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Form ODM03245 Notification of Third Party (Tort) Request for Release - Ohio
What Is Form ODM03245?
This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form ODM03245?A: Form ODM03245 is the Notification of Third Party (Tort) Request for Release form.
Q: Who needs to fill out Form ODM03245?A: The form needs to be filled out by individuals or organizations who have received a request for release of information related to a tort claim in Ohio.
Q: What is a tort claim?A: A tort claim is a claim for damages or injury to a person or property caused by another person's negligence or intentional act.
Q: What is the purpose of Form ODM03245?A: The purpose of this form is to notify the Ohio Department of Medicaid about a request for release of information related to a tort claim.
Form Details:
- Released on July 1, 2014;
- The latest edition provided by the Ohio Department of Medicaid;
- 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 ODM03245 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.
