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MEDICAL ASSISTANCE TRANSPORTATION PROGRAM MILEAGE REIMBURSEMENT Forms must be received within 30 calendar days of the date of service PART I: Incomplete, illegible, or late forms will result in delayed

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What is single trip form?

The single trip form is a document that must be filled out to report a one-time transportation of goods from one location to another.

Who is required to file single trip form?

Any person or entity who is transporting goods on a one-time basis is required to file a single trip form.

How to fill out single trip form?

To fill out the single trip form, you need to provide relevant information such as the details of the goods being transported, the origin and destination of the trip, and any applicable permits or licenses.

What is the purpose of single trip form?

The purpose of the single trip form is to ensure that the transportation of goods on a one-time basis is properly reported and documented for regulatory and compliance purposes.

What information must be reported on single trip form?

The single trip form must include details such as the type and quantity of goods, modes of transportation, the name and contact information of the transporter, and any applicable permits or licenses.

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