Article Publication Date:
11/20/2007
Summary:
This form was developed for the Flexible Choices program to request payments for services, goods and cash.
Topics:
Consumer/Participant Direction
Types/Tools:
Sources:
Grantee produced
Vermont
Programs/Initiatives:
Cash and Counseling
States:
Keywords:
State/Agency Information
Reimbursement Request Form
Contact
Aris Solutions
PO Box 4409
White River Junction, VT. 05001
Phone:
800-798-1658
Short URL: http://www.advancingstates.org/node/52186