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Table of Contents State/Territory Name: FL State Plan Amendment (SPA) #:FL170001MM41) Approval Letter 2) CMS 179 Form/Summary Form (with 179like data) 3) SPA PagesDEPARTMENT OF HEALTH & HUMAN SERVICES
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How to fill out stateterritory name fl
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On the form, locate the field labeled 'State/Territory Name'
02
Write 'FL' in the provided space
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Make sure to write the letters in uppercase
04
Double-check for any errors before submitting the form
Who needs stateterritory name fl?
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Individuals filling out forms that require specifying the state or territory name might need to provide 'FL' as the abbreviation for Florida.
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