FFM User Fee Adjustment Web Form Quick Start Guide
Figure15: FFM User Fee Adjustment Issuer Attestation
5.2
Confirmation
An acknowledgement email will be sent from
FFMuserfeeadjustments@cms.hhs.gov
to
the email addresses provided in the Contact Information and Attester Details sections
of the web form. It is recommended that you save and print a PDF of the confirmation for
your records. The PDF is the formal confirmation of attestation and submitted FFM User
Fee Adjustment information.
Table 8: Confirmation
Step
Action
1
Select the PDF button to view the confirmation. It is recommended that
you print/save the PDF confirmation for your records.
FFM User Fee Adjustment Web Form Quick Start Guide
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