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This form is used for applying for a license to conduct a hospital or related institution in Arkansas. It is an addendum to the main application form.
This document outlines the action plan for converting a rural hospital into an emergency hospital in Arkansas.
This form is used for applying for a license to run a hospital or related institution in the state of Arkansas.
This document is an attestation statement used by rural emergency hospitals in Arkansas. It verifies that the hospital meets certain criteria to be designated as a rural emergency hospital.
This form is used for requesting user access to the Ed Hospital Hub system in Arkansas.
This document is used for completing a background check in the state of Arkansas.
This document is used for releasing state and/or federal background checks to training site representatives in Arkansas.
This form is used to apply for the Oregon Lifeline program, which provides free wireless service to eligible residents in Oregon.
This Form is used for requesting access to telecommunications devices in Oregon.
This document is an application for a USB breath switch adaptor in Minnesota. It is used for requesting a USB device that can be used as a switch by breathing into it.
This form is used for requesting an override in Illinois.
This form is used for conducting a functional capacity evaluation in West Virginia. It assesses an individual's physical abilities and limitations to determine their readiness to return to work or perform certain tasks.
This form is used for filing a complaint regarding disputes in general education in the state of Rhode Island.
This Form is used for submitting a request for public records under the Access to Public Records Act (APRA) in Rhode Island.
This form is used for conducting a pre-award risk assessment in the state of Minnesota.
This Form is used for obtaining a surety tax bond in Connecticut. It provides instructions on how to fill out and submit the bond.
This document is used to update information for foster family homes in the state of Illinois.
This form is used for authorizing a background check for day care providers in Illinois.
This document is used for authorizing background checks for agencies and institutions in Illinois.
This document is used for conducting a Privacy Impact Assessment (PIA) specifically adapted for the DD Form 2930A. It ensures that personal privacy is protected when collecting and using personal information.
This form is used for submitting a final accounting report in the state of Wisconsin. It is known as Form PE-110 TID.
This form is used for filing a statement of assessment in the state of Wisconsin. It is used to report the assessed value of real or personal property for tax purposes.