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Provider Wage Supplement Staff ChangeLogan Crouch2021-11-16T17:11:08-06:00

Tarrant TRS Supplement Wage Program - Staff Change

Step 1 of 4

25%
  • Basic Information

  • Employee's Information

  • (If employee has one)
  • Change Information

  • Review Information

  • Summary

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    01/29/2023

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  • I certify that all information provided on this form is true and accurate. I understand that giving false information may constitute fraud and could result in prosecution.
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