Get the free Form 5A: Services Provided (Required Services) - bphc hrsa
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration OMB No.: 09150285. Expiration Date: 1/31/2020Form 5A: Services Provided
(Required Services)FOR RSA USE ONLY
Application
Grant
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What is form 5a services provided?
Form 5a services provided is a form used to report services provided by a business or individual.
Who is required to file form 5a services provided?
Any business or individual that provides services is required to file form 5a services provided.
How to fill out form 5a services provided?
Form 5a services provided can be filled out by providing details of the services provided, including the description, date, and amount.
What is the purpose of form 5a services provided?
The purpose of form 5a services provided is to report income generated from services provided.
What information must be reported on form 5a services provided?
Information such as description of services, date of service, amount received, and recipient of services must be reported on form 5a services provided.
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