Common Law Employer Agreement Form

Human Services

This government document is issued by Human Services for use in Pennsylvania

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File Details: PDF (286 KB)
Source
https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:yqjcmted-sw&q=https://www.dhs.pa.gov/providers/Providers/Documents/LTC%2520Providers/CLE%2520Agreement%2520Form.pdf&sa=U&ved=2ahUKEwib45PukPGFAxULc_EDHcOdDtc4WhAWegQIAhAB&usg=AOvVaw0UEimee048fPMy2m9P77XS&arm=e

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