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Public Partnerships, LLC 6013 East Brock way Avenue, Suite E Morgantown, WV 26501 Phone: (888) 7759801 Fax: (877) 5670071West Virginia Personal Options Intellectual/Developmental Disabilities Waiver
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Start by opening the program representative form.
02
Enter your full legal name in the designated field.
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Make sure to accurately spell and capitalize your name.
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Include any suffixes or titles that are part of your name, if applicable.
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Double-check for any errors or typos before submitting the form.

Who needs name of program representative?

01
Any individual or organization participating in the program may need the name of the program representative.
02
This information is often required for administrative purposes, communication, and identification within the program.
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It may be needed by program coordinators, supervisors, or other participants to establish contact or refer to the representative.
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The name of the program representative is the individual designated to represent the program in official matters.
The person in charge of the program is required to file the name of the program representative.
The name of the program representative can be filled out on the designated form provided by the relevant authority.
The purpose of the name of the program representative is to have a designated contact person for official communications and legal matters.
The name, contact information, and designation of the program representative must be reported.
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