
Get the free 470-4510 Individual CDAC & AFSCME Authorization Form.doc - dhs iowa
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Iowa Department of Human Services Consumer Directed Attendant Care Providers AFS CME members Authorization Form For Payment to Business Agent **This form authorizes my Medicaid payments to be sent
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470-4510 individual cdac amp is a form used by individuals to report detailed information about their Community Development Advisory Committee (CDAC) activities.
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Information such as meetings attended, contributions made, and outcomes of CDAC activities must be reported on the 470-4510 individual cdac amp form.
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