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CV Form # 10700.21 R: 09.18State of Maine Department of Health & Human Services Maintain/MODEL Prior Authorization Form HEPATITIS C TREATMENT www.mainecarepdl.orgPhone: 18884450497Member ID #: Fax:

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What is form 10700?

Form 10700 is a financial disclosure form used by certain individuals to report their financial interests and holdings.

Who is required to file form 10700?

Individuals meeting certain criteria, such as government officials or employees, may be required to file form 10700.

How to fill out form 10700?

Form 10700 typically requires information about assets, liabilities, income, and transactions. It is important to follow the instructions provided with the form.

What is the purpose of form 10700?

The purpose of form 10700 is to promote transparency and prevent conflicts of interest by requiring individuals to disclose their financial interests and holdings.

What information must be reported on form 10700?

Information such as assets, liabilities, income sources, and transactions must be reported on form 10700.

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