Form 3696 Expression of Intermediary Preference - Texas

Form 3696 Expression of Intermediary Preference - Texas

What Is Form 3696?

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

FAQ

Q: What is Form 3696?
A: Form 3696 is the Expression of Intermediary Preference form.

Q: What does Form 3696 capture?
A: Form 3696 captures the preferences of intermediaries in Texas.

Q: Who needs to complete Form 3696?
A: Intermediaries in Texas need to complete Form 3696.

Q: Why is Form 3696 important?
A: Form 3696 helps capture the preferences of intermediaries, which can be useful for various purposes.

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Form Details:

  • Released on June 1, 2005;
  • The latest edition provided by the Texas 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 3696 by clicking the link below or browse more documents and templates provided by the Texas Health and Human Services.

Download Form 3696 Expression of Intermediary Preference - Texas

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  • Form 3696 Expression of Intermediary Preference - Texas, Page 1
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