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Form 12509 North Carolina: What You Should Know

Form 2 — Notice of Objection from Department of Social Services. This form is signed by your Representative, and will be used as the official notice from the DSS for your request for the Department of Social Services to reconsider your application for Medicaid Benefits. Form 2-C: Notice of Objection from DSS. The Department of Social Services will respond to your objection with a determination regarding your application for Medicaid Benefits. Notice of Objection Form 2016—NC-242 From Department of Social Services. Notice of Objection Form 2016—NC-242 From Department of Social Services. Notice of Objection Form 2016— NC-242 From Department of Social Services. Notice of Objection Form 2016— NC-242. Notice of Objection Form 2016—NC-242 From Department of Social Services. Notice of Determination from Department of Social Services Regarding Application for Medicaid Benefits. 12509 Ir's Form 2016–2022. File it ASAP, so it can be submitted to the Office of Administrative Law judges immediately. Objection and Request for Departmental Review — REBECCA Sep 22, 2023 — Form NC142 Irregularity in Receipt of Medical Assistance: Application by CRS Receiving Public Benefits from Other State or Territorial Public Benefits Program.  (This form is used to get this determination, and it gives you a deadline to file.  Request for Departmental Review. Do NOT file this form without someone to help you draft the statement. This is for all states except the D.C. You must have someone who knows the law and can guide you to the right form, not for you. Form NC-142 is a very quick, easy to review form. Form NC-142. Fill in as follows: Notice of Objection (NOC) — From DSS. Do not be surprised if your state sends you a hard copy of this form for you to fill-out or print. DSS, as required, will not fax this notice to you. You can get it from your state's Social Services office by contacting the appropriate agency within the DSS. Request for Departmental Review. Do NOT file this form without someone to help you draft the statement. Form NC-142 is a very quick, easy to review form.

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