Fillable pre authorization form

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Rule H1 Appendix II Page 1 Pre-Authorized Debits PADs Rule H1 Payor s PAD Agreement Mandatory and Supplementary Elements Introduction This Appendix II sets out the mandatory elements which must be included in every Payor s PAD Agreement for the purposes of Rule H1 and certain supplemental elements which may be included in a provisions using a different format or incorporating the provisions within a contract for...
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fillable pre authorization
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