Authorization and Release for Protective Services Record Check--Agencies/Providers In-State

West Virginia Works Program

This government document is issued by West Virginia Works Program for use in West Virginia

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File Details: PDF (122 KB)
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Source
https://dhhr.wv.gov/bcf/policy/Documents/Form-AUTHORIZATION%20RELEASE%20RECORD%20CHECK%20updated%2011.4.2021.pdf

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