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DEPARTMENT OF HEALTH SERVICES Division of Health Care Access and Accountability F00238A (10/14)STATE OF WISCONSIN DHS 107.10(2), Wis. Admin. CodeFORWARDHEALTHPRIOR AUTHORIZATION / PREFERRED DRUG LIST

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What is f-00238a 1014?

It is a form for reporting financial information.

Who is required to file f-00238a 1014?

Individuals or entities with financial transactions that need to be reported.

How to fill out f-00238a 1014?

You need to provide accurate financial information as requested on the form.

What is the purpose of f-00238a 1014?

The purpose is to report financial transactions for regulatory or compliance reasons.

What information must be reported on f-00238a 1014?

Financial transactions, income, expenses, and other relevant financial information.

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