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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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01
Provide all the required personal information, including your full name, contact details, and address.
02
Indicate the purpose of your registration and specify any relevant affiliations or organizations.
03
Fill in the necessary details about your collaborative project or initiative, such as its objectives and expected outcomes.
04
Mention any previous collaborative experiences or partnerships that are relevant to the registration.
05
If applicable, attach any supporting documents or evidence that can strengthen your registration.
06
Review the completed form for accuracy and completeness, making sure all fields are filled out correctly.
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Sign and date the form to certify its authenticity and validate your registration.

Who needs form collaborative registration and:

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Form collaborative registration is a document used to register a collaboration between two or more parties.
All parties involved in the collaboration are required to file form collaborative registration.
Form collaborative registration must be filled out completely and accurately with all relevant information about the collaboration.
The purpose of form collaborative registration is to officially register a collaboration between parties.
The form must include details about the collaborating parties, the nature of the collaboration, and any relevant agreements or contracts.
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