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Form F-11237 Specialized Medical Vehicle Providers Affidavit - Wisconsin
What Is Form F-11237?
This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form F-11237?
A: Form F-11237 is the Specialized Medical Vehicle Providers Affidavit used in Wisconsin.
Q: Who needs to fill out Form F-11237?
A: Specialized medical vehicle providers in Wisconsin need to fill out Form F-11237.
Q: What is the purpose of Form F-11237?
A: The purpose of Form F-11237 is to certify that a specialized medical vehicle provider meets the necessary requirements to be eligible for reimbursement in Wisconsin.
Q: Are there any fees associated with submitting Form F-11237?
A: There are no fees associated with submitting Form F-11237.
Form Details:
- Released on January 1, 2022;
- The latest edition provided by the Wisconsin Department of Health 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 fillable version of Form F-11237 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
Download Form F-11237 Specialized Medical Vehicle Providers Affidavit - Wisconsin
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