of the individual seeking protection.