Free DHS 1240 Form Hawaii Online A United States government form is a document that is filled out to request or provide details from the US Government. Do you need help in another language? Printable templates are pre-designed documents or forms that can be easily printed and filled out by hand. Necesita ayuda en otro idioma? Call 1-888-764-7586 to tell us which language you speak. Kokori 1-888-764-7586 omw kopwe ureni kich meni kapas ka ani. Temporary Assistance for Needy Families (TANF) benefits, then Brauchen Sie Hilfe in einer andereren Sprache? SERVICES DIVISION. ? The DHS 8015 and 8016 have been converted to one (1) fillable PDF. The DVR (formerly called the Vocational Rehabilitation and Services for the Blind Division) is a state-federal program for individuals with disabilities who require assistance to prepare for, secure, retain or regain employment. However, with our predesigned web templates, everything gets simpler. Child: Under 13 years, or between 13 to 18 years if the child cannot do self care and resides with their parent(s) or caretakers; Parents or Caretakers: Must be employed, attending school, or participating in a job-training program. The donation drop off area is open Monday thru Friday from 0800-1600. Ikukuha namin kayo ng libreng tagasalin. Bn c cn gip bng ngn ng khc khng ? Find DHS Forms Find a collection of the most popular forms across DHS: Immigration Forms, Travel Forms, Customs Forms, Training Forms, Additional Resources Immigration Forms Travel Forms Customs Forms Training Forms Additional Resources Keywords How Do I - At DHS How Do I? Amo kang mahatagan ug libre nga maghuhubad. The POD subsidy is used to assist with payments to DHS licensed group child care homes or centers (i.e. dhs forms hawaii medquest hawaii kolea dhs 1252 form hawaii dhs 1148 hawaii dhs 1100 application dhs 1167 med-quest application pdf Create this form in 5 minutes! Psychiatric Evaluation Part II Serious Mental Illness (SMI) Criteria. Need Assistance? the Women's & Family Shelter, an emergency shelter from the Institute for Human Services (IHS). Once enrolled in Paperless Delivery, you will no longer receive paper documents or notifications pertaining to your application or benefits through physical mail. The Wahiawa Civic Center will be undergoing renovations. Public Assistance Information Line 1-855-643-1643. The section below contains blank DHS Forms you can download, complete, and return when needed. or https:// means youve safely connected to the .gov website. Our Vision: The people of Hawaii are thriving. Free DHS 908 Form Hawaii Online A United States federal government form is a file that is submitted to request or offer info from the US Government. E kelepona 1-888-764-7586 `oe ia la kaua a e ha`ina `oe ia la maua mea `olelo o na `aina `e. Masapulyo kadi ti tulong iti sabali a pagsasao? Avez-vous besoin d'aide dans une autre langue? Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? Chng ti se yu cu mt ngi thng dch vin min ph cho bn. Learn About Law Enforcement Training Opportunities, Provide Feedback or Make Complaints to DHS, This page was not helpful because the content, Application to Replace Permanent Resident Card, DHS Traveler Redress Inquiry Program (DHS TRIP), Passport Application Forms, U.S. Department of State, Automated Clearinghouse Credit Enrollment, Declaration for Free Entry of Unaccompanied Articles, Certificate of Registration for Personal Effects Taken Abroad, National Emergency Training Center General Admissions Application, National Emergency Training Center General Admissions Short Form Application, Federal Emergency Management Administration, Federal Emergency Management Administration (Flood hazard), U.S. click here, Limited English Proficiency and Non-Discrimination click here. The parents are given a Choosing The Right Caregiver for your Keiki brochure and Health and Safety Checklist, to provide guidance in making their choice. Appelez le 1-888-764-7586 pour nous indiquer quelle langue vous parlez. E te mana'o mia se fesosoani i se isi gagana? Kim naj lewaj juon am dri ukok eo ejjelok wonen. Amo kang mahatagan ug libre nga maghuhubad. Vili mai i le numera lea 1-888-764-7586 pea e mana'o mia se fesosoani mo se faaliliu upu. Nosotros le ayudaremos a conseguir un intrprete gratuito. Any documents or notifications sent after disenrollment will be mailed to your physical address that we have on file for your account. Our staff are processing all applications as quickly as possible. Matou te fesosoani e ave atu fua se faaliliu upu mo oe. 1-888-764-7586, ? Kailangan ba ninyo ng tulong sa ibang lengguwahe? The parent/guardian chooses the child care provider most appropriate for their child. 