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Form 123_01-319 Private Provider Plan Compliance Affidavit - Miami-Dade County, Florida
What Is Form 123_01-319?
This is a legal form that was released by the Department of Regulatory and Economic Resources - Miami-Dade County, Florida - a government authority operating within Florida. The form may be used strictly within Miami-Dade County. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 123_01-319?
A: Form 123_01-319 is a compliance affidavit.
Q: Who is required to fill out this form?
A: Private providers in Miami-Dade County, Florida are required to fill out this form.
Q: What is the purpose of this form?
A: The purpose of this form is to ensure compliance with the Private Provider Plan in Miami-Dade County, Florida.
Q: What information is required on this form?
A: The form requires information about the private provider, including their name, address, and contact information.
Form Details:
- Released on September 1, 2020;
- The latest edition provided by the Department of Regulatory and Economic Resources - Miami-Dade County, Florida;
- 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 123_01-319 by clicking the link below or browse more documents and templates provided by the Department of Regulatory and Economic Resources - Miami-Dade County, Florida.
