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GRANT FUNDS AGREEMENT PREAMBLE This Grant Funds Agreement (Agreement) is entered into by and between Chautauqua County, Kansas (County) and ___ (Awardee) as of ___, 2020 (Effective Date). This Agreement
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Chautauqua County Department of Health and Human Services
All residents of Chautauqua County who meet certain criteria are required to file.
The form can be filled out online or submitted in person at the county office.
The purpose is to gather information on residents for various health and human services programs.
Information such as income, household size, and medical history may need to be reported.
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