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235709

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Este formulario se utiliza para registrar los alimentos infantiles en el programa Healthcheck para bebés de 0 a 12 meses de edad en Wisconsin.

This document is used to provide a statement about U.S. military service specific to individuals from the Hmong community residing in Wisconsin.

This Form is used for prior authorization of intensive in-home mental health/substance abuse services assessment and recovery/treatment plan attachment in the state of Wisconsin. It provides instructions for completing the form.

This Form is used for filing an appeal log for the Family Care, Family Care Partnership, and PACE Programs in Wisconsin. It provides instructions for completing the log and submitting it for review.

This Form is used for submitting a prior authorization request for intensive in-home mental health and substance abuse services in Wisconsin. It includes an assessment and recovery/treatment plan attachment.

This Form is used for requesting prior authorization for speech-generating devices in Wisconsin. It is an attachment that provides information about the skills and needs of the individual in need of the device.

This Form is used for agencies to apply for access to a web-based personal care screening tool in Wisconsin.

This form is used for prior authorization and preferred drug list for growth hormone drugs in Wisconsin.

This form is used for adding or removing an authorized buyer or alternate payee for Foodshare benefits in Wisconsin. It specifically mentions the Hmong community.

This form is used for obtaining prior authorization for cytokine and cell adhesion molecule (CAM) antagonist drugs used to treat psoriasis in the state of Wisconsin.

This type of document provides instructions for filling out Form F-11306, which is a prior authorization drug attachment specific to cytokine and cell adhesion molecule (CAM) antagonist drugs for treating psoriasis in the state of Wisconsin.

This document is used for applying for vendor authorization with the Wyoming WIC Program in Wyoming.

This form is used for verifying the identity and submission details of individuals submitting documents in Wyoming.

This form is used for the functional screening of individuals residing in assisted living facilities in Wyoming. It helps assess the physical and cognitive abilities of residents.

This Form is used for conducting a functional screening for Assisted Living Facilities in Wyoming. It provides instructions on how to properly assess the functional abilities of residents in these facilities.

This document is used for reporting cases of sexually transmitted diseases (STDs), HIV, and viral hepatitis in the state of Wyoming. It helps to track and monitor the prevalence of these diseases in the state.

This form is used for requesting a waiver of state licensure rules in Wyoming. It is used when an individual or entity needs an exemption from certain licensing requirements in order to perform a specific activity or operate a business.

This document is a checklist used to ensure that a hospice facility in Wyoming meets the requirements for state licensure. It outlines the criteria and standards that must be met in order to obtain and maintain a license for operating a hospice facility in Wyoming.

This form is used for filing a certificate to release an assumed or fictitious name that is currently on file with the Commission in the state of Virginia.

This form is used to request assistance from the taxpayer service in the Virgin Islands. It helps individuals to get guidance and support for their tax-related issues.

This document is used for requesting assistance from the Audit Enforcement Branch specifically for the Virgin Islands.

This document is used for requesting assistance from the Error Resolution Unit in the Virgin Islands regarding processing branch-related issues.

This document is a request for assistance from the Delinquent Accounts & Returns Branch (DAR) in the Virgin Islands.

This form is used for applying for a permit to sell alcoholic beverages in Sheridan County, Wyoming on a 24-hour or daily basis.

This document provides information and resources for individuals transitioning from incarceration in the state of Washington. It aims to guide them in reintegrating into society and finding support and services to aid in their successful reentry.

This document is used to request an apostille or authentication from the state of Wyoming.

This document is used to request annual report worksheets for businesses registered in Wyoming.

This document is used for transferring the ownership of a limited liability company (LLC) in Wyoming to another individual or entity.

This document is used for making changes to the information of a foreign registered limited liability partnership in Wyoming.

This document is used to apply for the reservation of a trade name in the state of Wyoming.

This Form is used for changing the name of a Notary Public in Wyoming.

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