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Thank you for your participation in the POWER-MT Grant as a provider. Below are the necessary forms.
Please review the forms below
9130 Instructions - Basic for Providers
ETA 9130 for POWER-MT
Provider Cash Report
Computer Request
Direct Payments Log
Individual Employment Plan
ITA
POWER GRANT Cover Sheet
POWER-MT Participant Application MT AFL CIO
POWER-MT Participant Application MT CDK
POWER-MT Participant Application MT DCC
POWER-MT Participant Application MT MCC
Program QSR
Release of Information
Supportive Service Request
UI - 411
Verification of Documentation
Memo on Occupational Demand
Phone: (406) 444-2840
P.O. Box 1728 Helena, MT 59624
