Form I-60 Dental Claim Form - New York

Form I-60 Dental Claim Form - New York

What Is Form I-60?

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

FAQ

Q: What is Form I-60?
A: Form I-60 is a Dental Claim Form used in New York.

Q: Who uses Form I-60?
A: Dentists in New York use Form I-60 to submit dental claims.

Q: What is the purpose of Form I-60?
A: Form I-60 is used to request reimbursement for dental services.

Q: Is Form I-60 specific to New York?
A: Yes, Form I-60 is specific to dental claims in New York.

Q: What information is required on Form I-60?
A: Form I-60 requires information about the patient, dentist, and dental services provided.

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Form Details:

  • The latest edition provided by the New York State Office of Victim 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 printable version of Form I-60 by clicking the link below or browse more documents and templates provided by the New York State Office of Victim Services.

Download Form I-60 Dental Claim Form - New York

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  • Form I-60 Dental Claim Form - New York, Page 1
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