Firm Vocational Provider Account Change
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
||
| Title |
Firm Vocational Provider Account Change (A fillable form - 118 KB PDF)
|
|
| Description | To change a firm's (payee provider's) branch address within the same service location, contact info, tax info, adding or deleting designee for your firm. | |
| Detail | ||
| Form number | F252-022-000 | |
| Availability | Online only. See document above to download. |
|
| Keywords | voc rehab, vocational, vocational provider, vocational rehab | |
| Languages | English | |
| Valid dates | 08-2007 | |
| Contact information |
Vocational Resources
|
|
| Web pages | For Medical Providers For Vocational Counselors |
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