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Get 04-167 Date 06-16-2004 To: From: County Welfare Director Supply Clerk / Forms Coordinator Forms

/ Forms Coordinator Forms Management Unit (916) 657-1907 Community Care Licensing District Offices Private and Public Adoption Agencies District Attorney Other Listed below is information regarding a form change. Only applicable information is shown. This notice updates your Department of Social Services County Forms Catalog. FORM NUMBER AND TITLE CW 2186B (4/04) English and Spanish CalWORKs and Welfare to Work Time Limit Exemption Determination ORDER UNIT ESTIMATED PRICE MASTER ONLY D.

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