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picture1_Download Form Excel 32405 | Ag 031 R


picture2_Download Form Excel 32405 | Ag 031 R picture3_Download Form Excel 32405 | Ag 031 R

 128x       Filetype XLS       File size 0.03 MB       Source: des.az.gov


File: Download Form Excel 32405 | Ag 031 R
Instructions Social Service Report for Registered Services Completion Instructions The purpose of the Social Service Report for Registered Services is to record the number of individuals receiving registered ...

icon picture XLS Filetype Excel XLS | Posted on 09 Aug 2022 | 2 years ago
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...Sheet instructions social service report for registered services completion the purpose of is to record number individuals receiving such as personal care homemaker and case management demographic information that pertains them reported in national aging program system state which submitted annually administration on block grant this form must correspond provided by area agency or tribe under current contract with division adult family caregiver support title iiie results are separate forms nonregistered agn enter name reporting month year were part i ndash data numbers entered section pertain new who have received within fiscal begins july st goes through june th an unduplicated count required means if individual a during then discontinued again same should only be counted once entire being one may listed per page total first time yeartodate ii columns b years age older ethnicity each category served appropriate column sum lines will calculate automatically gender fraildisabled unable...
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