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This version of the form is not currently in use and is provided for reference only. Download this version of
Form FA-24
for the current year.
Form FA-24 Authorization Request for Personal Care Services (PCS) - Nevada
What Is Form FA-24?
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. Check the official instructions before completing and submitting the form.
FAQ
Q: What is Form FA-24?
A: Form FA-24 is an Authorization Request forPersonal Care Services (PCS) in Nevada.
Q: What can I use Form FA-24 for?
A: Form FA-24 is used to request authorization for personal care services in Nevada.
Q: Who needs to complete Form FA-24?
A: Anyone seeking authorization for personal care services in Nevada needs to complete Form FA-24.
Q: How do I fill out Form FA-24?
A: You need to provide personal information, the type of services requested, and other required details on Form FA-24.
Q: Are there any fees associated with Form FA-24?
A: There may be fees associated with the personal care services requested, but not directly related to Form FA-24.
Q: What happens after I submit Form FA-24?
A: After submitting Form FA-24, the department or agency will review your request and determine if authorization for personal care services will be granted.
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-24 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
Download Form FA-24 Authorization Request for Personal Care Services (PCS) - Nevada
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