Instructions for Form PHSS-5 Payment Voucher - New Jersey

Instructions for Form PHSS-5 Payment Voucher - New Jersey

This document contains official instructions for Form PHSS-5 , Payment Voucher - a form released and collected by the New Jersey Department of Environmental Protection.

FAQ

Q: What is Form PHSS-5?
A: Form PHSS-5 is a payment voucher used in New Jersey.

Q: What is the purpose of Form PHSS-5?
A: The purpose of Form PHSS-5 is to make payments to the New Jersey Department of Health and Senior Services.

Q: Who needs to fill out Form PHSS-5?
A: Anyone who needs to make a payment to the New Jersey Department of Health and Senior Services.

Q: What information is required on Form PHSS-5?
A: Form PHSS-5 requires information such as the name and address of the payer, payment amount, and payment method.

Q: How do I fill out Form PHSS-5?
A: Follow the instructions provided on the form. Fill in all required information accurately and completely.

Q: Can I submit Form PHSS-5 electronically?
A: No, Form PHSS-5 cannot be submitted electronically. It must be mailed to the address provided on the form.

Q: Is there a deadline to submit Form PHSS-5?
A: The form should be submitted with payment as soon as possible, but there is no specific deadline mentioned on the form.

Q: What should I do if I have additional questions about Form PHSS-5?
A: You can contact the New Jersey Department of Health and Senior Services for assistance with any questions or concerns regarding Form PHSS-5.

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Instruction Details:

  • This 1-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the New Jersey Department of Environmental Protection.

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  • Instructions for Form PHSS-5 Payment Voucher - New Jersey, Page 1
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