Notice of First Payment of Income Benefits on an Acquired Claim - EDI Forms
| Form Name | Notice of First Payment of Income Benefits on an Acquired Claim - EDI |
| Form # | PLN-2B |
| Form Revision | Rev. 07/23 |
| Category | Forms » Board/Commission/Division |
| Downloads | |
| Form State | Texas |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |