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Get and Sign Community Service Certificate  Form 2014-2022

Get and Sign Community Service Certificate Form 2014-2022

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Applicable): City: Street Zip: Provider Facility Address 1: State: County: City: Street Zip: Provider Mailing Address: State: County: City: Street Zip: State: County: Please mark a “C” for each T/RBHA the applicant has a contract with an an “I” for each T/RBHA the applicant intends to contract with. Program Director: Name: _ Cenpatico-3 Credentials: _ CPSA _ NARBHA _ Cenpatico-2 _ Mercy Maricopa Integrated Care Phone Number: Cenpatico-4 _ Gila River Tribal RBHA Navajo...
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Instructions and help about Community Service Certificate Form

laws dot-com legal forms guide a community service form is a document that is used to show completion of community service usually community service is mandated for criminal or statutory violations instead of jail or probation this form is used to prove community service obligations were met in this case we are using the community service form used by family drug treatment court in the state of Washington many examples of community service forms can be found online or through the court in which community service was given the first step in completing the form is to enter the participants name and the amount of total hours of community service they are ordered to serve a deadline should be provided informing the participant of when they must turn their community service form in fill in this time on each form submitted if a drug court date is scheduled it should be written on the community service form the next step is to fill out the grid indicating the time spent on community service p

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