Common Contracts
1 similar Indian Nation Program Agreement contracts
ContractIndian Nation Program Agreement • April 2nd, 2014
INDIAN NATION PROGRAM AGREEMENTFederal Offset Certification for Tribal Child Support Programs 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 the DSHS and Indian Nation Agreement on General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement NumberDSAIndian Nation Agreement Number DSHS ADMINISTRATION Economic Services Administration DSHS DIVISION Division of Child Support DSHS INDEX NUMBER CCS CONTRACT CODE DSHS CONTACT NAME AND TITLE DSHS CONTACT ADDRESS P O Box 9162Olympia, WA98507-9162 DSHS CONTACT TELEPHONE DSHS CONTACT FAX DSHS CONTACT E-MAIL INDIAN NATION NAME (Tribe) INDIAN NATION ADDRESS Address City, WA Zip INDIAN NATION FEDERAL EMPLOYER IDENTIFICATION NUMBER (number) INDIAN NATION CONTACT NAME (Name, Title) INDIAN NATION CONTACT TELEPHONE () - Ext: INDIAN NATION CONTACT FAX
