Get Request For Approval Of One-time Exception

This guide provides step-by-step instructions on how to complete the Request For Approval Of One-Time Exception form electronically. By following these instructions, users can ensure that their submission is accurate and compliant with the requirements.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. Enter the date of your request in the designated field to indicate when you are submitting the form.
3. Fill in the program name that your exception request is referring to in the appropriate section.
4. Provide the sponsor information. Ensure that the name corresponds to the organization making the request.
5. Specify the claim month for which you are requesting the exception, and include the pertinent claim period (Claim PY) and CTD (Claim Timeline Data) if applicable.
6. In the section provided, describe the reasons contributing to the lateness of your claim. Be clear and concise to ensure a thorough understanding.
7. Draft a Corrective Action Plan outlining the measures you have implemented to prevent future late claims. This should be detailed and feasible.
8. As the Authorized Representative, confirm your certification by indicating your role and relationship to the sponsor, upon completion of the form.
9. Ensure that all entered information is accurate and complete. Review the form for any errors or omissions before submitting.
10. Once completed, save any changes, and download, print, or share the form as needed. Submit the form via email to the specified address.

Complete your documents online today for efficient processing and compliance.