R6-6-1305. Notification of Liens

A. When a service provider renders service to a client, the service provider shall notify the Division with the information listed in R6-6-1305(B) not later than five days after rendering such service for an injury or condition for which a third party may be liable. B. The service provider shall send the Division the following information: 1. Name of service provider; 2. Address of service provider; 3. Name of client; 4. Client’s social security or Division identification number; 5. Address of the responsible person; 6. Date of client’s injury or accident; 7. Amount due for care of client; 8. Name of the county in which injuries were sustained; and 9. Names and addresses of all persons, firms or corporations and their insurance carriers which the responsible person asserts may be liable for damages.