3395
This form is used for requesting prior authorization for a brand name medication in Vermont.
This Form is used for requesting prior authorization for long-acting opioids in the state of Vermont.
This form is used for applying for a medical exemption for public transportation in Vermont.
This Form is used for requesting an exception to Medicaid's vehicle rules in Vermont.
This Form is used for requesting a waiver of mileage requirements for hardship situations in Vermont.
This form is used for applying for use value appraisal for agricultural land, forest land, conservation land, and farm buildings in Vermont.
This document is an application form for individuals or organizations in Vermont to apply for grants to support historic preservation projects.
This document provides information about the Vermont Barn Preservation Grants program in Vermont. It offers financial assistance for the preservation and repair of historic barns in the state.
This document outlines the management plan for handling pesticide discharge in the state of Vermont. It includes guidelines and procedures to ensure proper disposal and prevention of environmental contamination.
This type of document is used to request payment in the state of Vermont.
This form is used for requesting a referral to a physician in Vermont.
This Form is used for filing a notice of appearance, answering a complaint, and filing a counterclaim in the state of Vermont.