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STATE OF OHIO
Notification of Drug and/or Alcohol Testing
Applicant / Employee Namesake of Ohio User Identification NumberAgency Name / Contact Personages Billing Code / Facility NumberAgency Phone
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How to fill out form 5-digit agency billing
How to fill out form 5-digit agency billing
01
Start by gathering all the required information and documents.
02
Begin by filling in your agency's name and contact details at the top of the form.
03
Enter the 5-digit agency billing code in the designated field.
04
Provide all the necessary billing details, including the billing period, date, and amount.
05
Make sure to double-check all the entered information for accuracy.
06
Sign and date the form before submitting it to the appropriate recipient.
07
Keep a copy of the filled-out form for your records.
Who needs form 5-digit agency billing?
01
Form 5-digit agency billing is required by agencies or organizations that need to bill or be billed by another party using a 5-digit billing code. It is often used in various government or commercial transactions where a standardized billing system is employed.
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