2017
This form is used for authorizing the release of information from the Department of Mental Health in Massachusetts. It is a one-way release of information and is in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
This form is used for authorizing the release of information to the Department of Mental Health in Massachusetts. It is a one-way authorization for the release of information under HIPAA regulations.
This form is used for requesting a license plate reassignment in the state of Massachusetts.
This form is used for reporting daily fluoridation activities in Massachusetts. It provides instructions on how to fill out and submit the report. It is important for ensuring the proper maintenance of water fluoridation levels in the state.
This document is used to legally revoke the dissolution of a business entity in Massachusetts.
This document is used for attaching additional sheets to a Massachusetts state-specific form or application. It allows for including additional information or explanations when there is not enough space on the original form.
This form is used for determining special education eligibility and conducting initial and reevaluation assessments in the state of Massachusetts.
This Form is used for tracking attendance in Massachusetts.
This form is used for requesting a copy of a crash report in Massachusetts.
This form is used for completing an extended evaluation in the state of Massachusetts.
This document is used in Massachusetts when someone is unable to afford court fees and costs. It is a supplement to an affidavit of indigency and allows the person to request a waiver, substitution, or state payment of those fees.
This document is an application for revival in the state of Massachusetts, in accordance with General Laws, Chapter 180, Section 10c. It allows businesses or organizations to apply to reinstate their legal status after being involuntarily dissolved.
This Form is used for obtaining consent from parents or guardians for placing 6-21 year olds in Massachusetts.
This document is used for creating an individualized education program (IEP) for students with disabilities in Massachusetts. It outlines the educational goals, accommodations, and services needed to support the student's learning and development.
This document is used for applying for state-aided public housing, MRVP, and AHVP programs in Massachusetts.
This Form is used for collecting administrative data related to the state of Massachusetts. It helps in gathering information about various administrative aspects such as population, government structure, and infrastructure.
This form is used for giving consent for special education placement for 3-5 year olds in Massachusetts.
This document is a checklist for evaluating Individualized Education Programs (IEPs) in Massachusetts. It provides guidance and annotations to ensure compliance with state regulations.
This form is used for calculating excess costs in the state of Massachusetts. It helps determine the additional expenses incurred beyond the standard budget.
This document is used for verifying the work experience of a person of school age in the state of Massachusetts.
This form is used for registering an auto dialer for the Drinking Water Program in Massachusetts.
This form is used for inspecting the delivery of bulk water in Massachusetts.
This form is used for making corrections and change requests to well completion reports in the Well Driller Program in Massachusetts.
This Form is used for reporting decommissioned wells in the state of Massachusetts.
This Form is used for reporting the general well information in Massachusetts.
This Form is used for reporting information about monitoring wells in Massachusetts. It provides details about the well location, construction, and water quality data.
This Form is used for reporting information about geothermal closed-loop wells in Massachusetts.
This form is used for certifying the Consumer Confidence Report in the state of Massachusetts.
This Form is used for determining log credit under Massachusetts' Ground Water Rule.
This document is a daily report form used by the Massachusetts Department of Public Health (DPH) for the monitoring and reporting of fluoride levels in water supplies.
This document provides a monthly report on the split testing fluoridation system for the Massachusetts Department of Public Health. It helps to track the distribution of fluoridation and analyze its effectiveness in preventing dental issues.
This form is used for reporting weekly distribution of fluoridation in Massachusetts.
This document is used for applying for a waiver to monitor activities in Massachusetts.