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State of California Health and Human Services Agency Department of Developmental Services Respite Services Billing Form DS 1811 Rev. 4/2005 Page 1 of 2 Instructions to the Vendored Family Member Vendor To get money back for the respite services you purchased you must fill out and sign this form. If you used a Respite Worker not an agency or facility you must also ask each Respite Worker to fill out the Respite Worker s Certification on the bac...
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The DS-1811 form is a document used by the U.S. Department of State for the application of a U.S. passport for government employees and their family members.
The DS-1811 form is required to be filed by U.S. government employees and their eligible family members who are seeking a U.S. passport.
To fill out the DS-1811 form, applicants must provide personal information such as name, date of birth, and contact details, and follow the instructions provided on the form carefully.
The purpose of the DS-1811 form is to facilitate the application process for U.S. passports for government employees and their dependents.
The DS-1811 form requires information such as the applicant's full name, date of birth, citizenship details, employment information, and travel plans.
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