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AHC CCS MEDICAL POLICY MANUALEXHIBIT 16208, CONTRACTOR CHANGE REQUEST FORM Member Name Date of BirthAHCCCS ID #CURRENT CONTRACTOR INFORMATION PERSON REQUESTING CHANGEPHONE #CONTRACTOR NAME FISCAL

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How to fill out exhibit 1620-8 contractor change

01

Begin by downloading exhibit 1620-8 contractor change form from the official website.

02

Read the instructions provided on the form thoroughly to understand the requirements.

03

Fill out the contractor's information section by providing the name, address, and contact details.

04

Specify the reason for the change in the designated section.

05

Attach any necessary supporting documents or references to ensure clarity.

06

Review the completed form to ensure all information is accurate and in accordance with the instructions provided.

07

Submit the filled-out exhibit 1620-8 contractor change form to the appropriate authority or department.

Who needs exhibit 1620-8 contractor change?

01

Exhibit 1620-8 contractor change is required by individuals or companies who have undergone changes in their contractor details.

02

This form is necessary for anyone making alterations to the contractor associated with a particular project or agreement.

03

It is used to notify the relevant parties about the change and update the official records.

04

Both the contractor and the contracting party may be responsible for completing and submitting the exhibit 1620-8 contractor change form, depending on the agreement or regulations.

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What is exhibit 1620-8 contractor change?

Exhibit 1620-8 contractor change is a form used to report changes in contractor information.

Who is required to file exhibit 1620-8 contractor change?

Any party involved in a contract that has experienced changes in contractor information is required to file exhibit 1620-8 contractor change.

How to fill out exhibit 1620-8 contractor change?

Exhibit 1620-8 contractor change must be filled out by providing updated contractor information in the designated fields.

What is the purpose of exhibit 1620-8 contractor change?

The purpose of exhibit 1620-8 contractor change is to ensure that updated contractor information is accurately captured and documented.

What information must be reported on exhibit 1620-8 contractor change?

Information such as the contractor's name, contact details, address, and any other relevant contact information must be reported on exhibit 1620-8 contractor change.

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