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.
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.
Form Details:
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.