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DIVISION OF PUBLIC HEALTH DPH CONTRACT 34654 AMENDMENT 1 The Department of Health Services on behalf of the Division of Public Health and Milwaukee City Health Department agree to amend their original agreement for the program titled AIDS/HIV Profile 155945 and Infertility Prevention Profile 155027 as follows REVISION SECTION 5. Agency Type Profile Current Contract Level Contract Change Amount New Contract Level Contract Period 256107 155945 -- 197 000 1/1/17- 12/31/17 155027 383 814 All...

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How to fill out dph contract 34654

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To fill out DPH contract 34654, follow these steps: 1. Obtain a copy of the DPH contract 34654 form. 2. Read the instructions and familiarize yourself with the requirements. 3. Gather all necessary information and supporting documents. 4. Start by filling out the basic details such as name, contact information, and address. 5. Proceed to the specific sections of the contract and provide accurate and complete information as required. 6. Make sure to read each question carefully and provide truthful responses. 7. If there are any terms or clauses that you do not understand, seek clarification from the DPH or legal professionals. 8. Double-check all the information provided in the contract for accuracy and completeness. 9. Review the contract one last time to ensure you have answered all questions and provided all required attachments. 10. Sign and date the completed DPH contract 34654 form. 11. Keep a copy for your records and submit the original contract to the designated authority as instructed.

Who needs dph contract 34654?

01

Anyone who is involved in a contractual relationship with the Department of Public Health (DPH) may need to fill out DPH contract 34654. This contract is typically required when engaging in business or service agreements with the DPH, such as vendors, contractors, or healthcare providers. It is important to check the specific requirements and guidelines provided by the DPH to determine if you need to fill out this particular contract.

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What is dph contract 34654?

This contract is a legal agreement between the Department of Public Health (DPH) and another party, outlining specific terms and obligations.

Who is required to file dph contract 34654?

Any party entering into a contract with the Department of Public Health (DPH) is required to file dph contract 34654.

How to fill out dph contract 34654?

To fill out dph contract 34654, parties need to provide detailed information about the terms of the agreement, responsibilities of each party, and any other required details as per the DPH guidelines.

What is the purpose of dph contract 34654?

The purpose of dph contract 34654 is to ensure that all parties involved in a contract with the Department of Public Health (DPH) understand their obligations and responsibilities.

What information must be reported on dph contract 34654?

Information such as the names of the parties involved, the effective date of the contract, detailed terms and conditions, obligations of each party, and any other relevant information must be reported on dph contract 34654.

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