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Title: Microsoft Word — Attachment 3 — Service Provider Questionnaire and Profile.docx Author: Tyree Created Date: 8/5/2016 4:05:27 PM
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Attachment 3 - service is a form that must be submitted to report specific information related to services provided.
Entities or individuals who have provided services as specified by the guidelines are required to file attachment 3 - service.
Attachment 3 - service can be filled out online or manually following the instructions provided on the form.
The purpose of attachment 3 - service is to ensure accurate reporting of services provided and enable proper documentation for auditing purposes.
Information such as the type of service provided, duration, recipient of the service, and any associated costs must be reported on attachment 3 - service.
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