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Instructions for Form F-11130 Tribal and Out-of-State Federally Qualified Health Center Interim Report - Wisconsin
This document contains official instructions for Form F-11130 , Tribal and Out-of-State Federally Qualified Health Center Interim Report - a form released and collected by the Wisconsin Department of Health Services.
FAQ
Q: What is Form F-11130?
A: Form F-11130 is a Tribal and Out-of-State Federally Qualified Health Center Interim Report.
Q: Who is required to fill out Form F-11130?
A: Tribal and Out-of-State Federally Qualified Health Centers in Wisconsin are required to fill out this form.
Q: What is the purpose of this form?
A: The purpose of Form F-11130 is to gather interim data on the operations and activities of Tribal and Out-of-State Federally Qualified Health Centers.
Q: When is this form due?
A: The due date for Form F-11130 is determined by the Wisconsin Department of Health Services.
Q: Is there a fee associated with submitting this form?
A: There is no fee associated with submitting Form F-11130.
Q: Are there any penalties for not submitting this form?
A: Failure to submit Form F-11130 may result in sanctions or loss of funding for Tribal and Out-of-State Federally Qualified Health Centers.
Q: Who should I contact if I have questions about Form F-11130?
A: For any questions regarding Form F-11130, you should contact the Wisconsin Department of Health Services.
Instruction Details:
- This 3-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.
Download Instructions for Form F-11130 Tribal and Out-of-State Federally Qualified Health Center Interim Report - Wisconsin
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