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PDFWAC 284-20C-080

Reference copies of amendatory forms.

If a provider will use a previously approved Washington amendatory form with a new contract, the filer must:
(1) Provide a copy of the amendatory form as supporting documentation; or
(2) Provide the company tracking number from the contract filing under which the endorsement was filed and approved; and
(3) Explain how the provider will use the amendatory form with the new contract.
[Statutory Authority: RCW 48.02.060, 48.110.150. WSR 08-21-091 (Matter No. 2007-11), ยง 284-20C-080, filed 10/15/08, effective 2/1/09.]
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