Orange County NC Website
_ 21 <br /> DOA-734 <br /> (reiised 1/99) <br /> • <br /> • <br /> to. Providers In-Home Aide, Home Health,.Housing and Home Improvement, and <br /> Adult Day Care or Adult Day Huth Care i sign amid return the attached <br /> assurance to the area agcy on aging indicating that.recipiems of these services' <br /> have bcon informed of their client ri.' iS. as required in Section 314 of the 1992 <br /> Amendments to the Oder Americans Act <br /> ' ) . L 1 *IMP— . ,—)1 e. 6 -4_____. <br /> ....—. ks. ,,, ...zcalik, .~~ (AIILbOTiZetI Sigature) ( 3 ) <br /> • <br /> • <br /> • <br /> • <br /> • <br />