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Get Form 04CB002E (DCYS-S-2) - Oklahoma Department Of Human ... - Okdhs

X rate Enter the daily rate at which services are claimed. Total claimed Enter the total amount total days x rate for which services are claimed. OKDHS REVISED 12-11-2002 DCYS-S-2. CFSD CLAIM FOR PURCHASE OF RESIDENTIAL CARE 04CB002E DCYS-S-2 Purpose of Form Form 04CB002E CFSD Claim for Purchase of Residential Care is used to bill the Oklahoma Department of Human Services OKDHS Children and Family Services Division CFSD for these services for you.

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