Fill and Sign United States Legal Forms

This type of document is used for adding new members to an existing group insurance enrollment in Rhode Island.

This document certifies that a home care agency provider in Rhode Island complies with the requirement of providing transportation services to individuals receiving Medicaid long term services and supports.

This Form is used for enrolling new groups in Rhode Island for Rite Share Co-insurance and Deductible Only plans.

This form is used for the Director of Nurses to make a statement regarding the need for hearing aids in Rhode Island.

This form is used for submitting a waiver or rehabilitation claim in the state of Rhode Island. It allows individuals to request exemptions or assistance for certain programs or services.

This form is used for applying for preferred provider status (PPS) in Rhode Island for the treatment of Hepatitis C.

This Form is used for requesting an early refill of a prescription that was lost or stolen in Rhode Island.

This form is used for submitting a claim recoupment request in Rhode Island.

This document is for individuals who are interested in becoming a member of the Rhode Island Consumer Advisory Board. Apply now to have your voice heard and contribute to consumer protection in Rhode Island.

This type of document is used for voluntarily quitting a job in Rhode Island due to health or medical reasons.

This type of document is used for the discharge of a mortgage or lien in the state of Rhode Island.

This document is for school employees in Rhode Island who need to request time off during the semester or summer break.

This document provides information about the school vacation period for school employees in Rhode Island. It outlines the dates and duration of the vacation period, allowing employees to plan their time off accordingly.

This document is for employers in Rhode Island who need to refuse a work request from an employee.

This document is used to report a voluntary quit in Rhode Island when an employee is not paid the correct amount.

This type of document is used when an employee voluntarily leaves their job due to experiencing sexual harassment in the state of Rhode Island.

This document provides information about the military pension program in Rhode Island. It outlines the benefits and eligibility criteria for retired military personnel in the state.

This form is used for authorizing the release or obtaining of confidential information in the state of Rhode Island.

This document is used for referring individuals to Rhode Island's Nursing Home Transition Program, which helps individuals transition from nursing homes back to their homes or community-based settings.

This form is used for Level I identification for minors and individuals with developmental disabilities in Rhode Island.

This document is a sample Medicaid Managed Care Core Contract Attestation Statement for MCO Reporting Submission in Rhode Island.

This Form is used for making Medicare premium payments in Rhode Island.

This form is used for applying for state-funded assistance in Rhode Island to help pay for health care coverage.

This type of document is a verification checklist for the Child Care Assistance Program in Rhode Island. It helps in meeting the requirements and ensuring eligibility for the program.

This form is used for filing a discrimination complaint in Rhode Island.

This document is for individuals who are required to be licensed by the Department of Children, Youth and Families and/or the Department of Human Services in Rhode Island. It is an affidavit that includes fingerprint information.

This document is a sworn statement of fingerprinting for individuals who need to obtain a license from the Department of Children, Youth, and Families and/or the Department of Human Services in Rhode Island.

This type of document is a Consent Form for Authorized Child Care Activities in Rhode Island. It is used to give permission for activities related to child care.

This document is used for obtaining consent for activities in licensed child care in Rhode Island.

This document is used for obtaining authorization for payment of sick leave for approved assistants in the CCAP program in Rhode Island.

This document is used for authorization of sick leave payment for approved assistants under the CCAP program in Rhode Island.

This form is used for tracking the usage of carbon monoxide detectors in licensed child care facilities in Rhode Island. It helps ensure the safety of children by monitoring the functionality of these detectors.

This form is used for family child care providers in Rhode Island to notify the Department of Human Services about vacation closures.

This form is used for providing an absent notice to the court in Rhode Island.

This Form is used for changing service providers in Rhode Island. (Spanish)

This document is used for submitting a back billing request to a CCAP (Child Care Assistance Program) provider in Rhode Island.

This Form is used for gathering information about the child in Rhode Island.