Free Form 02MP003E (SUOA-S-19) - Oklahoma

*02HM002E-001*
OKLAHOMA DEPARTMENT OF HUMAN SERVICES

Title III Services Program Report
Month Project name Project location Year

Summary of project program and activities:

List the project service categories and write a short paragraph on each:

Describe any special activities undertaken this month in coordination with other groups or agencies. Include an estimate of the number of recipients served under each special activity.

Report any changes or additions to project staff:

Signature and title

Date

OKDHS revised 10-20-2003

02MP003E (SUOA-S-19)