Obtain a Payor Information Sheet

You may need a Payor Information Sheet to register as an Other Government Payor. If you do not have a Payor Information Sheet, you can have one mailed to the address on record for the payor.

To begin,

After the request is received by HFS, a Payor Information Sheet will be generated for the payor on the following Friday. Once generated, allow 4-6 working days for mailing. For more detailed information, review the window level help for the Request a Payor Information Sheet page.

Related Topics

Navigating the Registration Pages