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Utah DISUSED 1/00 DIVISION OF SERVICES FOR PEOPLE WITH DISABILITIES AUTHORIZATION TO FURNISH INFORMATION AND RELEASE FROM LIABILITY Page 1 of 1 Form 12 1. TO: 2. You are hereby authorized to release
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Start by downloading the utah dhsdspd 100 division form from the official website of the Utah Department of Human Services.
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The Utah DHSDSPD 100 division is a form used for reporting certain information to the Utah Department of Human Services, specifically related to disabilities services and programs.
Providers of disabilities services and programs in Utah are required to file the DHSDSPD 100 division.
The DHSDSPD 100 division must be filled out with accurate information related to the provider's disabilities services and programs, following the instructions provided by the Utah Department of Human Services.
The purpose of the DHSDSPD 100 division is to ensure that providers of disabilities services and programs are meeting the necessary requirements and standards set by the Utah Department of Human Services.
Providers must report information such as the types of disabilities services offered, number of clients served, qualifications of staff, and any compliance issues.
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