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Washington State Department of Social and Health Services ITS Work Order Contract Number: insert your contract number Purchaser: Department of Social and Health Services Contractor: insert successful
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It is a form used by the Washington State Department of Social and Health Services for reporting certain information.
Individuals or entities as specified by the Department.
The form can be filled out online or downloaded from the DSHS website and filled out manually.
To gather necessary information for compliance and reporting purposes.
Specific information as requested on the form, such as financial data or program details.
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