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This document is used for assessing individuals who are participating in the Pre-trial Intervention Program in Connecticut.

This Form is used for conducting a supportive housing assessment in Connecticut for the Department of Developmental Services (DDS) and the Department of Housing (DOH). It helps determine eligibility and support needs for individuals seeking supportive housing.

This Form is used for the 6-month update of the DDAP Periodic Assessment in Connecticut. It helps in evaluating the progress and needs of individuals under the Department of Developmental Services.

This Form is used for updating or discharging a patient in Connecticut's Developmental Disabilities Administration Program (DDAP).

This document is a survey used in Connecticut to gather information on employment and education measures for young adults in the DDAP (Department of Developmental Services) Young Adult Services program.

This Form is used for assessing education in Connecticut by the Developmental Disabilities Planning and Assistance agency (DDAP).

This document is used for outlining the terms and conditions of a treatment agreement for individuals receiving buprenorphine treatment in Connecticut. It provides guidelines and expectations for both the healthcare provider and the patient.

This document keeps a record of employment contacts in Connecticut. It helps track communication with potential employers.

This Form is used for recommending individuals for a state award in Connecticut. It is called CTMD Form 1-9.

This document is used for reporting donated property in the state of Connecticut. It is used to provide information about the value and nature of the donated property for tax purposes.

This form is used for recording and inventorying property in the state of Connecticut. It helps to keep track of valuable items and their descriptions.

This form is used for making a deposit for an International Registration Plan (IRP) account in the state of Connecticut.

This form is used for submitting an affidavit of payment for a motor vehicle that has been totaled in the state of Connecticut. It is necessary to provide proof of payment in order to resolve any issues related to the vehicle's total loss.

This document is a maintenance log used in Connecticut to track and record regular upkeep and repairs for equipment or property.

This form is used for reporting financial liability in the state of Connecticut.

This document is a mandatory report form used in Connecticut to report impaired practitioners. It is used to ensure the safety and well-being of patients by addressing concerns related to the impairment of healthcare practitioners.

This form is used for submitting information about fresh bathing water samples for environmental microbiology testing in Connecticut.

This document notifies the public about a violation of the Maximum Contaminant Level (MCL) for nitrate in Connecticut and certifies compliance with relevant regulations.

This document is for the certification of compliance and public notification for a violation of the total coliform maximum contaminant level (MCL) in Connecticut.

This document is a Certification of Compliance Public Notification in Connecticut regarding a violation of the Maximum Contaminant Level (MCL) for Acute Total Coliform (E.coli./Fecal Coliform). The document also notifies that the ground water source sample has tested positive for Fecal Indicators (E.coli).

This document is for certifying compliance and providing public notification regarding a violation of the maximum contaminant level in Connecticut.

This document is a Certification of Compliance Public Notification specifically regarding the violation of the Maximum Contaminant Level (MCL) for Total Nitrate and Nitrite in Connecticut.

This Form is used for assessing the inventory of public water systems at youth camps in Connecticut.

This document is used to certify compliance and provide public notification for a violation of the Maximum Contaminant Level (MCL) for nitrite in the state of Connecticut. It ensures that the public is informed about the violation.

This document is for the certification of compliance public notification related to a violation of the Tier 2 maximum residual disinfectant level (MRDL) for chlorine dioxide in Connecticut.

This document is for public notification of monitoring and reporting violations in the state of Connecticut. It certifies compliance with regulations and informs the public about any violations that have occurred.

This document is a certification of compliance public notification for a Tier 1 maximum residual disinfectant level (Mrdl) violation for chlorine dioxide in Connecticut.

This document certifies compliance and notifies the public about a violation of the Ground Water Rule in Connecticut. The violation involves the failure to maintain a minimum residual disinfection concentration for ground water treatment.

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