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This document is used for the assessors in Washington State to provide an annual statement of compliance. It ensures that assessors are meeting the necessary standards and regulations in their assessments.
This document provides a summary of the process for deepening or re-entering wells in Manitoba, Canada.
This type of document is used for registering waterway structures in the state of Oregon. It is necessary for ensuring compliance with state regulations and for maintaining the safety and quality of waterway infrastructure.
This document is used to determine the level of care for child care and placement in Kentucky.
This form is used for the self-assessment of candidates applying for the Infant and Toddler Credential in Kentucky.
This document is used for making agreements between parents and a child care facility in the state of Georgia, United States. It is available in both English and Korean languages.
This Form is used for providing social security number information for students enrolling in Georgia's Pre-K Program in Georgia, United States. It is available in both English and Chinese.
This form is used for applying to become a registered relative child care provider in Kentucky.
This document is a request for the translation of a document in the state of Tennessee.
This Form is used for applying for an electrical permit in the City of Bethlehem, Pennsylvania. It is required for any electrical work being done within the city limits.
This Form is used for requesting electronic remittance advice (RA) for Minnesota Health Care Programs (MHCP) in Minnesota.
This Form is used for Qualified Professionals (QPs) in Minnesota Health Care Programs (MHCP) to acknowledge their role and responsibilities.
This Form is used for providers in Minnesota Health Care Programs (MHCP) to make an addendum to their provider agreement.
This document is for individuals applying for medical assistance in Minnesota. It is a presumptive eligibility agreement form for the Minnesota Health Care Programs.
This document is used for Child and Teen Checkups (C&tc) providers in Minnesota to enter into an agreement with the Minnesota Health Care Programs (Mhcp).
This type of document is used for the Icf/DD Training and Habilitation Agreement under the Minnesota Health Care Programs (MHCP) in Minnesota.
This Form is used for providers in Minnesota Health Care Programs (MHCP) to submit an assurance statement for supported employment services related to moving home in Minnesota.
This form is used for providers of behavioral health services to assure compliance with Minnesota Health Care Programs.
This document is a form used for the Minnesota Health Care Programs (MHCP) in Minnesota. It is an Advanced Diagnostic Imaging Assurance Statement for providers participating in the program.
This form is used for community health clinic providers in Minnesota to provide assurance statements for participation in the Minnesota Health Care Programs (MHCP).
This form is used for providers in Minnesota Health Care Programs to enter into an agreement for Financial Management Services (FMS) for services related to Children's Foster Care, Child Development Centers, and Community Support Grants.
This form is used for Community Mental Health Centers in Minnesota to make assurance statements for Minnesota Health Care Programs (MHCP).
This Form is used for dentists participating in the Minnesota Health Care Programs to provide an assurance statement regarding their services.
This form is used for notifying certified provider locations under the Minnesota Health Care Programs (MHCP) in Minnesota.
This form is used for Hospital In-Reach Service Coordination (IRSC) providers in Minnesota Health Care Programs (MHCP) to provide assurance statements.
This document is used for Certified Mental Health Rehabilitation Professionals in Minnesota Health Care Programs to provide an assurance statement.