OOS Referral/Eligibility - SS Recipient
Document Number: DVR-17179-E
Description: This letter is to be completed and sent to every DVR consumer who is a SS Recipient at the time of eligibility and OOS Category determination is made.
Comments: This form is protected from modification and enabled for form fill (includes tabbed fields for form completion).
Content Contact: Audrey Merten
Document Attachment: DVR-17179-E (Word/108 KB)
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