1-888-764-7586 , , 1-888-764-7586, . Department of Human Services can be found at the following information when: All of your answers must be complete and honest. Report your new home and mailing address. A United States government form is a file that is completed to demand or offer details from the US Government. Effective January 30, 2023, the Wahiawa PC staff will be relocated to 1008 California Avenue, Building B in Wahiawa until further notice. Kokori 1-888-764-7586 omw kopwe ureni kich meni kapas ka ani. If you wish to change the mailing address please click this link. (1-888-764-7586) . CCCH program also provides families with: guidance in selecting a child care provider; information about quality child care programs; and referrals to community resources for help with other concerns. Te mau malava 'o 'oatu ha fakatonulea ta'etotongi. Appelez le 1-888-764-7586 pour nous indiquer quelle langue vous parlez. Guidance and materials are provided during the office visit to help make this important choice. Nous pouvons vous fournir gratuitement des services d'un interprte. Child Care Gross Income Eligibility Limits and Sliding Fee Scale, POD Gross Income Limits and Sliding Fee Scale, Application for Child Care Services (DHS 911) (Fillable version), DHS 948 Authorization for Background Check and to Release Information, DHS 948B Non-Criminal Justice Applicant Privacy Rights, DHS 961B Instructions for Background Checks Oahu, DHS 961C Instructions for Background Checks Neighbor Islands, Application for Child Care Services DHS 911 (fillable), Child Abuse Reporting from neighbor islands, Child Trafficking Reporting from neighbor islands. Department of Human Services. The advanced tools of the editor will guide you through the editable PDF template. Department of Human Services! Provider Enrollment Form DHS 1139 (REV 07/20 INTERIM) Page 1 of 55 . DHS 1100B Supplemental Form for Applying for Coverage Other than MAGI & or LTC Instructions (Rev. com is a Health website created by Hawaii Medical Service Association. 808-832-5300 or (toll free) 1-888-380-3088, Child Trafficking Reporting Hotline If printing forms, BOTH pages of the 8015 or 8016 must be printed and mailed with the CMS 1500 attached. State of Hawaii - Form DHS 1179A Change of Circumstance Report Form On average this form takes 27 minutes to complete Awaganyo ti 1-888-764-7586 tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo. Bitte rufen Sie uns an unter 1-888-764-7586 und sagen Sie uns Bescheid, welche Sprache Sie sprechen. Looking for U.S. government information and services? Login Forgot Username? Continue your application, view your application status, eligibility details, notices, request changes to your household, and update your account settings. You have been disenrolled from paperless delivery, you will be receiving documents at the following mailing address. Chng ti se yu cu mt ngi thng dch vin min ph cho bn. We will get you a free interpreter. , 1-888-764-7586, . You must be a resident of the State of Hawaii to be eligible for Financial Assistance (Money) Ikukuha namin kayo ng libreng tagasalin. . Find several commonly used forms listed here. Nosotros le ayudaremos a conseguir un intrprete gratuito. DHS 1147 Form Hawaii - A printable form template is a great way to develop a precise and expert looking form with very little effort, merely by filling out the blanks according to your requirements and printing the file. When you submit your application, you will receive a receipt with your application tracking number. DHS 961 Instructions for Criminal Check. They are customizable, allowing users to make modifications to the text, colors, and layout, and they can be saved and reused for future use. General Forms and Documents DMS-7734 - Nursing Homes | Incident and Accident Next Day Reporting Form DOC 07/30/2012 DMS-762 Completion Guidance Tool PDF 04/13/2015 DMS-742 - Assisted Living | Incident Investigation Form DOC 04/03/2019 Continuing Education (CEU) Workshop Approval | CEU Review Checklist DOC 04/03/2019 DHS-9571 - Options Counseling Form DOC 04/03/2019 DHS-9571 - Options [] E te mana'o mia se fesosoani i se isi gagana? Find out more. Enter your official contact and identification details. It only takes a couple of minutes. (1-888-764-7586) . Form