Reference: Ref-14194

Reference Name: State Institution Claims Program Form APD Form 65G-15.002A
Agency: 65 Department of Children and Families
65G Agency for Persons with Disabilities

Original Document(s):
4/4/2022 APD Form 65G-15.002A
Modified Document(s): No Modified document(s).
Description: APD Form 65G-15.002A

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
65G-15.002
Restitution Claims 25777476 Effective:
05/02/2022