Form 2800, Notice of Denial - Eligibility

Instructions for Opening a Form

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Effective Date: 1/2020



Updated: 6/2019


Detailed Instructions

This form has a custom logo upload functionality. To embed the custom logo into the form, follow these steps:

  1. Fill out all the form fields.
  2. Click on the upper left-hand image box and upload the logo. Only JPG and PNG files are supported.
  3. In the menu bar go to File > Print.
  4. In the Printer section select "Adobe PDF" or "Print to PDF" option.
  5. Click "Print" and this will prompt you to save the filled-out PDF to your computer.
  6. At this point, the PDF will be flattened and you will no longer have the option to edit the form.