Laserfiche WebLink
xv. Are auxiliary (supplementary) aides available when requested by4fie individual? <br />Per CFR Title 20,29,41 YESO❑ <br />Youth Service Provider Information: L C �n i \ci Yi2 h S 'C�e rc i C <br />Print First La Name <br />S ^ 1 °\- 0 <br />Service Provider Signature V UDate \ n <br />2 -2- , C:- Q--SOr� to \SC O Q Q, \ m <br />Business Address <br />(p <br />( --� 'Ay1 S `1 - S y 6 b <br />Business Phone Number <br />All information is subject to validation by SAWDB staff upon approval of award. <br />