Home > Forms Repository > Refugee Health Screening Expenditure Report, FIS-14397-E

Refugee Health Screening Expenditure Report

Document Number:  FIS-14397-E

Description:  This form is used to claim expenditures for Refugee health screening grants.

Comments:  This excel form should be downloaded, completed and emailed to fingrants@dwd.wisconsin.gov.

Content Contact:  Amy Johnson

Document Attachment:  FIS-14397-E (Excel/48 KB)

***Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page.  Links to each specific vendor's site have been provided for you.  Thank you.

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