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DocuSign Envelope ID: DFD41FAE58BF4CDABC0F85F37DB2D992DEPARTMENT OF STATE HEALTH SERVICES CONTRACT NO. 53716056900001 Amendment No. 5 The DEPARTMENT OF STATE HEALTH SERVICES (System Agency or DSS)

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How to fill out contract no 537-16-0569-00001 amendment

01

Obtain a copy of the original contract no 537-16-0569-00001

02

Review the terms and conditions of the original contract

03

Identify the changes or amendments that need to be made

04

Create a new document outlining the changes in a clear and concise manner

05

Have all parties involved in the original contract review and approve the amendments

06

Sign and date the amendment document

07

Keep a copy of the signed amendment with the original contract for reference

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What is contract no 537-16-0569-00001 amendment?

The contract no 537-16-0569-00001 amendment is a modification or change to the original contract.

Who is required to file contract no 537-16-0569-00001 amendment?

The parties involved in the contract are required to file the contract amendment.

How to fill out contract no 537-16-0569-00001 amendment?

The contract amendment can be filled out by making the necessary changes or additions to the original contract and ensuring all parties involved sign the amendment.

What is the purpose of contract no 537-16-0569-00001 amendment?

The purpose of the contract amendment is to update or modify the terms and conditions of the original contract.

What information must be reported on contract no 537-16-0569-00001 amendment?

The contract amendment should include details of the changes or additions made to the original contract, along with signatures of all parties involved.

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