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The Illinois Mental Health Collaborative for Access and Choice NOTICE OF DISCONTINUATION FROM ASSERTIVE COMMUNITY TREATMENT SERVICES (ACT) NOTE: Fax Forms to the Collaborative at (866) 9287177 Agency:
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Provide all the required personal information, including your full name, contact details, and address.
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Indicate the purpose of your registration and specify any relevant affiliations or organizations.
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Mention any previous collaborative experiences or partnerships that are relevant to the registration.
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Sign and date the form to certify its authenticity and validate your registration.
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What is form collaborative registration and?
Form collaborative registration is a document used to register a collaboration between two or more parties.
Who is required to file form collaborative registration and?
All parties involved in the collaboration are required to file form collaborative registration.
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Form collaborative registration must be filled out completely and accurately with all relevant information about the collaboration.
What is the purpose of form collaborative registration and?
The purpose of form collaborative registration is to officially register a collaboration between parties.
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The form must include details about the collaborating parties, the nature of the collaboration, and any relevant agreements or contracts.
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