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Document Number: FIS-13590-E
Description: This form is completed by county Human (Social) Services Departments to report their employee counts to the state four times each year in March, June, September and December. The data is used to allocate the Shared Cost reported on form FIS-13591-E. This form is provided to both DWD and DHFS.
Comments: This form is a protected Excel spreadsheet enabled for form completion.
Content Contact: Sue Losen
Document Attachment: FIS-13590-E (Excel/26 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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