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DPHHS-Recip*doc New 11/2011 STATE OF MONTANA Department of Public Health and Human Services APPLICATION FOR LICENSURE BY RECIPROCITY TO ANALYZE PUBLIC DRINKING WATER SUPPLIES License Applied for Chemistry Inorganic Chemistry Organic Microbiology NOTE Chemistry and Microbiology are licensed separately. Separate application and licensure fees are required for each. PLEASE PRINT OR TYPE LEGAL NAME OF LABORATORY NAME OF LABORATORY OWNER LABORATORY MAILING ADDRESS ADDRESS CITY STATE ZIP...
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Individuals applying for services from the Department of Public Health and Human Services (DPHHS).
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What is DPHHS-Recip.doc?
DPHHS-Recip.doc is a document used by the Department of Public Health and Human Services (DPHHS) for reporting purposes.
Who is required to file DPHHS-Recip.doc?
Individuals or organizations that receive services or funding from the DPHHS are required to file DPHHS-Recip.doc.
How to fill out DPHHS-Recip.doc?
To fill out DPHHS-Recip.doc, complete all required fields accurately, providing necessary information and any supporting documentation as specified.
What is the purpose of DPHHS-Recip.doc?
The purpose of DPHHS-Recip.doc is to ensure compliance with reporting requirements and to track the use of funds or services provided by the DPHHS.
What information must be reported on DPHHS-Recip.doc?
Information that must be reported includes the recipient's details, the amount of funding received, services utilized, and any required outcomes or performance metrics.
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