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This Job Aid provides detailed instructions on how to change the Office Administrator associated with a provider\'s record in the North Carolina Medicaid Management Information System (NCMMIS). It outlines the steps required for registered providers to update their Office Administrator, including necessary information and processes for completing the application effectively.
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How to fill out change office administrator application

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How to fill out change office administrator application

01
Begin by downloading the change office administrator application form from the official website.
02
Fill in your personal information, including your name, address, and contact details.
03
Provide your current job title and department.
04
Clearly specify the reason for the change in office administrator.
05
Include any relevant supporting documents that justify your request.
06
Review your application for accuracy and completeness.
07
Sign and date the application form.
08
Submit the application to the designated office or email address.

Who needs change office administrator application?

01
Employees seeking to change their office administrator.
02
Managers looking to update their office administration staff.
03
HR personnel responsible for processing office changes.
04
Organizations undergoing restructuring that impacts office administration.
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The change office administrator application is a formal request submitted to notify relevant authorities about changes in the designated office administrator for an organization.
Organizations that have appointed a new office administrator or changed their current office administrator are required to file this application.
To fill out the application, provide necessary details including the organization's information, the current administrator's information, and the new administrator's information, along with any required signatures.
The purpose of this application is to officially inform the governing body of a change in the individual responsible for managing office-related activities and compliance within the organization.
The application must report the organization's name, address, details of the current office administrator, and details of the new office administrator, including contact information.
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