| Assigned Number |
Title |
Version Date | Publication Type | Other Location | Language |
|---|---|---|---|---|---|
| F-02721 | Notice of Adverse Benefit Determination | January 15, 2021 |
Word
|
None | English |
| F-02721 | Notice of Adverse Benefit Determination, Hmong | January 15, 2021 |
Word
|
None | Hmong |
| F-02721 | Notice of Adverse Benefit Determination, Russian | January 15, 2021 |
Word
|
None | Russian |
| F-02721 | Notice of Adverse Benefit Determination, Somali | January 15, 2021 |
Word
|
None | Somali |
| F-02721 | Notice of Adverse Benefit Determination, Spanish | January 15, 2021 |
Word
|
None | Spanish |
Last Revised: January 22, 2021
