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This form is used for a Spousal Allocation Agreement in Alabama.
This Form is used for making a statement about a claimant or other person's burial fund designation in the state of Alabama.
This document is for the certification of physiological laboratories in the state of Alabama through the Provider Web Portal Application.
This form is used for electronically delivering documents in the state of Alabama. It allows individuals or businesses to send important information or files digitally, without the need for physical delivery.
This form is used for providing individual disclosure information in the state of Alabama. It contains personal information and disclosures required by the state law.
This Form is used for requesting a change of ownership in the state of Alabama.
This document is used for authorizing electronic financial transactions with Alabama Medicaid in the state of Alabama.
This form is used for updating information about out-of-state ambulatory surgical centers and hospitals in Alabama. It allows for keeping records of these facilities and their current status.
This form is used for conducting a security risk analysis to ensure compliance with regulations in Alabama.
This form is used for applying to host breastfeeding courses provided by the Texas HHS WIC program in Texas.
This form is used for the WIC program in Texas to gather income information for eligibility assessment.
This form is used for providing additional information when applying for WIC benefits in Texas. It serves as a supplement to the main WIC application form.
This Form is used for providing supplemental information in Vietnamese for the WIC program in Texas.
This form is used for family certification for the WIC program in Texas. It is available in both English and Spanish.
This form is used for verifying a family's eligibility for the WIC program in Texas. It is available in both English and Vietnamese.
This document certifies contractors in California and includes specific clauses that they must adhere to. It is used to ensure compliance and quality in construction projects.
This document provides instructions for completing Form CDA35 Title V/SCSEP Budget in the state of California.
This Form is used for the closeout of Title V/SCSEP projects in California.
This form is used for requesting funds for an area plan in California. It provides instructions on how to fill out Form CDA150.
This Form is used for reporting the expenditure of special funds by the Area Plan Nsip/Ombudsman in California. Follow the instructions provided to accurately complete the report.
This Form is used for preparing and submitting a budget for a financial aid program in California. It provides instructions on how to accurately complete the Form CDA229FA FA Budget.
This document provides instructions for completing Form CDA229M, which is used for submitting the Mippa Budget in California. It outlines the steps and requirements for accurately filling out the form.
This Form is used for the closeout process under the California Medical Injury Compensation Reform Act (MICRA). It provides instructions for completing and submitting Form CDA230M for the closeout of a Mippa case.
This form is used for reporting and requesting reimbursement for infrastructure grants funded by the ADRC (Aging and Disability Resource Connection) in California.
This Form is used for reporting and requesting reimbursement for infrastructure grants through the Adrc Infrastructure Grants Program in California.
This form is used for requesting funds through the Hicap program in California.
This document is a form used in California for requesting funds under the MIPPA program.
This form is used for requesting funds in California.
This document is for requesting funds under the MIPPA program in California. It provides instructions on how to complete Form CDA245M.
This Form is used for requesting funds for the California Health Insurance Counseling and Advocacy Program (HICAP). It provides instructions on how to fill out the form and submit it for processing.
This form is used for submitting an expenditure report in California. It is known as Form CDA255FA FA Expenditure Report.
This form is used for reporting high-capacity expenditure in California. It is meant to track and document expenditures related to high-capacity projects or initiatives in the state.