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Monterey County Board of Supervisors Referral Submittal FormReferral No. 2024.01 Assignment Date: 02/06/2024 (Completed by CAOs Office)SUBMITTAL Completed by referring Board office and returned to

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How to fill out 15-1057 - referral submittal

01

Begin by entering the date of the referral submittal in the designated field.

02

Fill out the name and contact information of the person making the referral.

03

Provide details about the individual or program being referred, including their name, contact information, and reason for referral.

04

Specify any relevant background information or history that may be helpful for the referral process.

05

Include any supporting documentation or attachments that may assist in the evaluation of the referral.

06

Review the completed form for accuracy and completeness before submitting it for review.

Who needs 15-1057 - referral submittal?

01

Individuals or entities who are making a referral for a specific individual or program.

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What is 15-1057 - referral submittal?

15-1057 - referral submittal is a form used to report referrals for specific services or benefits in order to comply with regulatory requirements.

Who is required to file 15-1057 - referral submittal?

Entities or individuals who provide specific services or benefits that require tracking and reporting of referrals are mandated to file 15-1057.

How to fill out 15-1057 - referral submittal?

To fill out 15-1057, provide accurate information regarding the referrals, including details about the service provided, the recipient, and any required documentation as outlined in the filing instructions.

What is the purpose of 15-1057 - referral submittal?

The purpose of 15-1057 is to ensure proper documentation and monitoring of referrals to maintain compliance with regulatory standards and improve service delivery.

What information must be reported on 15-1057 - referral submittal?

The information that must be reported includes the referrer’s details, recipient’s information, type of service referred, and any other relevant data specified in the submission guidelines.

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