Liability Waiver For Employees Using the Haywood Gymnasium Facility
Form Section Number | DHHS-0003 |
Medicaid Form Number | NC-12345 |
Agency/Division | NC Department of Health and Human Services (NCDHHS) |
Form Effective Date | 2018-10-12T12:18:00-04:00 |
Form File | dhhs-0003.pdf |
Form Content
NCDHHS Liability waiver for employees, activities leaders and class coordinators, and state employees' spouses and children 18 years old or older using the Haywood Gymnasium facility.