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This form is used for establishing a Business Associate Agreement in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The form is specific to Arizona.

This form is used for submitting a program impact report for the Family Caregiver Support Program in Arizona. It helps track and evaluate the effectiveness of the program in supporting caregivers and their families.

This Form is used for reporting monthly statistical data on food distribution for the Emergency Food Assistance Program (TEFAP) in Arizona.

This type of document is a Formulario DDD-0524A-S Autorizacion Para La Divugacion De Informacion specifically for Arizona.

This Form is used for reporting any financial interests or sources of income of public officials or employees in California. It helps ensure transparency and prevents conflicts of interest in government decision-making.

This Form is used for reporting the members of a Limited Liability Company (LLC) in the state of California. It provides important information about the individuals who have ownership interests in the LLC.

This document is used for reporting public official appointments in California. It is submitted to the Fair Political Practices Commission (FPPC).

This form is used for requesting a hearing related to the Assistance Dog Special Allowance Program (ADSA) in California. The form is available in large print format.

This form is used for California businesses that need to request a one-time exception for a corrective action plan. It allows businesses to outline their plan for addressing a specific issue and request approval from the relevant authorities.

This form is used for calculating the child-to-teacher ratio in California childcare settings. It helps ensure the safety and quality of care provided to children.

The purpose of the form is to provide Family Child Care providers with signed confirmation from the parents or guardians of a child on the subject of liability insurance in the facility.

This form was released by the California Department of Social Services (CDSS) and is a legal document that informs every new employee of a child care facility of their rights to file complaints against the employer for violating laws and regulations.

This form is used for conducting facility inspections of community treatment facilities in California. It is known as the LIC9119 CTF Facility Inspection Checklist.

This form is used for reporting long-term debt that was incurred in a previous fiscal year, including any balloon debt, in the state of California.

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