Request of Extension of Time Periods for Extenuating Circumstances

No Surprise Act: IDR Process

13. Appendix-13 Request for Extension Notice

Request of Extension of Time Periods for Extenuating Circumstances

OMB: 1210-0169

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title14. Appendix 14-Request for Extension
AuthorJanny Frimpong
File Modified0000-00-00
File Created2023-08-28

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