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This version of the form is not currently in use and is provided for reference only. Download this version of
Instructions for Form ODM06613
for the current year.
Instructions for Form ODM06613 Accident / Injury Insurance Information - Ohio
This document contains official instructions for Form ODM06613 , Accident/Injury Insurance Information - a form released and collected by the Ohio Department of Medicaid. An up-to-date fillable Form ODM06613 is available for download through this link.
FAQ
Q: What is Form ODM06613?
A: Form ODM06613 is a document for Accident/Injury Insurance Information in Ohio.
Q: Who needs to fill out Form ODM06613?
A: This form needs to be filled out by individuals in Ohio who have experienced an accident or injury and are seeking insurance coverage.
Q: What information is required on Form ODM06613?
A: Form ODM06613 requires information such as personal details, description of the accident/injury, and insurance information.
Q: How do I fill out Form ODM06613?
A: You need to provide accurate and complete information about yourself, the accident/injury, and your insurance coverage. Follow the instructions provided on the form.
Q: Is Form ODM06613 mandatory?
A: Form ODM06613 is not mandatory for everyone. It is only required if you are seeking insurance coverage for an accident or injury in Ohio.
Instruction Details:
- This 1-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Ohio Department of Medicaid.
