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IHS976 (10/2017)DEPARTMENT OF HEALTH AND HUMAN SERVICE
Indian Health ServiceNow APPROVED: OMB NO. 09170040
Expiration Date: 03/31/2022
See OMB Statement on Page 3PURCHASED / REFERRED CARE
PROOF OF
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What is form ihs-976 purchased referred?
Form IHS-976 Purchased Referred is a form used to report purchases of referred goods and services.
Who is required to file form ihs-976 purchased referred?
Any individual or business entity that has purchased referred goods or services is required to file Form IHS-976.
How to fill out form ihs-976 purchased referred?
Form IHS-976 should be filled out with the details of the purchased referred goods or services, including the date of purchase, amount paid, and the seller's information.
What is the purpose of form ihs-976 purchased referred?
The purpose of Form IHS-976 is to report purchases of referred goods and services for tax or compliance purposes.
What information must be reported on form ihs-976 purchased referred?
Information such as the date of purchase, amount paid, seller's information, and description of the referred goods or services must be reported on Form IHS-976.
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