Popularity 1266 form . The Department of Human Services is not responsible for lost or misdirected email, caused by invalid email addresses, "full" inboxes, or diverted email to your "spam" email folder. DHS 1100B-2 Medical Assistance Renewal Form for MAGI-Excepted Households Form (Rev. Hawaii Labor Forms Dhs 1266 2003-2023 Dhs 1266 2003-2023 Create, verify, and track a dhs 1266 form 2003 online using a ready-made template. Makemake la maua i ki`i `oe mea unuhi manuahi. The following are links to various pages across DHS websites that have forms that the public might use. Tawag sa 1-888-764-7586 aron magpahibalo kung unsa ang imong sinulti-han, SNAP Eligibility Requirements Reinstated Starting June/July 2022 click herefor more information, SS and/or SSI INCREASE QUESTIONS click here, SNAP APPLICATION /SNAP RECERTIFICATION SUBMISSIONFood Assistance Status click here, IMPORTANT PUBLIC INFORMATION KALAMAPII PLAY SCHOOL click here (October 20, 2022). Find out more. 04/2021) Instructions. 'Oku ke fiema'u tokoni 'iha lea makehe? Our service offers you a wide library of forms that are available for submitting online. An official website of the United States government. STATE OF HAWAII DEPARTMENT OF HUMAN SERVICES BENEFIT, EMPLOYMENT AND SUPPORT SERVICES DIVISION Financial Assistance / SNAP Application APPLY NOW Start a new application for SNAP or financial assistance Do not use if you are renewing benefits. Makemake la maua i ki`i `oe mea unuhi manuahi. Form. Child Care Connection Hawaii Eligibility Requirements (general child care), Preschool Open Doors (POD) Eligibility Requirements. Gi 1-888-764-7586 ni cho chng ti bit bn dng ngn ng no. Human Services. (LockA locked padlock) E Komo Mai! Our Vision: The people of Hawai'i are thriving. Press Doneafter you complete the form. If you have any questions or concerns, please contact our Student Services Office . Official websites use .gov Find out more. Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? Parents will receive detailed information about these requirements during the application process. Get your online template and fill it in using progressive features. Matou te fesosoani e ave atu fua se faaliliu upu mo oe. Child: Priority is given to children for the POD school year prior to kindergarten entry with priority for under-served or at-risk children; Parents or Caretakers: No activity requirement; Gross monthly income (before taxes and deductions) must not exceed the income limit for the familys size. Nous pouvons vous fournir gratuitement des services d'un interprte. For more information click on any of the following: The Child Care Connection Hawaii (CCCH) and the Preschool Open Doors (POD) subsidy programs use a sliding fee scale for families meeting the income eligibility requirements. Once completed you can sign your fillable form or send for signing. STATE OF HAWAII Department of Human Services Med-QUEST Division STATE OF HAWAII Level of Care (LOC) and At Risk Evaluation HEALTH SERVICES ADVISORY GROUP, INC. 1001 Kamokila Blvd., Suite 311, Kapolei, HI 96707 Phone: (808) 440-6000 Fax: (808) 440-6009 DHS 1147 (Rev. If you receive SNAP, you must also report your rent, utilities and . Kokori 1-888-764-7586 omw kopwe ureni kich meni kapas ka ani. Department of Human Services > Find a Document > Forms. 808-832-1999 or (toll free) 1-888-398-1188, Adult Abuse or Neglect Reporting Hotline 1-888-764-7586, ? Version Form Popularity Fillable & printable; . They are often used for things like requesting passports, visas, or social security numbers. Avez-vous besoin d'aide dans une autre langue? Child Care Connections Hawaii Offices The Application Process: You may call or visit your nearest CHILD CARE CONNECTION HAWAII (CCCH) office to request an application or down load a copy (see link below). You must ensure that your email account has sufficient space for new emails and that your email server and spam-blocking software do not block our emails. If the applicant/recipient does not have a treating psychiatrist or psychologist, then the treating medical provider for the applicant/recipient may sign where indicated on the form. Most Requested Forms Michigan (/ m n / ()) is a state in the Great Lakes region of the upper Midwestern United States.With a population of nearly 10.12 million and an area of nearly 97,000 sq mi (250,000 km 2), Michigan is the 10th-largest state by population, the 11th-largest by area, and the largest by area east of the Mississippi River. Bn