Form LTC-19 Request for Billing Assistance - New Jersey

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Form LTC-19 Request for Billing Assistance - New Jersey

What Is Form LTC-19?

This is a legal form that was released by the New Jersey Department of Human Services - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form LTC-19?
A: Form LTC-19 is the Request for Billing Assistance form.

Q: What is the purpose of Form LTC-19?
A: The purpose of Form LTC-19 is to request billing assistance in relation to long-term care services in New Jersey.

Q: Who can use Form LTC-19?
A: Form LTC-19 can be used by individuals who require assistance with billing for long-term care services in New Jersey.

Q: Are there any fees associated with submitting Form LTC-19?
A: No, there are no fees associated with submitting Form LTC-19.

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Form Details:

  • Released on February 1, 2015;
  • The latest edition provided by the New Jersey Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form LTC-19 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Human Services.

Download Form LTC-19 Request for Billing Assistance - New Jersey

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