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Get DDSD Request for Subcontract Approval Form

Those not legible will be sent back) Requesting Agency: Address 1. Contact Person State City Zip Code Phone Number Fax Number Section 3 (below) must be completed and this form must be returned to DDSD once Subcontractor is no longer employed with your agency . DATE SUBMITTED TO DDSD Name of Proposed Subcontractor: Address SSN Phone Number (last 4-digits) City 2. State Zip Code Other DD or MF Provider Agency(ies) this Subcontractor is employed or Subcontracting with: Employee St.

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