OOS Referral/Eligibility Category 1 (Appt Scheduled)
Document Number: DVR-17347-E
Description: This letter is to be completed and sent to every DVR consumer who is a Category 1 at the time of Eligibility and OOS Category determination is made where the consumer has an appointment already scheduled with the local DVR Office.
Comments: This form is protected from modification and enabled for form fill (includes tabbed fields for form completion).
Content Contact: Audrey Merten
Document Attachment: DVR-17347-E (Word/89 KB)
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