[Skip Navigation]
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 PREPAID LIMITED HEALTH SERVICE ORGANIZATION APPLICATION PACKAGE
OIR-C1-1119
APPLICATION FOR CERTIFICATE OF AUTHORITY PREPAID LIMITED HEALTH SERVICE ORGANIZATION
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