Form SFN177 Mmis Attachment Cover Sheet - North Dakota

Form SFN177 Mmis Attachment Cover Sheet - North Dakota

What Is Form SFN177?

This is a legal form that was released by the North Dakota Department of Health and Human Services - a government authority operating within North Dakota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of the Form SFN177 Mmis Attachment Cover Sheet?
A: The Form SFN177 Mmis Attachment Cover Sheet is used to provide additional information and supporting documents with your application or request in North Dakota's Medicaid Management Information System (MMIS).

Q: How do I fill out the Form SFN177 Mmis Attachment Cover Sheet?
A: Fill out the necessary information on the form, such as your name, contact information, and the description of the attachments you are submitting. Make sure to include the corresponding MMIS transaction number if applicable.

Q: Can I submit multiple attachments using the Form SFN177 Mmis Attachment Cover Sheet?
A: Yes, you can submit multiple attachments using the Form SFN177 Mmis Attachment Cover Sheet. Just provide a clear and concise description of each attachment in the appropriate section of the form.

Q: Do I need to submit the Form SFN177 Mmis Attachment Cover Sheet for every attachment?
A: Yes, you should submit a separate Form SFN177 Mmis Attachment Cover Sheet for each attachment you are submitting. This helps to keep the documents organized and ensures that the correct information is linked to each attachment.

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Form Details:

  • Released on June 1, 2015;
  • The latest edition provided by the North Dakota 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 SFN177 by clicking the link below or browse more documents and templates provided by the North Dakota Department of Health and Human Services.

Download Form SFN177 Mmis Attachment Cover Sheet - North Dakota

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