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Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org
OKDHS
County Offices
Consolidated Records Disposition Schedule 82-37
January 26, 2006
Client Records
2-11 Application Registers 
Description: Form PA-12, a reference record used to record the names of persons who have applied for financial and medical assistance. Information includes applicant names, assistance requested, and notations relative to approval or denial of applications.
Disposition: Retain individual forms until one (1) year after the disposition of all required action.
[Changed from Series 1-33 April 14, 1993]
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