SECTION C: INFORMATION OF INDIVIDUAL COMPLETING THIS REPORT Name: Title: Email: Phone: SECTION D: INITIAL REVIEW BY OSP STAFF Steps Taken (Check all that apply) Reviewed contract(s) Reviewed invoice(s) Internal Review Details (Identify the steps taken, number of items reviewed, and any additional steps taken) Findings and Recommendations (Explain your findings, in detail, and reasons for your recommendation below) Recommendation Claim appears to have no merit Claim should be referred
SECTION C: INFORMATION OF INDIVIDUAL COMPLETING THIS REPORT Name: Title: Email: Phone: SECTION D: INITIAL REVIEW BY OSP STAFF Steps Taken (Check all that apply) Reviewed contract(s) Reviewed invoice(s) Internal Review Details (Identify the steps taken, number of items reviewed, and any additional steps taken) Findings and Recommendations (Explain your findings, in detail, and reasons for your recommendation below) Recommendation Claim appears to have no merit Claim should be referred
ppolicy18-01.docx