Crime Victims Compensation Program Termination Report: Form VI


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Title Crime Victims Compensation Program Termination Report: Form VI
Description

Used by the clinical provider to inform L&I that you are no longer conducting treatment to the client. This must be submitted within 60 days of the client's last session and you are no longer conducting treatment.

Document number F800-085-000
How to get this document
Alt Language(s)
Valid dates 06/2011
Contact information Crime Victims Compensation Program
Websites Help for Crime Victims

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