Provider Application Fee Refund Request Form - Colorado

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Provider Application Fee Refund Request Form - Colorado

Provider Application Fee Refund Request Form is a legal document that was released by the Colorado Department of Health Care Policy and Financing - a government authority operating within Colorado.

FAQ

Q: What is the Provider Application Fee Refund Request Form?
A: The Provider Application Fee Refund Request Form is a form used in Colorado to request a refund of the application fee paid by a provider.

Q: Who can use the Provider Application Fee Refund Request Form?
A: The Provider Application Fee Refund Request Form can be used by providers in Colorado who have paid an application fee and want to request a refund.

Q: What is the purpose of the Provider Application Fee Refund Request Form?
A: The purpose of the Provider Application Fee Refund Request Form is to allow providers in Colorado to request a refund of the application fee they have paid.

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Form Details:

  • Released on February 1, 2019;
  • The latest edition currently provided by the Colorado Department of Health Care Policy and Financing;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Department of Health Care Policy and Financing.

Download Provider Application Fee Refund Request Form - Colorado

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