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Get the free Exhibit B - SAMH Community Voucher Referral Form - DRAFT - 4.2.18

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EXHIBIT B TransitionalVoucherReferral DateReferralMade: ReferringProvider/Contaminate: Phone: Treatment/ServicePlanGoaltoAddresswiththisfunding(sendcopyoftreatment/service plan, if available): ConsumerInformation
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Exhibit B - SAMH is a form that details the schedule of assets and money held.
Entities or individuals required to file exhibit B - SAMH include financial institutions, investment companies, and other organizations with assets to report.
Exhibit B - SAMH is typically filled out by listing each asset or money held, along with corresponding values and descriptions.
The purpose of exhibit B - SAMH is to provide transparency and accountability regarding the assets and money held by the reporting entity.
Information such as asset descriptions, values, and any other relevant details must be reported on exhibit B - SAMH.
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