PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form FA-1D
for the current year.
Form FA-1D Wheelchair Repair Form - Nevada
What Is Form FA-1D?
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form FA-1D?
A: Form FA-1D is a Wheelchair Repair Form in Nevada.
Q: What is the purpose of Form FA-1D?
A: Form FA-1D is used to request wheelchair repairs in Nevada.
Q: Who needs to fill out Form FA-1D?
A: Anyone who needs wheelchair repairs in Nevada needs to fill out Form FA-1D.
Q: Is there a fee for submitting Form FA-1D?
A: No, there is no fee for submitting Form FA-1D.
Q: How long does it take to process Form FA-1D?
A: The processing time for Form FA-1D may vary, so it's best to contact the Nevada Department of Health and Human Services for the most accurate information.
Q: What information is required on Form FA-1D?
A: Form FA-1D requires information such as personal details, wheelchair information, and details about the repairs needed.
Q: What should I do if I need assistance with Form FA-1D?
A: If you need assistance with Form FA-1D, you can contact the Nevada Department of Health and Human Services for guidance.
Form Details:
- Released on January 29, 2019;
- The latest edition provided by the Nevada 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 FA-1D by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
Download Form FA-1D Wheelchair Repair Form - Nevada
1
2
