Example: bankruptcy

Account Expenditure for Lump Sum Account Attestation Letter

Medical services: $ _____ Prescription drug expenses: $ _____ I, the undersigned, attest that I have a lump sum WCMSA and have COMPLETELY EXHAUSTED the monies in the WCMSA account to pay for the following: Medical services: $ _____

Tags:

  Services, Attestation

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

Transcription of Account Expenditure for Lump Sum Account Attestation Letter

Related search queries