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Service Amendment Request Form – A form used to request changes or additions to services in an individual’s plan.

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This project was supported, in part by grant number 1901NYSCDD, from the U.S. Administration for Community Living, the Department of Health and Human Services, Washington, D.C. 20201 through the New York State Council on Developmental Disabilities (NYS CDD). Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy or the opinions, interpretation or policy of the NYS CDD.

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