On June 1, 2017, the Department of Commerce (DOC) released its annual Form Dc 204W report. The report details the distribution of domestic and foreign exports by state for the 2016 fiscal year. According to the report, Texas led all states in exports, with a total value of $265.3 billion. California was second with $161.5 billion in exports, followed by Florida with $108.9 billion. New York and Illinois rounded out the top five, with export values of $85.8 billion and $74.2 billion, respectively. Looking at exports by category, petroleum products accounted for the largest share of Texas' exports (37 percent), while automotive vehicles and parts were the leading category for Michigan (18 percent). Aviation equipment was the top category for California (15 percent). You can find more information on each state's exports in the full report on DOC's website." This paragraph gives context to what follows and hopefully entices you to keep reading! The Department of Commerce released its a
| Question | Answer |
|---|---|
| Form Name | Form Dc 204W |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | dc 054 form dentical, dc054 form denti cal, dc 054 denti cal, cd 054 form dentical |
|
FORMS REORDER REQUEST |
|||
|
To Be Used Only To Reorder Forms For Use In The |
|||
|
CALIFORNIA |
|||
BILLING PROVIDER NAME |
|
|
NPI/BILLING NUMBER |
|
|
|
|
|
FAX FORMS REORDER |
|
|
|
|
|
|
|
|
|
REQUEST TO: (877) |
|
|
|
|
|
MAILING ADDRESS |
|
|
TELEPHONE NUMBER |
|
|
|
|
|
|
|
|
|
|
|
CITY |
STATE ZIP CODE |
|||
|
|
|
|
|
|
|
|
|
|
OR MAIL TO:
11155 International Dr.
MS C210
Rancho Cordova, CA 95670
|
||||||
|
(continuous |
|||||
|
(no carbon required) |
(for laser printers) |
||||
|
form) |
|||||
|
|
|
|
|||
TREATMENT |
|
|
|
|
|
|
|
|
|
|
|
||
AUTHORIZATION |
|
|
|
|
|
|
REQUEST (TAR)/CLAIM |
|
|
|
|
|
|
FORMS |
|
|
|
|
|
|
and |
||||||
|
(large |
(small |
||||
Envelopes |
(for TAR/Claims) |
|||||
envelopes) |
envelopes) |
|||||
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
(CIFs and |
|
|
||||||
|
|
|
Do Not Recycle Stickers |
Justification of Need for |
|||||
Miscellaneous Claim Inquiry Form (CIF) |
Correspondence |
|
HLD Index |
|
|||||
|
|
(32 stickers per sheet) |
Prothesis |
||||||
|
|
|
envelopes) |
|
|
|
|||
Inventory |
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
EDI Supplies
EDI
|
||||
|
(large mailing |
|||
(large |
(small |
|
||
|
envelopes for multiple |
|||
envelopes for EDI) |
envelopes for EDI) |
|
||
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Item Number |
Description |
Select Quantity |
|
|
|
|
|
50 sheets |
|
A. Blank labels |
|
|
|
100 sheets |
|
|
B. Partially preprinted (name & address will be |
|
|
imprinted)* |
EDI |
|
|
|
|
|
Labels |
|
500 sheets |
|
|
|
(Order one type) |
||
|
|
1000 sheets |
250 sheets
500 sheets
* Note: If you use the services of a clearinghouse, order |