14- 472 C.M.R. ch. 4, § 7
Current through 2024-51, December 18, 2024
To complete the "determination of fees" worksheet, each adult in the household with legal responsibility for the dependent child shall acknowledge in writing that the information provided by him/her to the service provider is complete and accurate to the best of his/her knowledge by signing the worksheet. The worksheet shall contain adequate notification to the reader that failure to provide complete and accurate information for the completion of the worksheet may be punishable as a crime. The provider shall retain the original of this form in the applicant's file for documentation that a fee will or will not be assessed and for purposes of financial audit.
14- 472 C.M.R. ch. 4, § 7