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MVA Form AC-2 Addendum Rev. 06/10/04 HIPAA BUSINESS ASSOCIATE ADDENDUM DEPARTMENT OF HEALTH AND HOSPITALS MEDICAL VENDOR ADMINISTRATION ELIGIBILITY FIELD OPERATIONS APPLICATION CENTER: ACID# This

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What is mva form ac-2 addendum?

The MVA form AC-2 addendum is a supplemental form that is used to provide additional information or to correct information on the main AC-2 form for the Motor Vehicle Administration (MVA).

Who is required to file mva form ac-2 addendum?

Anyone who needs to provide supplementary or corrected information related to their AC-2 form filing with the MVA is required to file the AC-2 addendum.

How to fill out mva form ac-2 addendum?

To fill out the MVA form AC-2 addendum, you need to provide the required information in the designated fields or sections as indicated on the form. Make sure to review the instructions provided with the form for guidance on how to accurately complete the addendum.

What is the purpose of mva form ac-2 addendum?

The purpose of the MVA form AC-2 addendum is to provide additional information or correct any inaccuracies on the main AC-2 form submitted to the Motor Vehicle Administration.

What information must be reported on mva form ac-2 addendum?

The information that needs to be reported on the MVA form AC-2 addendum can vary depending on the specific circumstances. It typically includes details such as vehicle identification numbers (VINs), corrections to previously reported information, or any additional information requested by the MVA.

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