IMPORTANT_NOTE-Attachment_A_Request_for_Confidential_Documents_Form.pdf

PDF 33 KB Posted

Attached to
Medical/Telehealth/Pharmacy, Wellness, Health Savings Account (HSA) and Health Reimbursement Arrangement (HRA) Administration, Dental, and Employee Assistance Program (EAP) Coverage
Solicitation number
260125
Issued by
Pima County, Tucson City, Arizona

About this file

The image contains an important informational note emphasizing the requirement to complete, sign, and return Attachment A, which is a Request for Confidential Documents Form. This form is necessary to receive confidential documents such as census and claims information. The specific document is located in the 260125 RFP Specifications Word Document on page 23. The note is printed in black text with the key elements (Attachment A and the form description) highlighted in cyan/blue.

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Text version

IMPORTANT NOTE:

YOU MUST COMPLETE, SIGN

AND RETURN

ATTACHMENT A

Request for Confidential Documents Form to receive confidential documents such census and claims, etc.

Document is located in the 260125 RFP Specifications Word Document, page 23.

File details come from the government source that posted it. Updated .