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DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services F00389 (01/2017)STATE OF WISCONSIN Federal Regulation 34 CFR 303.225 (a)(2) BIRTH TO 3 PROGRAM PROVIDER REPORT OF REVENUE The provision
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What is 225 (a)(2) Form?

The 225 (a)(2) is a fillable form in MS Word extension that can be filled-out and signed for specified purposes. In that case, it is furnished to the actual addressee to provide certain details of any kinds. The completion and signing can be done in hard copy by hand or using an appropriate solution like PDFfiller. These tools help to send in any PDF or Word file without printing them out. It also allows you to customize it for your requirements and put a legal e-signature. Upon finishing, the user ought to send the 225 (a)(2) to the respective recipient or several of them by email or fax. PDFfiller provides a feature and options that make your Word template printable. It offers different options for printing out. It does no matter how you'll deliver a form - in hard copy or by email - it will always look professional and clear. In order not to create a new file from the beginning over and over, make the original document into a template. Later, you will have a customizable sample.

Instructions for the 225 (a)(2) form

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