Get Oh Ins5035 2019

This guide provides a clear and comprehensive overview of the process for completing the OH INS5035 form online, designed for users seeking accreditation as an independent review organization in Ohio. Following these steps will help ensure you meet all necessary criteria and submit your application accurately.

Follow the steps to complete your application effectively.

1. Press the ‘Get Form’ button to access the OH INS5035 form and open it in your online editor.
2. Begin by entering the legal name of your organization. Ensure that all information matches official documents.
3. Enter your Federal Tax Identification Number. This is required for verification purposes.
4. Fill in the contact person’s name and title. It is essential that this person can be reached regarding your application.
5. Provide your business address, including the street, city, state, and zip code. Avoid using a P.O. Box.
6. Submit your phone number, email address, and fax number for communication purposes.
7. Detail the state of incorporation and list any other states where your organization is approved to operate as an independent review organization.
8. Identify all accreditations your organization holds and attach proof of current accreditation from a recognized national body, such as a certificate or letter.
9. Follow the instructions to attach required documents, such as organizational charts, lists of partners, bylaws, or any other specified documentation relevant to your structure.
10. Complete the certification section, ensuring that you verify the accuracy of all provided information prior to signing.
11. Once all fields are complete and documents are attached, save your changes. You may then choose to download, print, or share the completed application.

Complete your application for accreditation as an independent review organization online today.