Common Contracts

1 similar Indian Nation Program Agreement contracts

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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

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