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Please send completed form to Visit us on the web at @ky.gov visit us on the web at

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To get a tris account, send an email to medicaidpartnerportal.info@ky.gov tris url Please fax or mail them only Cabinet for health and family services attendance confirmation rev 07/18 tris 1a page _____ of ______

Print your name and region and record daily hours in the daily boxes

Record your total hours on the last day Day 1 day 2 day 3 day 4 day 5 day 6 total first name: This message is to inform you that new system enhancements will be going into mwma after november 22nd, 2019 Additional training materials will be posted on tris to help you navigate these enhancements

Included in the table below is a summary of the changes: These forms should not be emailed as the form revised