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Migrant (Farmworker) Services Form
Staff Use Only: Patient Name (Print)
Patient DORA farmworker is someone doing agricultural work like planting, harvesting, packing,
packaging, grading, processing,
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What is migrant farmworker services form?
The migrant farmworker services form is a document used to report information about services provided to migrant farmworkers.
Who is required to file migrant farmworker services form?
Employers who provide services to migrant farmworkers are required to file the migrant farmworker services form.
How to fill out migrant farmworker services form?
The migrant farmworker services form can be filled out by providing information about the services provided to migrant farmworkers.
What is the purpose of migrant farmworker services form?
The purpose of the migrant farmworker services form is to track and report on the services provided to migrant farmworkers.
What information must be reported on migrant farmworker services form?
Information such as the type of services provided, the number of migrant farmworkers served, and the dates of service must be reported on the migrant farmworker services form.
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