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2013 FAIRVIEW PHARMACY ASSISTANCE FUND WORKSHEET
The Fairview Pharmacy Assistance Fund provides one-time prescription assistance to Fairview Clinic/Fairview Pharmacy patients
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What is failure to include proof?
Failure to include proof is the failure to provide necessary evidence or supporting documents to support a claim or request.
Who is required to file failure to include proof?
Individuals or organizations making a claim or request that requires supporting evidence or documents are required to file failure to include proof.
How to fill out failure to include proof?
To fill out failure to include proof, you need to clearly state the claim or request, explain the supporting evidence or documents that are missing, and provide any additional relevant information.
What is the purpose of failure to include proof?
The purpose of failure to include proof is to ensure that claims and requests are properly supported and substantiated by evidence or documents.
What information must be reported on failure to include proof?
On failure to include proof, you must report the nature of the claim or request, the specific evidence or documents that are missing, and any other relevant information required to support the claim or request.
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