CF-4 2025

Get Form
CF-4 Preview on Page 1

Here's how it works

01. Edit your form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out CF-4 with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the CF-4 in the editor.
  2. Begin by entering the name under which your corporation was authorized to transact business in West Virginia in the first field.
  3. In the second field, provide the date when your Certificate of Authority was issued in West Virginia.
  4. If your corporate name has changed, indicate the new name in the designated section and attach a certified copy of the name change from your home state.
  5. If necessary, specify a 'forced DBA Name' if your desired name is unavailable, and attach a Letter of Resolution signed by your corporation's officers or directors.
  6. Fill out any additional amendments in the provided space, attaching extra pages if needed.
  7. Optionally, include a contact person's name and phone number for any follow-up regarding your filing.
  8. Finally, complete the signature section by printing the signer's name, title, signing, and dating the form. Ensure compliance with legal notice requirements.

Start using our platform today to streamline your CF-4 form completion for free!

See more CF-4 versions

We've got more versions of the CF-4 form. Select the right CF-4 version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2017 4.8 Satisfied (36 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Claim Form 4 or CF4 is the summary of pertinent clinical information of a patient/member during their hospitalization/episode of care that shall be utilized by PhilHealth to conduct evaluation and review of Claims. It is an additional claim application requirement for case rate claims.