Form 142 2025

Show details

4 out of 5

53 votes

The document is a Medicaid Notice of Medical Certification from the Louisiana Department of Health and Hospitals, detailing the approval process for medical eligibility for nursing facilities or intermediate care facilities. It outlines the conditions under which eligibility is granted or denied, including the need for prior approval before admission, the validity period of decisions, and distinctions between medical and financial eligibility. It also includes sections for Level II authority decisions and waiver services.

Here's how it works

01. Edit your form 142 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.

The fastest way to redact Form 142 online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is a perfect editor for modifying your documents online. Adhere to this simple guideline redact Form 142 in PDF format online for free:

Sign up and log in. Register for a free account, set a secure password, and go through email verification to start managing your templates.
Add a document. Click on New Document and select the form importing option: add Form 142 from your device, the cloud, or a secure URL.
Make changes to the sample. Utilize the upper and left panel tools to modify Form 142. Insert and customize text, pictures, and fillable areas, whiteout unnecessary details, highlight the significant ones, and comment on your updates.
Get your paperwork accomplished. Send the sample to other individuals via email, generate a link for faster file sharing, export the sample to the cloud, or save it on your device in the current version or with Audit Trail included.

Explore all the advantages of our editor today!

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.

What is a schedule of assets and debts?

List all your known property and debt. This can be used as an attachment to Declaration of Disclosure (form FL-140) or you may use Property Declaration (form FL-160) instead.

What is form fl 142 used for?

The FL-142 Schedule of Assets and Debts form is used during divorce proceedings in California to list all known community and separate assets and debts, providing a detailed account of the financial situation for equitable distribution.

What is the DAS 142?

The DAS 142 form, or Request for Dispatch of an Apprentice form, allows contractors to request apprentices from local programs when they do not have enough registered apprentices to meet the required ratios for their project.

How do I fill out a debt schedule?

When you begin to make a debt schedule, list out all the relevant details of the debt, including: Creditor or lender name. Origination date of the debt. Original debt amount. Current balance. Interest rate. Monthly payment. Security or collateral pledged. Maturity date.

How to fill out a schedule of Assets and debts?

Include copies of the loan documents, a current statement, and a date of separation statement. Include account numbers and institution names for all credit cards held by you and/or your spouse, regardless of whose name is on the account. Provide statements for all from the date of separation and current statements.

How to fill out a schedule of assets?

This detailed document should carefully list out each of your assets and where theyre currently located. It can also list out when you acquired each asset, their approximate value, and any responsibilities tied to them. You can also think of a schedule of assets as a financial roadmap.

Form 142 2025

Here's how it works

The fastest way to redact Form 142 online

Complete this form in 5 minutes or less

Got questions?

What is a schedule of assets and debts?

What is form fl 142 used for?

What is the DAS 142?

How do I fill out a debt schedule?

How to fill out a schedule of Assets and debts?

People also ask

How to fill out a schedule of assets?

Related links

Try more PDF tools

Form 142 2025

Here's how it works

The fastest way to redact Form 142 online

Complete this form in 5 minutes or less

Got questions?

What is a schedule of assets and debts?

What is form fl 142 used for?

What is the DAS 142?

How do I fill out a debt schedule?

How to fill out a schedule of Assets and debts?

Related Searches

People also ask

How to fill out a schedule of assets?

Related links

Try more PDF tools