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Redetermination Request Separator Sheet Instructions EspaƱol

If you need to send more than one redetermination request in a single fax transmission, you can do so with the Redetermination Request Separator SheetPDF. Whether you have two, three, or more separate redetermination requests, simply insert the separator sheet in between each of the requests in your fax. When CGS receives the fax, our scanning technology will detect the separator sheet and know to separate each section of the fax automatically.

Download or print the Redetermination Request Separator Sheet.PDF

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