Web2 Application (CMS-1572A) Go to the Application (CMS-1572A) tab, and enter the following: Type of Survey – Initial (G2): Standard Eligibility (G7): 2 Medicaid Administrator (G8): Select the Administrator Type from the Administration tab in Facility Properties Branch Offices: Select checkbox for (G16) Has Branches WebHow to use Material Disclosure Form –Business Information Tab 11 Field Name Intel Requirement Form Type Select Form Type for the declaration. Class D –Full Material Disclosure (FMD) is required for products that are used for IC manufacturing (i.e., resistor, capacitor, solder, etc.) Class C –Material Summary is used when suppliers only
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