This form is an Assignment of Money Due. The assignor agrees to grant to the assignee all title and interest in a certain debt or money due as described in the agreement. The form also provides that it is the responsibility of the assignor to collect the debt.
Assignment Due Form For Benefits In Fulton
Category:
State:
Multi-State
County:
Fulton
Control #:
US-00422
Format:
Word;
Rich Text
Instant download
Description
Form popularity
More info
Use this form if you receive a surprise bill for health care services and want the services to be treated as in network. Schools must have available permanent learning space and staffing capacity to be considered for a change of school assignment request.Use this form if you receive a surprise bill for health care services and want the services to be treated as in-network. All applicants must complete a Fulton County School System application.
