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5.1 PAC OPEN ENROLLMENT APPLICATION, ATTACHMENTSAND REQUIRED FORMSINSTRUCTIONS1. Application must be completed and signed in Section III (Certification) for it to be accepted by DFPS. If it is not signed the Application and Required documents will be sent back to the Applicant to sign it.2. Applicant will submit their Application in its entirety with all the required documents in File Folders 1 and 2 in Appendix A to REGION12APSCONTRACTS@dfps.texas.gov.3. If applying in more than
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01
Obtain the HHS0011952 PKG 2 application form from the appropriate website or agency.
02
Carefully read the instructions accompanying the application to understand the requirements.
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Fill in your personal information, including name, address, and contact details, in the designated sections.
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Complete any specific sections related to your eligibility or qualifications for the application.
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Provide any required documentation or supporting materials as specified in the instructions.
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Submit the application as directed, either electronically or via mail, following the submission guidelines.

Who needs hhs0011952 pkg 2 application?

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Individuals or organizations seeking funding or assistance from the relevant health and human services programs.
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Healthcare providers, non-profit organizations, or community groups looking to participate in health initiatives.

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The hhs0011952 pkg 2 application is a specific form or package used for administrative or regulatory purposes, typically related to healthcare or social services.
Individuals or organizations that meet certain criteria set by the overseeing authority or agency, usually those involved in health services or public assistance programs, are required to file the hhs0011952 pkg 2 application.
To fill out the hhs0011952 pkg 2 application, you need to complete all required sections, provide accurate information, and ensure that any necessary supporting documents are attached before submission.
The purpose of the hhs0011952 pkg 2 application is to gather essential information from applicants to assess eligibility or compliance with specific health or social service programs.
The hhs0011952 pkg 2 application typically requires information such as personal identification details, demographic data, income levels, and any relevant medical or service history.
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