c cn gip bng ngn ng khc khng ? Makemake `oe i kokua i pili kekahi `olelo o na `aina `e? A non-governmental organization (NGO) or non-governmental organisation (see spelling differences) is an organization that generally is formed independent from government. Office of Youth Services provides and coordinates a continuum of services and programs for at-risk youth to prevent delinquency and reduce the incidence of recidivism. The DHS 908 may be downloaded from the DHS Child Care Connection Hawaii website, http://humanservices.hawaii.gov/bessd/child-care-program/child-care-licensing/child-care-center-Licensing-forms/. Parent/Guardian Rights and Responsibilities are explained and a Child Care Services Agreement form is completed during the interview. All rights reserved. Free DHS 1147 Form Hawaii Online An US government form is a document that is filled out to demand or offer details from the United States Government. We will get you a free interpreter. An US government form is a document that is filled out to demand or offer details from the United States Government. They are typically nonprofit entities, and many of them are active in humanitarianism or the social sciences; they can also include clubs and associations that provide services to their members and others. Ensure graduates of Pennsylvanias high schools are career ready. Makemake la maua i ki`i `oe mea unuhi manuahi. Acting Secretary Leigh M. Chapman's Twitter. DHS 948 Authorization for Background Check and to Release Information, DHS 908 Early Childhood Pre-K Health Record Supplement (rev 9/15), Child Abuse Reporting from neighbor islands, Child Trafficking Reporting from neighbor islands. The Department of Human Services will deliver an email notification to you whenever documents or notices requiring your attention are posted to your MyBenefits Account. Telefoni ki he 1-888-764-7586 'o fakaha mai pe koe ha 'ae lea fakafonua 'oku ke ngaue'aki. DHS 1100 "Application for Health Coverage and Help Paying Costs " DHS 1100 Instructions Telephone, Fax, or Mail Phone at 1-877-628-5076 Unable to process your username request. In order to work in a center-based program such as a preschool, infant/toddler center or group home, DHS requires you to complete Form 1. Bitte rufen Sie uns an unter 1-888-764-7586 und sagen Sie uns Bescheid, welche Sprache Sie sprechen. A lock Adult Protective and Community Services Branch, Family First Hawaii Family First Prevention Services Plan, Become a Resource Caregiver for Children in Foster Care, Independent Living Program For Former Foster Youth, Electronic Benefit Transfer (EBT) Online Purchasing, Low Income Home Energy Assistance (LIHEAP), Hawaii Electronic Benefit Transfer (EBT) Program, Online Application for Medical Assistance, Integration of DHS/DOH Behavioral Health Services, Notice of Request for an Extension of Hawaiis QUEST Expanded Section 1115 Demonstration, Proposed Medicaid Eligibility & Benefits Changes, Pre-existing Condition Insurance Plan (PCIP), Health Insurance Portability and Accountability Act of 1996: HIPAA, QUEST Expanded Section 1115 Demonstration Extension Application, Community Partners list for Health Coverage Assistance, Statewide Independent Living Programs (ILP), Hawaii Juvenile Justice State Advisory Council, To Report Lost, Stolen or Damaged EBT card 1-888-328-4292, Medical Assistance Information: 211 Emergency: 911. Dhs 908 Fill Online Printable Fillable Blank PdfFiller Find out more. akinahanglan ka ba ug tabang sa imong pinulongan? Necesita ayuda en otro idioma? Hawaii DHS Form 1147 - A form template is an excellent way to produce a precise and expert looking form with very little effort, just by filling in the blanks according to your needs and printing the document.. Free Hawaii DHS Form 1147 Online. It is also your responsibility to keep your email address active and capable of receiving new emails. State Commission on Fatherhood promotes healthy family relationships between parents and children. STATE OF HAWAII Med-QUEST Division Department of Human Services . Assistance is provided to eligible children according to priority criteria based on the childs age, referral documentation for the child regarding underserved or at-risk factors, and the income of the family. COVID-19. Get access to thousands of forms. Note: When you enroll in paperless delivery, you will no longer receive paper documents in the mail. Once the intake interview(s) is completed and all requested documents/information is obtained the subsidy worker will determine if a family is eligible for a subsidy and the amount of the subsidy. Kirtok 1-888-764-7586 im kwalok non kim kajin ta eo kwo melele im kenono kake. Printable templates offer a convenient and cost-effective solution for individuals and businesses who need to produce a high volume of similar documents. For technical support, visit https://medquest.hawaii.gov/support. Citizenship and Immigration Services. The way to complete the Dd 1252 form hawaii pdf on the web: To start the form, utilize the Fill camp; Sign Online button or tick the preview image of the document. 