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This form is used for nonprofit veteran service agencies in California to apply for certification as an Nvsa.
This document is used for tracking and organizing information about subcontractors working in California. It helps ensure that all necessary details are recorded accurately for payroll purposes, project management, and legal compliance.
This form is used for registering as a Pharmacy Benefit Manager in the state of California.
This form is used for applying for an exemption from the Employee Assistance Program (EAP) requirements in California.
This document is a filing worksheet specifically designed for dental and health plans in California. It helps with organizing and recording the necessary information required for filing purposes.
This form is used for disclosing any potential conflict of interest in a&e contracts in the state of California. It is designed to ensure transparency and fairness in the contracting process.
This form is used for determining the Safe Harbor Rate in California.
This Form is used for filing a complaint by civilians in California. It is available in both English and Spanish.
This form is used for requesting Allied Agency forms in the state of California.
This form is used for civilians to file complaints about non-uniformed personnel in California.
This form is used for reporting crimes or property damage that occurred on state property in California.
This document is for filing a complaint in California regarding language access services.
This Formulario De Queja De Acceso De Idioma is used to file a complaint regarding language access in California.
This document is used for the Colorado/Kansas Commuter Cattle Agreement in Colorado.
This form is used for applying for an aquaculture permit in Colorado.
This form is used to report cases of neurological disease in horses in Colorado. It helps gather important information for tracking and studying these conditions.
This form is used for reporting cases of canine brucellosis in Colorado.
This document is used for reporting cases of reportable diseases in the state of Colorado.
This form is used for submitting samples for Chronic Wasting Disease (CWD) testing for alternative livestock in Colorado.
This document is the application form to become an approved tagging site in Colorado. It is used by businesses or organizations that want to offer tagging services for hunting and fishing licenses in the state of Colorado.
This document is a sample submission form specific to the state of Colorado. It is used for submitting various types of applications, requests, or information to the relevant government agency or organization in Colorado.
This application is used for requesting cost-share for a Gap/GHP audit in Colorado.
This document outlines the payment method agreement for federally qualified health centers in Colorado. It describes how these centers are compensated for their services.
This form is used for applying for an adjustment to the scope-of-service rate for Federally Qualified Health Centers in Colorado. It also includes an attestation.
This document is used for the Scope-Of-Service Rate Adjustment Application and Attestation for Federally Qualified Health Centers in Colorado.
This document provides instructions for the Federally Qualified Health Center (FQHC) Managed Care Accuracy Audit Report in Colorado. It guides FQHCs on how to accurately complete the audit report.
This document is an accuracy audit report for a Federally Qualified Health Center (FQHC) in Colorado. It attests to the compliance and accuracy of managed care services provided by the FQHC.
This document is a Managed Care Accuracy Audit Report for a Federally Qualified Health Center in Colorado. It includes an MCE Attestation Statement to ensure accuracy in managed care services.
This Form is used for physicians in Colorado to provide a statement regarding a patient's life-limiting illness.
This Form is used for the initial screening and intake process in Colorado.
This document is used to request a review of the support level in the state of Colorado.
This form is used for determining the level of care in Colorado.
This document provides information about the length of stay in nursing facilities in Colorado. It covers the duration of time individuals typically spend in these facilities for medical or long-term care.
This form is used for quickly referring individuals with Alzheimer's or related dementia to the Colorado chapter of the Alzheimer's Association for support and resources.