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ATTACHMENT I Am NOTICE OF INTENT TO AUTHORIZE/REAUTHORIZE OR DENY YOUR PARTICIPATION IN THE LONG TERM HOME HEALTH CARE PROGRAM (THICK) NOTICE DATE: NAME AND ADDRESS OF AGENCY/CENTER OR DISTRICT OFFICE
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Begin by obtaining the necessary form, Attachment IA - Notice, which can typically be found on the website of the organization or entity requiring it.
02
Carefully read the instructions provided with the form to understand the purpose and requirements of Attachment IA - Notice.
03
Enter your personal information accurately and completely, including your full name, address, contact details, and any other information requested on the form.
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Provide any additional information or documentation required by the form, such as proof of identity, supporting evidence, or any other relevant information.
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Review the completed form thoroughly to ensure that all information is accurate and legible. Make any necessary corrections or additions before submitting the form.
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Follow the submission instructions provided on the form to send the completed Attachment IA - Notice to the designated recipient.
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Keep a copy of the completed form for your records as proof of submission.

Who needs Attachment IA - Notice:

01
Individuals or entities who are required to provide additional information or documentation related to a particular process or application.
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Those seeking to supplement their existing submissions or applications with relevant supporting evidence or information.
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Individuals or organizations who have been requested to provide specific details or materials to fulfill certain legal or administrative requirements.
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Attachment IA - Notice is a form used to report certain information to the relevant authority.
Any individual or entity that meets the criteria set by the authority.
The form must be completed accurately and all required information must be provided.
The purpose of Attachment IA - Notice is to ensure that relevant information is reported to the authority.
Information such as income, expenses, and other financial details may need to be reported on Attachment IA - Notice.
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