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DocuSign Envelope ID: 3670AD3B45DA4317A8A54C1C0D92F962TEXAS DEPARTMENT OF STATE HEALTH SERVICES CONTRACT NO. HHS000119700015AMENDMENT NO. 01 The Department of State Health Services (DSS or System

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How to fill out amendment no 01

01

Obtain the correct amendment form (amendment no. 01)

02

Fill in the required information accurately and legibly

03

Review the original document that needs to be amended for reference

04

Clearly indicate which sections of the original document are being amended

05

Double-check all information for accuracy before submitting the amendment

Who needs amendment no 01?

01

Individuals or organizations who have identified errors or changes in a previously filed document that need to be corrected

02

Any entity required by law or regulation to update or revise a document with amendments

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What is amendment no 01?

Amendment no 01 is a revision or modification made to a previously filed document or report.

Who is required to file amendment no 01?

Any individual or entity who needs to update or correct information on a previously submitted document may be required to file amendment no 01.

How to fill out amendment no 01?

To fill out amendment no 01, one must provide the updated or corrected information in the appropriate sections of the form.

What is the purpose of amendment no 01?

The purpose of amendment no 01 is to ensure that accurate and up-to-date information is on file with the relevant authorities.

What information must be reported on amendment no 01?

The specific information that must be reported on amendment no 01 will vary depending on the document or report being amended.

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