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2010 Accident and Health Gross Annual Premiums (GAP) and Enrollment Data Filing Training Materials >> Read More
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
FISCAL INTERMEDIARY SERVICES ORGANIZATION APPLICATION PACKAGE
OIR-C1-1412
FISCAL INTERMEDIARY SERVICES ORGANIZATION REGISTRATION
OIR-C1-905
INSTRUCTIONS FOR FURNISHING BACK GROUND INVESTIGATIVE REPORTS
OIR-C1-903
REQUEST FOR PAYMENT OF FINGERPRINT CHARGES
OIR-C1-938
FINGERPRINT CARD INSTRUCTIONS
OIR-C1-1423
BIOGRAPHICAL AFFIDAVIT