Diversion agreement form pa 1793-2026

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  1. Click ‘Get Form’ to open the diversion agreement form pa 1793 in the editor.
  2. Begin by entering your Client Name and Co/Record # at the top of the form. This information is essential for identifying your case.
  3. Review the responsibilities outlined for both you and the CAO. Ensure you understand what is expected from you during this process.
  4. In the section regarding community services, list any agencies that may assist your family. This can help streamline your access to necessary resources.
  5. Choose between receiving a Diversion benefit or ongoing cash assistance by checking the appropriate box. Make sure to read the implications of each choice carefully.
  6. Sign and date the form in the designated areas for both yourself and the CAO representative to finalize your agreement.

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