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DocuSign Envelope ID: 26C1B0FDF05C4F3C945FB48C33A4D98EHEALTH AND HUMAN SERVICES COMMISSION CONTRACT NO: HHS000102000001 AMENDMENT NO.:2 The Department of State Health Services (DSS) and the Health
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HHS000102000001 Amendment No. 2 is a specific amendment form used for modifications related to a health and human services agreement or documentation.
Entities or individuals involved in a contract or agreement with the health and human services that require modifications or updates must file this amendment.
To fill out HHS000102000001 Amendment No. 2, you should follow the instructions provided by the Health and Human Services Department, ensuring all required fields are completed accurately and any necessary supporting documentation is included.
The purpose of HHS000102000001 Amendment No. 2 is to officially document changes, updates, or corrections to a previously filed agreement or contract with health and human services.
Information that must be reported includes details of the amendment, reasons for the changes, and any updated data or terms related to the agreement.
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