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Health Care Provider Tax Forms

  • All forms supplied by the Division of Taxation are in Adobe Acrobat (PDF) format
  • To have forms mailed to you, please call (401) 574-8970
  • Items listed below can be sorted by clicking on the appropriate column heading
Health Care Provider Tax Forms
Document Description
File Download
HCP-1 Group Homes Return
HCP-2 Nursing Facilities Return
HCP-4 Hospital Licensing Fee
HCP-64 Outpatient Health Care Facility Surcharge Return
HCP-65 Imaging Services Surcharge Return