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HEADLINES:
NOTICE: Form OIR-C1-905 "Instructions for Furnishing Background Investigative Reports", has been revised. Applications submitted after January 1, 2005 that do not follow the revised instructions may be returned as incomplete.
ALL FORMS
APPLICATION FOR CERTIFICATE OF AUTHORITY MEDICARE PLUS CHOICE PROVIDER SPONSORED ORGANIZATIONS (PSO) PACKAGE
OIR-C1-1499
APPLICATION FOR CERTIFICATE OF AUTHORITY MEDICARE PLUS CHOICE PROVIDER SPONSORED ORGANIZATIONS (PSO)
OIR-C1-1479
APPLICATION FOR CERTIFICATE OF AUTHORITY MEDICARE PLUS CHOICE PROVIDER SPONSORED ORGANIZATIONS (PSO) - MANAGEMENT INFORMATION FORM
OIR-C1-903
INVOICE - REQUEST FOR PAYMENT OF FINGERPRINT CHARGES
OIR-C1-905
INSTRUCTIONS FOR FURNISHING BACKGROUND INVESTIGATIVE REPORTS
OIR-C1-938
FINGERPRINT CARD INSTRUCTIONS
OIR-C1-1423
BIOGRAPHICAL AFFIDAVIT