'Oku ke fiema'u tokoni 'iha lea makehe? 'Oku ke fiema'u tokoni 'iha lea makehe? All rights reserved. Kim naj lewaj juon am dri ukok eo ejjelok wonen. Search hawaii 1139 dhs form dhs 1139 form dhs form 1139 hawaii 1139 form state of hawaii form 1139 HAWAII INSTR DHS QMB MQD 03/20) Page 1 of 2 (over) PART C: YES NO . Find out more. Tumawag sa 1-888-764-7586 para sabihin kung anong lengguwahe ang nais ninyong gamitin. Telefoni ki he 1-888-764-7586 'o fakaha mai pe koe ha 'ae lea fakafonua 'oku ke ngaue'aki. Kailangan ba ninyo ng tulong sa ibang lengguwahe? 01/2021) DO NOT MODIFY FORM Page 3 of 3 _____ Be sure to include this identification at the bottom of every page. Please read the following Terms and Conditions carefully. Te mau malava 'o 'oatu ha fakatonulea ta'etotongi. E te mana'o mia se fesosoani i se isi gagana? Open the template in our online editing tool. You can also call toll free 1-877-DHS-5678 to find out where your local Iowa Department of Human Services office is located.Call 800-532-1275.Pandemic Electronic Benefits Transfer (P. Eligible absences are determined: Spring 2020 March 16,. You may call or visit your nearest CHILD CARE CONNECTION HAWAII (CCCH) office to request an application or down load a copy (see link below). Amo kang mahatagan ug libre nga maghuhubad. Drop off was really simple. , 1-888-764-7586, . Wir koennen Ihnen gern einen kostenlosen Dolmetscher besorgen. MA & CHIP Renewals. DHS 1470 (10/14) 1 STATE OF HAWAII Benefit, Employment and Support Services Division Department of Human Services CHANGE REPORT FORM To: Name of Unit Client Name Case Number . Gi 1-888-764-7586 ni cho chng ti bit bn dng ngn ng no. Matou te fesosoani e ave atu fua se faaliliu upu mo oe. The Department of Human Services will deliver an email notification to you whenever documents or notices requiring your attention are posted to your MyBenefits Account. Te mau malava 'o 'oatu ha fakatonulea ta'etotongi. Once enrolled in Paperless Delivery, you will no longer receive paper documents or notifications pertaining to your application or benefits through physical mail. Kim naj lewaj juon am dri ukok eo ejjelok wonen. Bitte rufen Sie uns an unter 1-888-764-7586 und sagen Sie uns Bescheid, welche Sprache Sie sprechen. 808-832-5115, UPDATED LISTING: Statewide SNAP (food support) and Financial Assistance Processing Centers, Med-QUEST (Medical Assistance)Application Centers, Department of Human Services Contact Information, Do You Need Help in Another Language? Then multiply by 1.25 or 2.00 for 125%-200% of Poverty Guidelines (for OCS/CED). Vili mai i le numera lea 1-888-764-7586 pea e mana'o mia se fesosoani mo se faaliliu upu. In conclusion, printable templates offer a quick and easy solution for producing high-quality documents and forms. Once you enroll in Paperless Delivery you will set up a MyBenefits Account and provide a valid email address. They are often utilized for things like requesting passports, visas, or social security numbers. To have the best web browsing With the large number of individuals and families now applying, we are experiencing delays. On This Page The Division of Cancer Prevention furthers the mission of the National Cancer Institute by leading, supporting, and promoting rigorous, innovative research and traini Our Mission: To encourage self-sufficiency and support the well-being of individuals, families, and communities in Hawai'i. Sipwe angei emon chon chiaku ngonuk ese kamo. DHS 908 Early Childhood Pre-K Health Record Supplement, DHS 948 Consent to Release for Background Clearances and Disposition of Findings, DHS 950 Guide for GCC, GCH, BAS, IT Licensing, DHS 958 Instructions for Employment History Clearance, DHS 959A Self-Certification of Employment, DHS 970 Reference Guide for Preschool Staff, DHS 974A Notification of Change(s) Form (BAS, GCC, GCH, IT), DHS 975 Request to Increase or Determine License Capacity and Agreement, DHS 975A Instructions for Requests to Increase or Determine License Capacity, DHS 984B Instructions for the Medical Report Form, DHS 974 Notification of Change(s) Form (FCC), DHS 984A Instructions for the Medical Report Form for FCC, Child Abuse Reporting from neighbor islands, Child Trafficking Reporting from neighbor islands. . Do you need help in another language? Kailangan ba ninyo ng tulong sa ibang lengguwahe? 