Form DOH-2794C Adap Plus Insurance Continuation (Apic) Application - New York

Form DOH-2794C Adap Plus Insurance Continuation (Apic) Application - New York

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What Is Form DOH-2794C?

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

Form Details:

  • Released on April 1, 2006;
  • The latest edition provided by the New York State Department of Health;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DOH-2794C by clicking the link below or browse more documents and templates provided by the New York State Department of Health.

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Download Form DOH-2794C Adap Plus Insurance Continuation (Apic) Application - New York

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