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Get TX Supervised Work Experience Documentation Form 2017-2024

Y objective, or does not perform hours in the KSA’s. The CTI must complete documentation to verify why the denial for the days or weeks hours occurred. DSHS recommends that CTI facilities/coordinators turn this form in to DSHS for each CI at 6 month intervals to ensure continuity of documentation for their CI’s. 2 Rev. 09/2017 .

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