Form 339 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the 'Provider Name' and 'Provider Number(s)' at the top of the form. Ensure that this information is accurate as it identifies your organization.
  3. In Section A, answer questions regarding ownership changes and participation status. If applicable, provide supporting documents such as sales agreements.
  4. Proceed to Section B to report financial data. Indicate whether your financial statements were audited, compiled, or reviewed, and attach necessary documentation if required.
  5. Complete Sections C through K by answering each question accurately. Attach any additional documentation requested for clarity and compliance.
  6. Finally, ensure that an authorized officer certifies the information provided by signing and dating the certification section at the end of the form.

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