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Florida Agency for Health Care Administration - Background Screening Unit fax number
(850) 487-0470
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Background Screening Unit (Bureau of Central Services)
Used for: Submitting background screening materials and exemption applications to AHCA Background Screening Unit; faxed documents are accepted at this number.
Fax destination details
- Department
- Background Screening Unit (Bureau of Central Services)
- Purpose
- Submitting background screening materials and exemption applications to AHCA Background Screening Unit; faxed documents are accepted at this number.
- Form
- AHCA Form #3110-0019 — Background Screening Exemption Application
- Address
- 2727 Mahan Drive, Tallahassee, FL 32308-5407
- Voice phone
- (850) 412-4503
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Refer to AHCA's Background Screening Exemption Application instructions (the form PDF includes fillable instructions).
Official form instructions are published as a downloadable file on the organization's website.
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