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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 470-2890
for the current year.
Form 470-2890 Payment Application for Nonregistered Providers - Iowa
What Is Form 470-2890?
This is a legal form that was released by the Iowa Department of Human Services - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 470-2890?
A: Form 470-2890 is a payment application for nonregistered providers in Iowa.
Q: Who needs to use Form 470-2890?
A: Nonregistered providers in Iowa need to use Form 470-2890 for payment applications.
Q: What is the purpose of Form 470-2890?
A: The purpose of Form 470-2890 is to apply for payment as a nonregistered provider in Iowa.
Form Details:
- Released on January 1, 2017;
- The latest edition provided by the Iowa Department of 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 printable version of Form 470-2890 by clicking the link below or browse more documents and templates provided by the Iowa Department of Human Services.
Download Form 470-2890 Payment Application for Nonregistered Providers - Iowa
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