jagomart
digital resources
picture1_Agreement Sample 203412 | Dp1077 Proof 1 21


 94x       Filetype PDF       File size 0.65 MB       Source: www.paproviders.org


File: Agreement Sample 203412 | Dp1077 Proof 1 21
Services for Individuals with an Intellectual Disability or Autism Room and Board Residency Agreement § 6100.687 55 Pa. Code Chapter 6100 I. THIS AGREEMENT, made on ___________________ between ________________________ ...

icon picture PDF Filetype PDF | Posted on 10 Feb 2023 | 2 years ago
The words contained in this file might help you see if this file matches what you are looking for:

...Services for individuals with an intellectual disability or autism room and board residency agreement pa code chapter i this made on between effective date of name individual hereinafter referred to as at provider agency administering program address whereas the is participating in a residential administered by furnished residence ii s responsibilities agrees pay total shall no more than percent ssi maximum rate plus pennsylvania supplement section should be completed if provides both pays their own rent directly landlord but food supplied through purchases available income less charge monthly obligation receive least amount established social security administration related specific type setting personal needs allowance charged share may not exceed actual documented costs minus benefits received payment basis due payable first day each month payments periods prior leaving monies paid person designated such issue receipt showing period covered iii comply relating community homes life s...
Haven't found the file you're looking for? You can try sending a request file
Comment

no comments yet
Please Login to post a comment.

no reviews yet
Please Login to review.