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273 AT FFS 10/2018 For State use only.APPROVEDDate: By: REQUEST FOR SERVICE AUTHORIZATIONDates of Service: FOR SERVICES NOT ADDRESSED ON EPS DT: SA #: OTHER FORMS (FeeforService (FFS) Program Only
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273AT FFS services refers to a specific filing requirement related to Fees for Service transactions under certain regulations.
Entities or individuals who provide Fees for Service in specified transactions are required to file the 273AT forms.
To fill out the 273AT FFS form, gather the required information regarding your Fees for Service activities and follow the specific instructions provided by the relevant authority.
The purpose of 273AT FFS is to ensure compliance with regulatory requirements by documenting Fees for Service transactions.
Information required typically includes the nature of services rendered, amounts charged, and details of the transaction.
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