Common Contracts

2 similar Reimbursement Agreement and Acknowledgment contracts

REIMBURSEMENT AGREEMENT AND ACKNOWLEDGMENT
Reimbursement Agreement and Acknowledgment • September 13th, 2016

I, and , understand that N.H. State Laws, RSA 167:13, RSA 167:14, RSA 167:14-a, and RSA 167:28, require reimbursement to the State and County from me or my spouse for the financial assistance provided, as a condition of eligibility for theAPTD, ANB, and OAA Programs.

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REIMBURSEMENT AGREEMENT AND ACKNOWLEDGMENT
Reimbursement Agreement and Acknowledgment • February 6th, 2015

I, and , understand that N.H. State Laws, RSA 167:13, RSA 167:14, RSA 167:14-a, and RSA 167:28, require reimbursement to the State and County from me or my spouse for the financial assistance provided, as a condition of eligibility for theAPTD, ANB, and OAA Programs.

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