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Get the free Form 3254-A, Community Services Contract Amendment

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HHSC CONTRACT NO. HHS001108400029 AMENDMENT NO. 2 The Health and Human Services Commission (HHSC) and Sabine Valley Regional MHMR Center dba Community Healthcore (Grantee), a Community Mental Health
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Start by downloading form 3254-a from the official website.
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Read the instructions provided on the form carefully.
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Fill in your personal information, including your name, address, and contact information.
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Provide details about the community services you are requesting.
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Indicate the reason for your request and any relevant background information.
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Who needs form 3254-a community services?

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Individuals seeking assistance from community services.
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Non-profit organizations looking to apply for community service grants.
03
Local governments in need of formulating community service programs.
04
Residents wanting to report community service issues or needs.
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Form 3254-A is a document used by organizations to report and provide information about community services they offer and their impact on the community.
Organizations that provide community services and are required to report their activities to governmental agencies must file Form 3254-A.
To fill out Form 3254-A, organizations need to enter details about their community services, including the type of services provided, the number of beneficiaries, and financial information related to the services.
The purpose of Form 3254-A is to ensure transparency and accountability in how community resources are used and to provide vital data for assessing the effectiveness of community services.
The form requires reporting information such as the types of services offered, demographics of beneficiaries, impact metrics, and financial expenditures related to the community services.
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