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Rev. 10/30/2008 Additional Comments: Conn Contract/Amendment Submission Checklist AG DOC REVIEW # PSA # AMENDMENT # MAXIMUM AMOUNT or VALUE OF CONTRACT: $ START DATE: END DATE: DATE: FROM: DEPT/PHONE:
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Who needs chapter 67 waiver attached:

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Individuals who are seeking a waiver under chapter 67 of a particular legal or administrative code may need to attach a chapter 67 waiver form.
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