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GSA 216308000XXXX
CODA 93.778
STATE OF NEW MEXICO
HUMAN SERVICES DEPARTMENT
GOVERNMENTAL SERVICES AGREEMENT
FOR THE MEDICAID SCHOOL BASED SERVICES PROGRAM
FOR
INSERT SCHOOL NAME
This Governmental
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01
To fill out the governmental services agreement, follow these steps:
02
Begin by carefully reading the agreement form provided by the government.
03
Make sure you understand all the terms and conditions mentioned in the agreement.
04
Fill in your personal details accurately, such as your full name, address, and contact information.
05
Provide any required identification documents or proof of address as specified in the agreement.
06
Read and understand each clause mentioned in the agreement and make sure you agree with them.
07
If there are any sections that are not applicable or need further clarification, indicate it clearly.
08
If there are any additional documents or attachments required, ensure that you include them with the agreement.
09
Review all the information you have provided to ensure it is complete and accurate.
10
Sign and date the agreement at the designated places.
11
Make a copy of the filled agreement for your records.
12
Submit the filled agreement as per the instructions provided by the government.
Who needs governmental services agreement?
01
Anyone who wants to avail of governmental services or enter into a contract with a government entity may need the governmental services agreement.
02
This includes individuals, businesses, or organizations that require specific government services, permits, licenses, grants, or contracts.
03
The agreement helps establish the rights, obligations, and terms between the government and the party availing the services or entering into the contract.
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