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This document is an application form for individuals or organizations seeking to become state agencies in West Virginia. It is used to apply for the designation and privileges of being a state agency in the state.
This form is used for retailers in West Virginia to authorize automatic debit payments to the Alcohol Beverage Control Commission.
This form is used to authorize automated clearing house (ACH) payments in the state of West Virginia. ACH payments allow funds to be electronically transferred between bank accounts.
This form is used for establishing or changing an imprest fund in West Virginia. It allows for the management and control of petty cash funds within a government agency or organization.
This form is used for attesting the funds in the imprest account in West Virginia.
This Form is used for auditing the Imprest Fund when there is a change in the individual responsible in the state of West Virginia.
This Form is used for requesting a depository designation in West Virginia.
This form is used for requesting permission to open a bank account outside of West Virginia.
This document is used to authorize access to a sub vault in West Virginia.
This Form is used for requesting safekeeping in West Virginia.
This document is a Lockbox Agreement specific to the state of West Virginia. It outlines the terms and conditions for the use of a lockbox service, which is a secure system for receiving, processing, and depositing funds on behalf of a company or organization.
This form is used for authorizing the electronic transfer of court fees in West Virginia by the County Sheriffs.
This Form is used for authorizing electronic fund transfer (EFT) for court fees at the County Commission in West Virginia.
This document is used for applying for a new lockbox in West Virginia.
This document authorizes the electronic transfer of court fees for cases in the Magistrate Court of West Virginia.
This Form is used for authorizing electronic fund transfers for court fees in West Virginia.
This form is used for authorizing electronic funds transfers for payment of fees in the County Circuit Court of West Virginia.
This document is a report that provides details of the final sale of a product or property in the state of West Virginia. It contains information regarding the transaction, including sale amount and date.
This document provides a report regarding the proposed issuance of debt by the state of West Virginia. It includes information about the purpose and terms of the debt issuance.
This form is used for reporting a change in status in the state of West Virginia. It is used for updating personal information or notifying a change in circumstances.
This Form is used for enrolling dependents for health coverage in West Virginia.
This form is used for a policyholder in West Virginia to terminate their coverage.
This document is for applying for eligibility of disabled dependents in West Virginia.
This Form is used for enrolling in the Comprehensive Care Partnership (CCP) Program in West Virginia.
This form is used for requesting dependent out-of-area benefits in West Virginia.
This Form is used for submitting claims by members in West Virginia for various types of insurance coverage.
This Form is used for requesting a discount waiver in West Virginia.
This document is used for facilitating the transition of care for patients in West Virginia. It helps to ensure that relevant medical information is accurately and efficiently transferred between healthcare providers.
This document is used for requesting prior approval of services in the state of West Virginia. It is a form that must be completed in order to receive authorization for specific services.
This type of document is used for conducting a patient audit in West Virginia. It helps gather information about patient care and ensure compliance with regulations.
This form is used for updating your address information in West Virginia. It is used when you relocate or change your residency within the state.
This Form is used for combining accrued sick and annual leave in West Virginia.
This form is used for making changes to the designated beneficiary in West Virginia.
This form is used for providers to request more information about the Comprehensive Care Partnership (CCP) Program in West Virginia.
This form is used for prepayment of maternity benefits in the state of West Virginia.