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Program Operations Manual System (POMS)
Effective Dates: 11/28/2014 - Present
TN 27 (11-14)
Exhibit of Form CMS (L564 Request for Employment Information)
Exhibit of Form CMS-L564 English
To view the form, go to CMS-L564.
Exhibit of Form CMS-L564 Spanish
To view form, go to CMS-L564–SP.
To Link to this section - Use this URL:
HI 00805.340 - Exhibit of Form CMS (L564 Request for Employment Information) - 11/28/2014