OR OHA 9088 2023-2025 free printable template
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PrintSave asReset formRequest for Cremated Remains Section 1: Deceased individual Last name:First:MI:Date of birth (if known):Date of death:Section 2: Requestor information Last name:First:MI:Address:
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How to fill out OR OHA 9088
01
Obtain the OR OHA 9088 form from the appropriate resource.
02
Start filling out your personal information at the top of the form.
03
Provide details regarding your health coverage or Medicare status in the specified sections.
04
Complete the income and asset information as required by the form.
05
Review the eligibility criteria and ensure you meet them before submitting the form.
06
Sign and date the form at the bottom.
07
Submit the completed form to the appropriate department as instructed.
Who needs OR OHA 9088?
01
Individuals applying for health care coverage or assistance in Oregon.
02
Residents seeking to enroll in the Oregon Health Plan or related programs.
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What is OR OHA 9088?
OR OHA 9088 is a form used in Oregon for reporting the ownership and control of a healthcare provider organization, which may be required for regulatory and compliance purposes.
Who is required to file OR OHA 9088?
Healthcare provider organizations operating in Oregon that are subject to state regulations related to ownership and control must file OR OHA 9088.
How to fill out OR OHA 9088?
To fill out OR OHA 9088, gather all necessary information regarding the organization’s ownership, complete each section of the form accurately, and submit it according to the instructions provided by the Oregon Health Authority.
What is the purpose of OR OHA 9088?
The purpose of OR OHA 9088 is to provide the Oregon Health Authority with comprehensive details about the ownership and control of healthcare providers to ensure compliance with state regulations.
What information must be reported on OR OHA 9088?
Information required on OR OHA 9088 includes the names and addresses of owners, controlling persons, and other relevant details about the organization’s structure and governance.
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