Print copyFLAT PDFWAIVER AND OTHER
HCBS Waiver Eligibility Worksheet (Attachment L) - Haitian Creole
- Form number
- APDF 10-008
- Revision
- 260826 (from filename)
- Completed by
- Waiver support coordinator
- Format
- PDF · 285 KB · flat, print and complete
- Source
- apd.myflorida.com/medicaid/ibudget/docs/Attachment-L-HCBS-Waiver-Eligibility-Work-Sheet-260826_hatian%20creole-FINAL.pdf
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Description
Revision 260826 (from filename). Print copy PDF; the builder adds fields.
