Section 6 - Agreed Entries - Pre Decree

6.3 Pre Decree Agreed Entry - Health Care:

 

Agreed Entry Your Own
Health Care Verification Form Form No. 7.21
IV-D Application (or copy) Form No. ODHS 7076
Group Health Insurance Affidavit (or copy) Form No. 7.16
Cash Medical Support Order Form No. 7.24
Data Form Form No. CDR 4905

 

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