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Some documents on this page are saved in the Portable Document Format (PDF). If it's not already on your computer, you'll need to download the latest free version of Adobe Reader.

You are Here: Home Page > Archived Correspondence > Archived Reporting Forms  

Archived Reporting Forms

  • April 1, 2005 - March 31, 2011 Reporting Form (PDF, 97KB, 2 pg.)
  • April 1, 2003 - March 31, 2005 Reporting Form (PDF, 50KB, 2 pg.)
  • April 1, 2002 - March 31, 2003 Reporting Form (PDF, 49KB, 2 pg.)
Questions or comments: hfafmail@health.state.ny.us
Revised: July 2011
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