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Resources & Publications

 

Arkansas' Representative Designation Forms

 Forms are provided for designating a representative and screening a representative for Arkansas' IndependentChoices program.
Source(s): Other, State Grantee
Screening Form (2pgs, 29 K)
Screening Form (2pgs, 22 K)
Designation Form (1pgs, 26 K)
Designation Form (1pgs, 11 K)