AFFIDAVIT for Emergency Healthcare Runs in ... - Texas
Email: indra.hernandez@dshs.texas.gov . Mail to: Texas Department of State Health Services, Office of EMS/Trauma Systems - MC 1876, P.O. Box 149347, Austin, Texas 78714-9347. Our receipt of your affidavit form does not imply you are eligible to receive EMS allotment funds. ................
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