Get the free FORM - PSW-Ind Prov Chg of Info Form (v12; 3-4-15) - oregon
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DD NSW, ICP SW or Individual Provider
Change of Information Request Form
For individual providers who work with/for clients
receiving ODDS Income or Community ServicesType of Action(s):
Change of
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What is form - psw-ind prov?
Form - psw-ind prov is a document used to report individual provider information to the relevant authority.
Who is required to file form - psw-ind prov?
Individual providers who offer personal support worker services are required to file form - psw-ind prov.
How to fill out form - psw-ind prov?
Form - psw-ind prov can be filled out by providing accurate information about the individual provider and their services.
What is the purpose of form - psw-ind prov?
The purpose of form - psw-ind prov is to track and regulate personal support worker services.
What information must be reported on form - psw-ind prov?
Form - psw-ind prov typically requires information such as name, contact details, services offered, and qualifications of the individual provider.
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