Form 7.0 Certification of Notice to Administrator of Medicaid Estate Recovery Program - Greene County, Ohio

Form 7.0 Certification of Notice to Administrator of Medicaid Estate Recovery Program - Greene County, Ohio

What Is Form 7.0?

This is a legal form that was released by the Probate Court - Greene County, Ohio - a government authority operating within Ohio. The form may be used strictly within Greene County. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 7.0?
A: Form 7.0 is a certification form for the Notice to Administrator of Medicaid Estate Recovery Program in Greene County, Ohio.

Q: What is the purpose of Form 7.0?
A: The purpose of Form 7.0 is to certify the notice given to the Administrator of the Medicaid Estate Recovery Program in Greene County, Ohio.

Q: Who is the intended recipient of Form 7.0?
A: The Administrator of the Medicaid Estate Recovery Program in Greene County, Ohio is the intended recipient of Form 7.0.

Q: What does the certification on Form 7.0 include?
A: The certification on Form 7.0 includes the date the notice was mailed or delivered, the name and address of the recipient, and a declaration of the method used to deliver the notice.

Q: Is Form 7.0 specific to Greene County, Ohio?
A: Yes, Form 7.0 is specific to Greene County, Ohio's Medicaid Estate Recovery Program.

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Form Details:

  • Released on June 1, 2014;
  • The latest edition provided by the Probate Court - Greene County, Ohio;
  • 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 7.0 by clicking the link below or browse more documents and templates provided by the Probate Court - Greene County, Ohio.

Download Form 7.0 Certification of Notice to Administrator of Medicaid Estate Recovery Program - Greene County, Ohio

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  • Form 7.0 Certification of Notice to Administrator of Medicaid Estate Recovery Program - Greene County, Ohio, Page 1
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