Get Cdc Participant Account Close-out Form 2009-2025

This guide provides clear instructions on how to complete the CDC Participant Account Close-Out Form online. Users will find easy-to-follow steps to ensure that all necessary information is accurately submitted for processing.

Follow the steps to successfully complete the form

1. Press the ‘Get Form’ button to download the CDC Participant Account Close-Out Form and open it in your editor.
2. Fill in the participant's name and identification number in the designated fields at the top of the form.
3. Enter the last day of participation in CDC+ in the specified field. This date should reflect the cessation of active participation.
4. Provide the date of the most recent CDC+ statement. This information helps in reconciling account balances.
5. Indicate the ending balance as reflected on the most recent statement. Make sure to input the amount accurately.
6. If there are any deposits due not reflected in the balance, list those amounts clearly in the spaces provided.
7. If a 'cash check' was issued for local purchases, state the remaining cash amount on hand.
8. Sum up the sub-total for all added amounts. Ensure this total is correct before moving on.
9. Subtract any outstanding timesheets, invoices, or reimbursements for services or purchases that have not yet been paid. List these amounts clearly.
10. Calculate the reconciled final ending balance, taking into account all previous entries.
11. Review all entered information for accuracy. Confirm that all sections have been completed as required.
12. Sign and date the form in the designated areas. If applicable, have a representative or consultant sign as well.
13. Either save the completed form for your records, download it, print it, or share it as needed. Ensure that copies are kept as necessary.

Complete your CDC Participant Account Close-Out Form online today for a smooth transition.