Form IDD-14 Request for Qualifying Diagnosis Certification - Alaska

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form IDD-14 for the current year.

Form IDD-14 Request for Qualifying Diagnosis Certification - Alaska

What Is Form IDD-14?

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

Form Details:

  • Released on January 3, 2020;
  • The latest edition provided by the Alaska Department of Health and Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form IDD-14 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.

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Download Form IDD-14 Request for Qualifying Diagnosis Certification - Alaska

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  • Form IDD-14 Request for Qualifying Diagnosis Certification - Alaska, Page 1
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