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Placement Authorization Intermittent Alternate Carried's Name Person ID. Medicaid No. Date of BirthCounty Court No. Cause No. Date of PlacementCaregiver's name Caregiver's Address (City, State, Zip)This
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Getting paid as a refers to receiving compensation or payment for goods, services, or work done.
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Information such as the payer's name and address, payee's name and address, payment amount, and purpose of payment must be reported on getting paid as a.
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