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Get the free www.hhs.texas.govregulationsformsForm 3681, Community Services Contract Application ...

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HHSC CONTRACT NO. HHS000477100015 AMENDMENT NO. 1 RENEWAL The Health and Human Services Commission (System Agency or HHSC) and Boys and Girls Club of Parr (Grantee), each a Party and collectively
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Visit the website www.hhstexas.gov/regulations/forms/form-3681-community-services
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Individuals in the community who require specific services such as assistance with healthcare, transportation, housing, or other support services may need to fill out form 3681 for community services
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wwwhhstexasgovregulationsformsform 3681 is a form used in Texas for reporting community services related to various state regulations.
Organizations and individuals providing community services in Texas are required to file this form to report their activities.
To fill out the form, you need to provide detailed information about the community services offered, including the nature of the services, duration, and demographics of the beneficiaries.
The purpose of this form is to ensure compliance with state regulations and to provide data on the community services rendered by organizations.
Information such as service description, recipient demographics, operational timelines, and any partnerships or collaborations must be reported.
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