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Get Attestation Deadline Extension (ADE) Request Form - EMedNY

Attestation Deadline Extension (ADE) Request Form Instructions: This form is used to request an attestation deadline extension by providing evidence that extenuating circumstances beyond the provider.

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  2. Fill out the requested boxes which are colored in yellow.
  3. Click the arrow with the inscription Next to move from one field to another.
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  5. Add the relevant date.
  6. Look through the entire e-document to ensure that you haven?t skipped anything.
  7. Press Done and save the resulting template.

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