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PB Home  Back to Documents: 2012 Policy Bulletins    
Attached Document:
12-41-ope.pdf


Documents: 2012 Policy Bulletins

#12-41-OPE: Obsoletion of Forms M-15H, M-15J, M-15M, M-75F and M-76E

(This Policy Bulletin Replaces PD #02-02-ELI)

The purpose of this policy bulletin is to inform Job Center staff that the
following forms are obsolete, because the information they contain is no
longer applicable or valid:
• (M-15h) Vets HOPE Program: PA Plan of Self-Support Agreement
(NYHHS)
• (M-15j) Vets HOPE Program: PA Plan of Self-Support Agreement
Bronx VA Medical Center (BVAMC)
• (M-15m) Vets HOPE Program: PA Plan of Self-Support Worksheet
• (M-75f) Consent for Disclosure of Medical Assistance Program
Records
• (M-76e) Process for Implementing M-75f/M-76j Flow Chart

 

 

Created: 6/18/2012