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The form outlines annual per-person reimbursement caps (including orthodontics) for school years 2024-2025 through 2028-2029, specifies reimbursement timing within ten business days after proof submission to the Business Office, and requires completion of employee and patient information. 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Business Office will also record the date received and total reimbursed amount for the current fiscal year.\"}]","Rochester Area School District Dental Claim Reimbursement Form | PDF",1790011874]