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    Briettavasser Job 11 Letter 8

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    Woods & Water Medical Center sent a letter to Mr. Bob Brazelton requesting several documents and financial information to process his application for charity care. The letter requested a completed financial application, copies of 2012 tax forms and pay stubs, bank statements, and written denial from the county social services department. Mr. Brazelton was asked to return all requested information within 10 days, after which the hospital would review his application and notify him of its decision within 20 days.

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    Briettavasser Job 11 Letter 8

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    Woods & Water Medical Center sent a letter to Mr. Bob Brazelton requesting several documents and financial information to process his application for charity care. The letter requested a completed financial application, copies of 2012 tax forms and pay stubs, bank statements, and written denial from the county social services department. Mr. Brazelton was asked to return all requested information within 10 days, after which the hospital would review his application and notify him of its decision within 20 days.

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    Woods & Water Medical Center sent a letter to Mr. Bob Brazelton requesting several documents and financial information to process his application for charity care. The letter requested a completed financial application, copies of 2012 tax forms and pay stubs, bank statements, and written denial from the county social services department. Mr. Brazelton was asked to return all requested information within 10 days, after which the hospital would review his application and notify him of its decision within 20 days.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    30 views1 page

    Briettavasser Job 11 Letter 8

    Uploaded by

    api-669728207
    Woods & Water Medical Center sent a letter to Mr. Bob Brazelton requesting several documents and financial information to process his application for charity care. The letter requested a completed financial application, copies of 2012 tax forms and pay stubs, bank statements, and written denial from the county social services department. Mr. Brazelton was asked to return all requested information within 10 days, after which the hospital would review his application and notify him of its decision within 20 days.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Woods & Water Medical Center

    1900 College Drive ∞ Rice Lake, WI 54868


    715-234-7082 ∞ WWMC.com

    May 20, 2023

    Mr. Bob Brazelton


    25 Madison Street
    Cameron, WI 54868

    Dear Mr. Brazelton:

    We have received notice that you are applying for charity care at Woods & Water. To process
    your claim properly, please include the following:

     Completed financial application (enclosed)


     Photocopy of your 2012 Federal Income Tax Forms along with copies of W-2 Forms for
    all the adults in your household
     Photocopy of 2012 Property Tax Statement
     Photocopy of last paycheck stub for all working adults
     Photocopy of previous two months' checking and savings account statements
     Written denial from our county Social Service Department saying the reason you do not
    qualify for any state or county assistance

    Please return all requested information in the enclosed envelope within 10 days. After receipt,
    we will process your application, and you will be notified by mail of our decision, usually within
    20 days. Feel free to call or write with any questions you may have.

    Sincerely,

    Brietta Vasser
    Credit Department
    Woods & Water Medical Center
    715-555-5552

    Enclosures

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