Get Umhs Patient/visitor Coupon & Pass Order Form - University Of ... - Pts Umich

This guide provides clear, step-by-step instructions on how to complete the UMHS Patient/Visitor Coupon & Pass Order Form efficiently. By following these directions, you will ensure that all necessary information is accurately submitted for processing your order.

Follow the steps to fill out the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the form and open it in an online editor.
2. Begin by completing each section of the form, starting with the coupon order information. Specify the coupon type you are requesting.
3. Indicate the quantity of each coupon type you wish to order, noting the minimum order requirement of 10.
4. If applicable, fill out the service unit billing authorization section, providing details such as the date, contact name, phone, fax, department name, address, and shortcode.
5. Ensure you authorize the billing for the coupons by signing the form, thereby certifying that the payment complies with all applicable regulations.
6. After filling out all required sections, review the form to ensure all information is accurate.
7. Print the completed form. You have the option to fax it to 734.763.7135 or mail or deliver it to Attendant Services at the specified address.
8. Allow 3 business days for processing your request. You can pick up your orders at the Attendant Services office during the specified hours.

Complete your forms online today to ensure timely processing.