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Apex

Reporter Forms

Options for submitting reporter billing information

Option One: Fax

Click the link below to obtain and print the form. Fill out the form completely.

Fax the completed form back to us at 954.467.9065.

Billing Information Form (54KB)

NOTE: Fax Form is in Adobe Acrobat Format. Please download
a copy of Acrobat Reader if you do not already have it.

»Get Adobe PDF Viewer


Option Two: Online form submission

Click here to link to our online billing information form.

JAC Attendance Voucher

Contact Us

Legacy Bank Building
12 S.E. 7th Street, Suite 702
Ft. Lauderdale, FL 33301-3313
Map

Phone: 954.467.8204
Fax: 954.467.8214
Email Us