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Agency Name Family Support Chapter No./Name 4 – Economic Stability (ES) Part No./Name B – Eligibility Factors Section No./Name B-700 Immunization Document No./Name B-710-FITAP Immunization Effective Date May 1, 2023

8 of 8 Document all activities justifying case closure or rejection due to failure to comply. This documentation should include all offers of assistance made to the client and the client's response or lack of response to the offers of assistance.

III. FORMS AND INSTRUCTIONS

CR 9 Form/Instructions Immunizations Record

OFS IM Form/Instructions Request for Verification of Immunizations

IV. REFERENCES

Louisiana Administrative Code – Title 67 Social Services, Subpart 2- Chapter 12: Family Independence Temporary Assistance Program, Subchapter B – Conditions of Eligibility

Louisiana Administrative Code – Title 67 Social Services, Subpart 12- Chapter 51: Child Care Assistance Program, Subchapter A – Administration, Conditions of Eligibility, and Funding