ContractIndian 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
INDIAN NATION PROGRAM AGREEMENT For Tribal Participation in Title IV-E Program - Federal Payments for Foster Care and Adoption Assistance DSHS Agreement Number ContractNoIndian Nation Program Agreement • October 10th, 2020
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 an Indian Nation and DSHS Agreement Regarding General Terms and Conditions, which is incorporated by reference. Administration or Division Agreement Number Indian Nation Agreement Number
INDIAN NATION PROGRAM AGREEMENT Tribal Qualified Health Home HCA CONTRACT NUMBER: «F1» ECMS REFERENCE NUMBER:Indian Nation Program Agreement • September 17th, 2020
This Contract is by and between the State of Washington Health Care Authority (“HCA”) and the Contractor identified below Contractor Contract Number:
Tlingit and Haida Indian Tribes of AlaskaIndian Nation Program Agreement • March 7th, 2011
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
