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Arizona Department of Economic Security Arizona Health Care Cost Containment SystemExpungement Time Frame for Unused Benefits05/25/2021Program Impact: NA This Urgent Bulletin is being issued to inform
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Begin by entering the client's information in the designated fields. This should include their name, contact information, and any other relevant details.
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Specify the type of services provided by selecting the appropriate categories from the provided options. This may include a range of services such as medical assistance, counseling, legal advice, etc.
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Provide a detailed description of each service offered and the method of delivery. This can entail explaining the process, duration, cost, and any additional requirements or conditions.
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Once all the necessary information has been filled out, review the document for accuracy and completeness to avoid any misunderstandings or errors.
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DES-1139A is a form used to report services provided by a contractor or supplier to the State of California.
Contractors and suppliers who provide services to the State of California are required to file DES-1139A.
DES-1139A can be filled out online or downloaded from the California State Controller's Office website. The form requires information such as the contractor or supplier's name, services provided, and payment details.
The purpose of DES-1139A is to accurately report services provided by contractors and suppliers to the State of California for auditing and payment purposes.
Information such as the contractor or supplier's name, services provided, payment details, and any relevant invoices or receipts must be reported on DES-1139A.
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