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Get the free CFS 613-4 DR Cash Assistance Reconciliation Advance Request

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Department of Children and Family Services CFS 6134 (8/2010)PageofDifferential Response Cash Assistance Reconciliation & Advance Requestor CFS USE ONLY Voucher No. ___1. Provider No.2. Contract No.
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Start by entering the date of the cash transaction on the designated line.
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The CFS 613-4 DR Cash is a cash disbursement voucher used to record payments made by government agencies.
Government agencies are required to file the CFS 613-4 DR Cash form for recording cash disbursements.
The CFS 613-4 DR Cash form is filled out by providing details of the payment made, including date, payee, amount, and purpose of the disbursement.
The purpose of CFS 613-4 DR Cash is to accurately document and track all cash disbursements made by government agencies.
The CFS 613-4 DR Cash form must report details such as date of payment, payee name, amount disbursed, and purpose of the disbursement.
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