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The following provides access and/or information for many CMS forms. You may also use the "Search" feature to more quickly locate information for a specific form number or form title.

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  There are 210 items in this list.
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Form # Click here to sort this list by the Form # column in ascending order Click here to sort this list by the Form # column in descending orderForm Title Click here to sort this list by the Form Title column in ascending order Click here to sort this list by the Form Title column in descending orderRevision Date Click here to sort this list by the Revision Date column in ascending order Click here to sort this list by the Revision Date column in descending order
CMS 40BAPPLICATION FOR ENROLLMENT IN MEDICARE01/01/1990
CMS 40FAPPLICATION FOR ENROLLMENT IN MEDICAL INS UNDER MEDICARE11/01/1981
CMS L457ACKNOWLEDGMENT OF REQUEST FOR MEDICARE MEDICAL INSURANCE TERMINATION02/01/2003
CMS L458ACKNOWLEDGMENT OF REQUEST FOR PREMIUM HOSPITAL INSURANCE TERMINATION02/01/2003
CMS 1592SMI PREMIUM ACCTG FORM07/01/1986
CMS 1960REQUEST FOR EVIDENCE OF MEDICAL NECESSITY05/01/1969
CMS 2384THIRD PARTY PREMIUM BILLING REQUEST, MEDICARE11/01/2003
CMS 2690REQ FOR CANCELLATION OF SMI03/01/1978
CMS 222INDEPENDENT RURAL HEALTH CLINIC WORKSHEET01/01/2005
CMS 265INDEPENDENT RENAL DIALYSIS FACILITY COST REPORT03/01/2005
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Data Last Updated : 05/09/2008
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