1-888-764-7586 , , 1-888-764-7586, . For POD, there is a time-limited application period established and published each year. En mi niit alilis lon pwal eu kapas? (1-888-764-7586) . Do not use if you are renewing your benefits. Please call the ? If your family meets basic eligibility requirements you will receive other forms and you will then be contacted for either an office visit or a telephone intake interview(s) to confirm information and go over the other forms. DHS 957 Staff Sequence Form. An official website of the U.S. Department of Homeland Security. These templates can be used for a variety of purposes, such as creating invoices, resumes, business cards, and more. A completed application along with supporting documents, such as birth certificates, income verification, and an intake interview are required before eligibility can be established and payment initiated. Hawaii'I State Department of Human Services through a contract with relearning to Grow .. and Group Child Care Homes (GCC/GCC Chapter 17.892.1), Before snap hawaii 10. Show details How it works Open the dhs 1266 and follow the instructions Easily sign the state of hawaii dhs forms with your finger Send filled & signed form 1266 dhs or save Rate the form 1266 4.7 Satisfied Sipwe angei emon chon chiaku ngonuk ese kamo. . Awaganyo ti 1-888-764-7586 tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo. Ikkandakayo iti libre nga paraipatarus. Using printable templates can save time and effort, as they provide a basic structure and design that can be used as a starting point for creating professional-looking documents. Once you terminate Paperless Delivery enrollment you will not receive email notifications. DHS 952 Statement of Operation Policies. If any member of your household receives SNAP or Create a user account in order to start and submit an application. This page was not helpful because the content, U.S. The Department of Human Services began issuing new P-EBT cards to all known eligible students in March 2021. Wir koennen Ihnen gern einen kostenlosen Dolmetscher besorgen. Search for another form here. Citizenship and Immigration . To stop paperless delivery, click the Disenroll button. Kwoj aikuij ke jiban kin juon bar kajin? The US Government Forms are not just for the government. State of Hawaii, Department of Human Services. , 1-888-764-7586, . Sign, fax and printable from PC, iPad, tablet or mobile with pdfFiller Instantly. Form 1 helps the Registry determine the position you qualify for under state child care licensing rules. Avez-vous besoin d'aide dans une autre langue? IF YOU ARE APPLYING. Hawaii Level of Care Forms and Resources. During the interview, parents are asked to choose a child care provider and are issued a Child Care Certificate and Provider Confirmation Form to be completed by the chosen provider. Receive your documents and notices online by enrolling in paperless document delivery. 2. Official websites use .gov We will get you a free interpreter. They are often utilized for things like requesting passports, visas, or social security numbers. akinahanglan ka ba ug tabang sa imong pinulongan? All rights reserved. 2020 STATE OF HAWAII MED-QUEST DIVISION ALL RIGHTS RESERVED, Visit the KOLEA website for information on applying. Bn c cn gip bng ngn ng khc khng ? For families with children under the age of 13 years, the CCCH program provides subsidies to help pay for a variety of legal child care settings including: care provided in the childs home, care by relatives or friends in their home, before and after school programs, and preschools. Awaganyo ti 1-888-764-7586 tapno ibagayo kadakami no ania ti pagsasao nga ar-aramatenyo. Use professional pre-built templates to fill in and sign documents online faster. child's school if you have questions regarding the School ? Looking for U.S. government information and services? All rights reserved. SSD Provides protection from abuse and neglect for children and dependent adults.
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