Form PR0061 Claim Recoupment Request - Rhode Island

What Is Form PR0061?

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

Form Details:

• Released on January 25, 2021;
• The latest edition provided by the Rhode Island Executive Office of Health and Human 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 fillable version of Form PR0061 by clicking the link below or browse more documents and templates provided by the Rhode Island Executive Office of Health and Human Services.