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Cabinet for health and family services attendance confirmation rev 07/18 tris 1a page _____ of ______ Feel comfortable with your responsibilities as an mwma user Print your name and region and record daily hours in the daily boxes
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Day 1 day 2 day 3 day 4 day 5 day 6 total first name: These forms should not be emailed as the form revised Please fax or mail them only Visit us on the web at
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