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Agency Schedule Detail

Authorization Number :  580-0110
Agency Series No. :  REIMB-18C
Status :  Active
Agency Web Link : 
Agency :  DMH
Confidential Description : 
Division : 
Vital Description : 
Section : 
Record Title :  Refund for Overpayment
Revision :  0
Record Description :  SB-5008 Form used when an individual or insurance company has overpaid the department. Form is completed and sent to the Office of Fiscal Administration.
Retention Period Retention Justification Media Code Method of Disposal
Retain in office until single audit performed by the Auditor of State and the audit report is released and all discrepancies resolved then destroy No value at Conversion Paper Wastepaper

Approvals

Status Name Title Date
Approved Transfer User Records Viewer 8/14/1991 12:00:00 AM

Notes

Date Reason User

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