Crime Victims Statement for Home Nursing Services

Crime Victims Statement for Home Nursing Services - (Forms/Publications)
Document Information
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Title Crime Victims Statement for Home Nursing Services (A fillable form - 156 KB PDF)
Description

Used by the Crime Victims Compensation Program providers for reimbursement of home nursing services. Crime Victims Compensation Program providers are required to bill using this form.

Detail
Form number F800-070-000
Availability
Online only. See document above to download.
Keywords billing, bills, cvc, home care, home services, medical billing, victim
Languages English
Valid dates 11-2013
Contact information
Web pages Help for Crime Victims

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