Skip to main content

Oklahoma Department of
Human Services
Oklahoma Department of Human Services
75th Anniversary
Stronger Families Grow
Brighter Futures
Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org
 
Careers    Calendar   Contact Us    Newsroom   
 
Programs and Services    County Offices    Divisions and Offices     Online Services     Library
 
OKDHS Hotlines
Document Readers
OKDHS Home > Library > Records Disposition Schedules > County Offices 82-37 > 2-5 NTMC Claim Forms
Library: Records Disposition Schedules
OKDHS
County Offices
Consolidated Records Disposition Schedule 82-37
January 26, 2006
Client Records
2-5 NTMC Claim Forms  
Description: Form ADM-12N, Claim for Non-Technical Medical Care in Own Home. Relates to services from providers. Copy of Record sent to State Office (Schedule 87-04, Series 7-3), where it is microfilmed.
Disposition: Retain in office one (1) year, then destroy. 
[Changed from Series 1-11 April 14, 1993]
<< Back  |  Next >>   


Last Updated:  10/2/2007
Oklahoma Department of Human Services
Street address: Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd., Oklahoma City, OK 73105
Mailing address: P.O. Box 25352, Oklahoma City, OK 73125
(405) 521-3646
Help | Web site Policies | Feedback | Accessibility