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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYDepartment of Health Care ServicesDHCS 1822 A (02/19)Annual Mental Health Services Act (MESA) Revenue and Expenditure Report Fiscal Year: 201920
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Gather all necessary documents such as tax returns, W-2 forms, and any other financial information for the 2019-2020 period.
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Provide detailed information about income, assets, and any other relevant financial details for the specified time frame.
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Information worksheet page 1 is a document used to gather specific details and data for reporting.
Individuals or entities who meet certain criteria set by the governing body are required to file information worksheet page 1.
Information worksheet page 1 should be filled out by providing accurate and complete information in the designated fields.
The purpose of information worksheet page 1 is to collect necessary information for regulatory compliance and reporting purposes.
Information such as personal details, financial data, and other relevant information may need to be reported on information worksheet page 1.
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