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Ddress Por favor entregue cualquier informaci n de sus archivos que le pida el Departamento de Servicios Humanos de Oklahoma (OKDHS) sobre mi empleo. Firmado: Cliente, tutor(a), o padre/madre Firma del testigo, si el cliente firma con una marca Direcci n del testigo Para poder determinar la elegibilidad para los servicios del OKDHS, es necesario tener la informaci n con respecto al estatus de empleo de , el n mero del Seguro Social , durante el periodo que comienza el y termina el . Por fa.

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