|Name(s):||Oregon Department of Human Services,, issuing body.|
|Type of Resource:||text|
|Extent:||1 online resource (4 pages) : color illustrations|
Title from PDF caption (viewed on March 5, 2018).
"DHS 1139 (01/2018)"--Page 2.
This archived document is maintained by the State Library of Oregon as part of the Oregon Documents Depository Program. It is for informational purposes and may not be suitable for legal purposes.
Mode of access: Internet from the Oregon Government Publications Collection.
Text in English.
|Restrictions on Access:||http://rightsstatements.org/vocab/CNE/1.0/|