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This Form is used for designating or changing a Medicaid authorized representative in New York. It is available in Spanish.
This form is used for designating or changing an authorized representative for Medicaid in New York.
This form is used for designating or changing the authorized representative for Medicaid in New York. It is available in Chinese.
This document is for requesting or making changes to the designation of a Medicaid authorized representative in New York for individuals who speak Haitian Creole.
This Form is used for designating or changing an authorized representative for Medicaid in New York, specifically for Italian-speaking individuals.
This document is used to designate or change a Medicaid authorized representative in New York for Korean speakers.
This form is used for designating or making changes to a Medicaid authorized representative in New York for Russian speakers.
This form is used for requesting changes to the Centers of Excellence in North Dakota.
This Form is used for requesting a change or addition to a residential endorsement in the state of Oregon.
This Form is used for requesting changes in airspace at the United States Air Force Academy.
This Form is used for requesting changes to the Work Control Document (WCD) in AFSC.
This Form is used for requesting a change in work schedule.
This form is used for requesting changes to the authorized manpower for a specific project or department.
This Form is used for requesting changes to the E-3 database.
This Form is used for requesting changes to computer software. It is specifically designed for the ACW Form 2.
This is a Postal Service worksheet the United States Postal Office (USPS) used for the personal convenience of its employees to temporarily change their regular timetable within specified periods.
This form is used for requesting a change in the allocation of respite units in Rhode Island.
This form is used for requesting changes to a program in the state of Texas.
This form is used for requesting changes to the Sand and Gravel General Permit in Washington state.
This document is used for requesting changes in manpower within the Air Force Reserve Command (AFRC).
This form is used for requesting a change in the certified lienholder in the state of Texas.
This form is used for requesting a change in company name in the state of Delaware.
This type of document is used for requesting changes to operations in the state of Utah.
This form is used to request a change in the capacity of a grain warehouse in North Dakota.
This Form is used for requesting a change in the company/service administrator in Delaware.
This form is used for notifying the authorities in New York about a name change.