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Form 8546 for Wyoming: What You Should Know

Reimbursement of Bank Charges for Personal Medical Services — Alberta Financial Services Commission (AFC) This form is intended for Alberta licensed providers who bill the client for services other than the actual cost of the service. Notice of Dispute — Alberta Department of Justice This letter is a summary of the issues the licensee alleges. It does not give any instructions as to how to present his/her case. Other Forms to Consider for Home — State of Wyoming Reimbursement of Bank Charges — Wyoming Department of Commerce/Business and Transportation This form contains information about the reimbursement fees required for certain types of business and transportation expenses. Claim for Reimbursement of Bank Charges — Wyoming Department of Commerce/Business and Transportation These forms show the exact amounts and payment rates, the reason for non-payment and the amounts due. If the customer claims a specific amount or percentage of the amount due, please refer to the form for each situation. Health Benefits/Treatment Fees Note: This form must not have any references to an employee of another company, such as your business. Claim for Reimbursement of Bank Charges — Alberta Department of Justice This form is intended for Alberta licensed providers who bill the client for services other than the actual cost of the service. Inspection Reports If your clients request a report on an inspection of their home or business, please send this request including the date, time and person performing the inspection. We will consider sending your report when you submit Form 8546. Other Forms to Consider for Home — State of Wyoming Reimbursement of Bank Charges — Wyoming Division of Banking Forms should not have any references to an employee of another company, such as your business. Reimbursement of Bank Charges — Alberta Financial Services Commission (AFC) You may submit this form by mail to the address provided for this process. If you wish to file a claim for a deficiency of the amount charged, please read the instructions on the back of the form.

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