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PA 1923 - CW Treatment Service Verification Rev 04-08doc - file lacounty

PA 1923 - CW Treatment Service Verification Rev 04-08doc - file lacounty-2025

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The document is a verification form from the County of Los Angeles Department of Public Social Services for CalWORKs participants receiving treatment and services related to domestic violence, substance abuse, and mental health. It outlines the certification process for service providers, participant identification details, expected duration of services, and requirements for maintaining eligibility in the CalWORKs program. The form also includes sections for participant authorization and county action regarding the acceptance of services.

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