Common Contracts

3 similar Indian Nation Program Agreement contracts

Contract
Indian Nation Program Agreement • May 30th, 2024

INDIAN NATION PROGRAM AGREEMENTTreasury Offset - Tribal IV-D Program DSHS Agreement Number 2462-56066 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the Indian Nation identified below, and is issued in conjunction with a DSHS and Indian Nation Agreement on General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number Indian Nation Agreement Number DSHS ADMINISTRATION Economic Services Administration DSHS DIVISION Division of Child Support DSHS INDEX NUMBER 1313 CCS CONTRACT CODE 3000NC-62 DSHS CONTACT NAME AND TITLE Christopher FranksSenior Manager of Tribal Relations DSHS CONTACT ADDRESS PO Box 9162 Olympia, WA 98507-9162 DSHS CONTACT TELEPHONE (360) 338-2917 DSHS CONTACT FAX Click here to enter text. DSHS CONTACT E-MAIL Christopher.Franks@dshs.wa.gov INDIAN NATION NAME Nooksack Indian Tribe INDIAN NATION ADDRESS PO Box 157Deming, WA 98244 INDIAN NATION FEDERAL EMPLO

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Contract
Indian Nation Program Agreement • May 24th, 2024

INDIAN NATION PROGRAM AGREEMENTTreasury Offset - Tribal IV-D Program DSHS Agreement Number 2462-56004 This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the Indian Nation identified below, and is issued in conjunction with a DSHS and Indian Nation Agreement on General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number Indian Nation Agreement Number DSHS ADMINISTRATION Economic Services Administration DSHS DIVISION Division of Child Support DSHS INDEX NUMBER 1317 CCS CONTRACT CODE 3000NC-62 DSHS CONTACT NAME AND TITLE Kristin Krolikowski Program Administrator DSHS CONTACT ADDRESS712 Pear Street SE Olympia, WA 98501-1513 DSHS CONTACT TELEPHONE Click here to enter text. DSHS CONTACT FAX Click here to enter text. DSHS CONTACT E-MAIL kristin.krolikowski@dshs.wa.gov INDIAN NATION NAME Quinault Indian Nation INDIAN NATION ADDRESS PO Box 689214 4th StreetTaholah, WA 98587 INDI

Contract
Indian Nation Program Agreement • March 28th, 2018

INDIAN NATION PROGRAM AGREEMENTTreasury Offset - Tribal IV-D Program DSHS Agreement Number This Program Agreement is by and between the State of Washington Department of Social and Health Services (DSHS) and the Indian Nation identified below, and is issued in conjunction with a DSHS and Indian Nation Agreement on General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number Indian Nation Agreement Number DSHS ADMINISTRATION Economic Services Administration DSHS DIVISION Division of Child Support DSHS INDEX NUMBER CCS CONTRACT CODE 3000NC-62 DSHS CONTACT NAME AND TITLE Tribal Relations TeamProgram Administrator DSHS CONTACT ADDRESS 712 Pear St SE PO Box 9162Olympia, WA 98507-9162 DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL INDIAN NATION NAME Tribe Name INDIAN NATION ADDRESS INDIAN NATION FEDERAL EMPLOYER IDENTIFICATION NUMBER INDIAN NATION CONTACT NAME INDIAN NATION CONTACT TELEPHONE INDIAN NATION CONTACT FAX INDIAN NATI

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