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This version of the form is not currently in use and is provided for reference only. Download this version of
Form FA-1D
for the current year.
Form FA-1D Wheelchair Repair Form - Nevada
What Is Form FA-1D?
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form FA-1D?
A: Form FA-1D is a Wheelchair Repair Form.
Q: What is the purpose of Form FA-1D?
A: The purpose of Form FA-1D is to request and document repairs for wheelchairs.
Q: Who can use Form FA-1D?
A: Form FA-1D can be used by individuals who require wheelchair repairs in Nevada.
Q: How do I fill out Form FA-1D?
A: You need to provide your personal information, description of the problem with your wheelchair, and any other relevant details.
Form Details:
- Released on October 27, 2021;
- The latest edition provided by the Nevada Department 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 FA-1D by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
Download Form FA-1D Wheelchair Repair Form - Nevada
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