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Department of Health and Social Services Division of Public Assistance ELIGIBILITY REVIEW FORM Office Use Only D.O. Date Recd Fee Agent Date Recd Fee Agent Signature Check Box for All Programs Due
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Fee agent - dpaweb is a designated party responsible for paying the fees associated with a specific service or transaction.
The entity or individual designated as the fee agent for a particular transaction or service is required to file fee agent - dpaweb.
To fill out fee agent - dpaweb, the designated fee agent must provide all the required information related to the fees associated with a specific service or transaction.
The purpose of fee agent - dpaweb is to ensure that the fees associated with a specific service or transaction are properly accounted for and paid.
The fee agent - dpaweb must report details of the fees associated with a specific service or transaction, along with relevant payment information.
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