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Attachment A4
NEW YORK STATE DEPARTMENT OF HEALTH
OFFICE OF HEALTH INSURANCE PROGRAMS
LICENSED HOME CARE AGENCY
Annual Certification of Compliance with Home Care Worker
Wage Parity
I hereby certify
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What is attachment a-4 annual certification?
Attachment A-4 annual certification is a form used to certify compliance with certain requirements for federal grants.
Who is required to file attachment a-4 annual certification?
All recipients of federal grants are required to file attachment A-4 annual certification.
How to fill out attachment a-4 annual certification?
Attachment A-4 annual certification can be filled out online or manually, following the instructions provided by the granting agency.
What is the purpose of attachment a-4 annual certification?
The purpose of attachment A-4 annual certification is to ensure that recipients of federal grants are complying with specific requirements.
What information must be reported on attachment a-4 annual certification?
Information such as grant number, grant amount, grant period, and certifications of compliance must be reported on attachment A-4 annual certification.
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