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TX HHS Form 5873. Waiver and Community-based Programs and Services - Medicaid and CHIP Services Contract Application Packet Checklist
TX HHS Form 8615. On-site and Off-site Individualized Skills and Socialization Service Delivery Log
TX HHS Form H2060-A. Addendum to Form H2060
Form MCSA-5871. Vision Evaluation Report
Pennsylvania Department of Transportation Forms
PA DOT Form DL-180TD. Parent or Guardian Consent Form
PA DOT Form DL-180C. Parent Or Guardian Certification Form
Form DL 62. Report of Vision Examination
Form LIC 9182. Criminal Background Clearance Transfer Request - California
TX HHS Form 2993. General Residential Operations Medication Log
TX HHS Form 8617. Individualized Skills and Socialization Enhanced Staffing Rate
TX HHS Form 2760. Controlling Person Child Care Regulation
TX HHS Form 3050. DAHS Health Assessment or Individual Service Plan
TX HHS Form H4100. Money Receipt
TX HHS Form 2551. Licensed and Registered Home: Caregivers. Assistants. Substitutes and Household Members Information Record
TX HHS Form 7239. Incident or Illness Report
TX HHS Form 3034. Provider Assessment Form
TX HHS Form 2985. Affidavit for Applicants for Employment with a Licensed Operation or Registered Child-Care Home
TX HHS Form 7259. Personnel Records Evaluation Child Care Centers
TX HHS Form H1245. Statement of Intent to Return to Home
TX HHS Form 3051. Statement of Self-Employment Income
Form VTR-66. Application for Timed Temporary Permits
OCFS-6002. Qualifications-Child Day Care Programs
LDSS-4438. Emergency Plan Child Day Care Centers, School Age Child Care Programs, and Legally Exempt Group Child Care Programs
OCFS-6009. Visitor Log
TX HHS Form 7255. Medication Authorization
TX HHS Form 2960. CCR Application for a License to Operate a Residential Child Care Facility
TX HHS Form 4807-D. Action Taken on Hearing Decision
TX HHS Form 5150. Family Service Plan
TX HHS Form 8654. State Supported Living Center (SSLC) Admission Application
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