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PLEASE COMPLETE THE ENTIRE FORM, FRONT AND BACK. PLEASE PRINT: HEAD OF HOUSEHOLD×39’S FULL LEGAL NAME: RESIDENCE ADDRESS: Street: City/State/Zip:

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What is pre-application rehabilitation program?

Pre-application rehabilitation program refers to a program designed to provide assistance to individuals or organizations in preparing and submitting a rehabilitation plan for approval.

Who is required to file pre-application rehabilitation program?

Individuals or organizations who wish to apply for rehabilitation and receive assistance in preparing their rehabilitation plan are required to file a pre-application rehabilitation program.

How to fill out pre-application rehabilitation program?

To fill out the pre-application rehabilitation program, individuals or organizations need to provide relevant personal or organizational information, describe their rehabilitation goals, and outline their proposed rehabilitation plan.

What is the purpose of pre-application rehabilitation program?

The purpose of the pre-application rehabilitation program is to assist individuals or organizations in preparing a comprehensive and viable rehabilitation plan that addresses their specific needs and goals.

What information must be reported on pre-application rehabilitation program?

The pre-application rehabilitation program should include personal or organizational details, financial information, description of rehabilitation goals, proposed rehabilitation strategies, and any additional supporting documentation as required.

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