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INELIGIBLE NON-NIS-ELIGIBLE Case ID FISH # IS Screener/Interview date released to field Date returned from field Data entry date By (Employee ID) SLATS CHILDREN WITH SPECIAL HEALTH CARE NEEDS HARD
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Answer any questions or sections on the form that pertain to your eligibility for a particular program or service. Provide truthful and complete responses.
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Sign and date the form in the designated areas. If applicable, have any required witnesses or authorized individuals sign or certify the form as well.
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What is nis-eligible - cdc?
nis-eligible - cdc is a form used to report eligible National Interest Subsidy (NIS) payments.
Who is required to file nis-eligible - cdc?
Entities that have made NIS payments are required to file nis-eligible - cdc.
How to fill out nis-eligible - cdc?
nis-eligible - cdc can be filled out electronically or by paper form, providing all required information accurately.
What is the purpose of nis-eligible - cdc?
The purpose of nis-eligible - cdc is to report NIS payments to the appropriate authorities.
What information must be reported on nis-eligible - cdc?
Information such as the entity making the NIS payments, recipient of the payments, and the amount of payments must be reported on nis-eligible - cdc.
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