Professional Services Contract forSCHOOL-BASED HEALTH CARE SERVICES HCA Contract Number: K1234Washington • September 26th, 2022
Jurisdiction FiledSeptember 26th, 2022CONTRACTOR NAME CONTRACTOR DOING BUSINESS AS (DBA) ABC School District ADDRESS Street City State Zip 1234 SCHOOL LANE OLYMPIA WA 98501 CONTRACTOR CONTACT CONTRACTOR CONTRACTOR E-MAIL Sally Smith Is Contractor a Subrecipient under this Contract? CFDA NUMBER(S): FFATA Form Required YES NO 93.778 YES NO