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This Form is used for applying to become a JACC Provider for Adult Day Health Services in New Jersey.
This Form is used for applying to become a JACC provider for chore services in New Jersey. It is a section of the JACC-4 Provider Application.
This Form is used for applying for environmental accessibility adaptations as part of the JACC Provider Application in New Jersey.
This Form is used for applying to become a provider of facility-based respite care services in New Jersey.
This form is used for applying to become a Home Delivered Meal Services provider in New Jersey through the Jacc program.
This form is used for applying to become a JACC provider for in-home respite care services in the state of New Jersey.
This Form is used for applying as a JACC provider in New Jersey. Section III pertains to the Personal Emergency Response System (PERS).
This Form is used for applying as a transportation services provider in New Jersey.
This form is used for referring individuals for Level II Pre-Admission Screening and Resident Review (PASRR) Evaluation in the state of New Jersey.
This form is used for conducting the Pre-admission Screening and Resident Review (PASRR) Level I Screening in New Jersey. It provides instructions on how to complete the screening tool for assessing the needs of individuals seeking admission to long-term care facilities.
This Form is used for voluntary withdrawal from the MLTSS program in New Jersey. It allows individuals to request to leave the program voluntarily.
This form is used for requesting the disenrollment of a member from the Managed Long-Term Services and Supports (MLTSS) program in New Jersey when the member is unable to be contacted or inaccessible.
This form is used for creating a plan of care in the state of New Jersey. It outlines the specific care needs and services required for an individual.
This type of document, Form WPA-2 Plan of Care, is used for submitting a plan of care to the state of New Jersey. It provides instructions on how to complete the form accurately and ensure compliance with the state's regulations for care plans.
This form is used for notifying a change of address in the state of New Jersey. It is important to update your address in official records to ensure that you continue to receive important documents and notifications.
This Form is used for applying for dependency benefits in New Jersey. It is available in both English and Spanish.
This form is used for notifying the New Jersey Department of Labor and Workforce Development about an individual's failure to apply for or accept suitable work. It is necessary for maintaining eligibility for unemployment benefits.
This form is used for requesting an adjournment or ready hold in the state of New Jersey.
This Form is used for requesting the dismissal of a workers' compensation case in New Jersey.
This Form is used for miscellaneous decisions, motions, and other legal matters in the state of New Jersey.
This form is used for adding additional information or making changes to an existing order for total disability in the state of New Jersey.
This Form is used for applying to renew a permit in the state of New Jersey.
This document is for filing a complaint regarding asbestos licensing and control in New Jersey.
This form is used for renewing a Stationary, Refrigeration, Power Engineer and/or Boiler Operator's license in the state of New Jersey.
This document is a request form used by private companies in New Jersey to request training from non-workforce development grantees.
This Form is used for requesting a video from a lending library in New Jersey.
This form is used to request an on-site consultation in the state of New Jersey.
This document is used for recording the details of a reader/interpreter who assists during the Boiler Operator Examination in New Jersey.
This document is for individuals in New Jersey to apply for an Explosive Permit for the use of explosives in blasting activities.
This document is a report that provides information on the monthly sales of explosives in New Jersey. It includes data on the quantity and type of explosives sold during a specific time period.
This document is used for applying for the registration of a mine in the state of New Jersey. It is the official form required to start the process of registering a mine.
This document is for obtaining a crane operator license in the state of New Jersey.
This document is for renewing a crane operator license in the state of New Jersey.
This document is for individuals seeking to obtain an Apprentice/Trainee Crane Operator Permit in the state of New Jersey. It allows them to operate cranes under supervision while acquiring the necessary skills and experience.
This document is for renewing an apprentice or trainee crane operator permit in New Jersey.
This Form is used for requesting mission assistance in the state of New Jersey.