Appendix C.2 - CSP Self-Employed-Independent Contractor Declaration Form

Department of Aging

This government document is issued by Department of Aging for use in Pennsylvania

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https://www.google.com/url?client=internal-element-cse&cx=007572080359491747877:p5rt2izphxk&q=https://www.aging.pa.gov/publications/policy-procedure-manual/Documents/Appendix%2520C.2%2520-%2520CSP%2520Self-Employed-Independent%2520Contractor%2520Declaration%2520Form.pdf&sa=U&ved=2ahUKEwiepvfa7a_8AhWdRaQEHSN1BB84MhAWegQIBxAB&usg=AOvVaw0Kc8W8Zhpm61hKRikjy0VK

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