PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form LR-207B
for the current year.
Form LR-207B Medicaid Information Fax Form - New York City
Fill PDF Online
Fill out online for free
without registration or credit card
What Is Form LR-207B?
This is a legal form that was released by the New York City Department of Social Services - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
- Released on October 30, 2020;
- The latest edition provided by the New York City Department of Social 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 LR-207B by clicking the link below or browse more documents and templates provided by the New York City Department of Social Services.
