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Get CA 116 HHSA 2014

Ou to provide information about your school attendance. Failure to provide this information could mean the loss of your supportive services and/or a Welfare-to-Work sanction. Submit This Report to Your Worker by: . Name of School:_________________________________________________ WEEK 1: Activity Class/Lecture Supervised Lab Supervised Study Unsupervised Study WEEK 2: Activity Class/Lecture Supervised Lab Supervised Study Unsupervised Study WEEK 3: Activity Class/Lecture Supervised Lab Supervis.

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