Form ODM03245 Notification of Third Party (Tort) Request for Release - Ohio

Form ODM03245 Notification of Third Party (Tort) Request for Release - Ohio

What Is Form ODM03245?

This is a legal form that was released by the Ohio Department of Medicaid - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form ODM03245?
A: Form ODM03245 is the Notification of Third Party (Tort) Request for Release form.

Q: Who needs to fill out Form ODM03245?
A: The form needs to be filled out by individuals or organizations who have received a request for release of information related to a tort claim in Ohio.

Q: What is a tort claim?
A: A tort claim is a claim for damages or injury to a person or property caused by another person's negligence or intentional act.

Q: What is the purpose of Form ODM03245?
A: The purpose of this form is to notify the Ohio Department of Medicaid about a request for release of information related to a tort claim.

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Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Ohio Department of Medicaid;
  • 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 ODM03245 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM03245 Notification of Third Party (Tort) Request for Release - Ohio

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