Form Wc131 Request For Utilization Review
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Complete Form Wc131 Request For Utilization Review with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
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Instructions for Completing the
Request for Utilization Review
Please read all pages
This form is “fillable”. That means you can type the information onto
the form from your computer and print the form. You will not be able
to save the form onto your computer’s hard drive.
When you open the form, click in the “Date of Request” box (field),
complete the information, and use the tab key to navigate to the next
field. Do not use the Enter key; pressing the Enter key will only page
down. Each field has been limited. This means that you cannot
continue to type information into a field if it doesn’t fit into the space
provided.
Use numbers only to fill in the fields for phone number Do not use
dashes or parentheses; when you tab out of the field, it will fill in
automatically.
To clear or delete all the information you have typed onto the form,
click on the red
“Clear Entire
Form” button. To change the information
in one field, use the backspace or delete key.
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Parent category: Legal