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ARKANSAS DEPARTMENT OF HUMAN SERVICES ELDERCHOICES PROGRAM PROVIDER CERTIFICATION STATE OFFICE USE SECTION ONE PROVIDER INFORMATION Please type or print. Name of Provider Agency EIN Number Street and P. O. Box if applicable City State Zip Code County Agency Contact Person Telephone Number Fax Number E-Mail Address Website List the counties where the agency delivers Adult Companion services AAS-9560-AC Rev. 11/09 Page 1 of 3 SECTION TWO - QUALIFICATIONS OF DIRECT CARE STAFF SUPERVISORS 1....
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What is arkansas aas 9560 ac?
Arkansas AAS 9560 AC is a form that must be filed for certain individuals and businesses in Arkansas.
Who is required to file arkansas aas 9560 ac?
Individuals and businesses in Arkansas who meet certain criteria are required to file Arkansas AAS 9560 AC.
How to fill out arkansas aas 9560 ac?
To fill out Arkansas AAS 9560 AC, you need to provide the required information and follow the instructions on the form. It is recommended to consult with a tax professional for assistance.
What is the purpose of arkansas aas 9560 ac?
The purpose of Arkansas AAS 9560 AC is to collect and report specific information related to financial activities for tax purposes.
What information must be reported on arkansas aas 9560 ac?
Arkansas AAS 9560 AC requires the reporting of various financial information, such as income, expenses, assets, and liabilities.
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