Certifying Adherence to Cost Containment Policies and Procedures

Vocational Rehabilitation Provider Claim

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0960-0310 can be found here:

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File Type	application/pdf
File Title	Microsoft Word - SSA-199 Portal Screens
Author	177717
File Modified	2018-12-31
File Created	2018-12-31