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AMENDMENT NUMBER 12 TO AGREEMENT NUMBER 4400007944 This Amendment is made between the Commonwealth of Pennsylvania, Department of Aging (hereinafter referred to as Department) and Magellan Medicaid
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How to fill out amendment number 12 to
01
Obtain a copy of the original document that you are amending.
02
Clearly label the document as Amendment Number 12 at the top.
03
Clearly state which sections or parts of the original document are being amended.
04
Provide the reasoning or rationale for each amendment being made.
05
Include any relevant supporting documentation or evidence for the amendments.
06
Have all parties involved in the original document review and sign off on the amendments.
07
Make sure to keep a copy of the amended document for your records.
Who needs amendment number 12 to?
01
Anyone who needs to make changes or updates to an existing legal document or agreement may need Amendment Number 12.
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What is amendment number 12 to?
Amendment number 12 is to the original document or filing that requires modification or updates.
Who is required to file amendment number 12 to?
Those who made errors in the original document or filing are required to file amendment number 12.
How to fill out amendment number 12 to?
To fill out amendment number 12, the individual must identify the errors in the original document and provide the correct information.
What is the purpose of amendment number 12 to?
The purpose of amendment number 12 is to ensure accurate and updated information is available.
What information must be reported on amendment number 12 to?
The information that needs to be reported on amendment number 12 includes the errors in the original document and the correct information to be updated.
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