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DocuSign Envelope ID: 9A07DE6A4A5F49E591830B2C3C554EC8DEPARTMENT OF STATE HEALTH SERVICES SERVER, INC. DSS CONTRACT NO. HHS000695400001AMENDMENT NO. 4 The Department of State Health Services (DSS,
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It is a form used for reporting amendments related to HHS grants.
Organizations or individuals who have received HHS grants and need to report any amendments.
The form must be completed with the required information regarding the grant and the specific amendments being reported.
The purpose is to ensure transparency and proper documentation of any changes or updates to HHS grants.
Details of the grant, specific amendments being made, and any other relevant information as required.
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