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Instructions for Form F-01197 Certification of Need for Specialized Medical Vehicle Transportation - Wisconsin
This document contains official instructions for Form F-01197 , Certification of Need for Specialized Medical Vehicle Transportation - a form released and collected by the Wisconsin Department of Health Services. An up-to-date fillable Form F-01197 is available for download through this link.
FAQ
Q: What is Form F-01197?
A: Form F-01197 is a document used in Wisconsin for the certification of need for specialized medical vehicle transportation.
Q: Who needs to fill out Form F-01197?
A: This form needs to be filled out by individuals or organizations requesting certification for specialized medical vehicle transportation.
Q: What is the purpose of Form F-01197?
A: The purpose of this form is to certify the need for specialized medical vehicle transportation in Wisconsin.
Q: Are there any fees associated with Form F-01197?
A: Yes, there is a non-refundable fee of $10 for each certification request.
Q: What supporting documentation should be included with Form F-01197?
A: Supporting documentation may include medical records, prescriptions, or a letter from a healthcare provider.
Q: How long does it take to process Form F-01197?
A: The processing time for Form F-01197 is not specified, but it can take several weeks to receive a response.
Q: What happens after submitting Form F-01197?
A: After submitting the form, the DHS will review the request and notify the applicant of the decision in writing.
Q: Can I appeal if my request is denied?
A: Yes, if the request is denied, the applicant can appeal the decision within 30 days of receiving the denial notice.
Instruction Details:
- This 1-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Wisconsin Department of Health Services.
