Get Covetrus Ra-cs-511 2020-2025

This guide provides a comprehensive overview of the steps required to complete the Covetrus RA-CS-511 application form online. By following these instructions, you will be better equipped to fill out the form accurately and efficiently.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to obtain the Covetrus RA-CS-511 form and open it in your online editor.
2. Begin with Section I: Account/Credit Application Form. Fill in all required fields for customer information, including the name of your practice, the applicant's name, and the TIN or FEIN number if applicable.
3. Provide contact information including the business phone and fax number, as well as an email address. Ensure that the email address provided is directed to authorized persons who handle account management.
4. Complete the mailing/billing and business shipping addresses, ensuring accuracy in the physical address provided—no PO Boxes should be included unless allowed by state guidelines.
5. In the Business Type section, select all that apply to your practice. Be thorough in indicating the types of services and treatments you will offer.
6. Fill out the Business Information section accurately, including business structure and practice details, as well as any relevant dates regarding the establishment of your practice.
7. Review the Payment Terms Request section and select the options that suit your payment preferences.
8. Complete the Credit Agreement section, ensuring that the financial responsible party’s name, signature, and date are accurately filled out.
9. Proceed to Section II: Regulatory Compliance. Supply necessary licensing information and ensure that the appropriate signatures are included.
10. Look over the DEA Compliance Form if applicable. Fill in fields related to controlled substance orders as required, providing detailed accurate information.
11. After filling out all sections, review your application for completeness. Ensure all required signatures and documents are attached.
12. Once everything is finalized, save your changes, download the completed form, and print or share it as necessary.

Complete your Covetrus RA-CS-511 application online today for efficient processing.