PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form CCL.009
for the current year.
Form CCL.009 Certificate of Health Assessment - Kansas
What Is Form CCL.009?
This is a legal form that was released by the Kansas Department of Health & Environment - a government authority operating within Kansas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CCL.009 Certificate of Health Assessment?A: Form CCL.009 Certificate of Health Assessment is a document used in Kansas to assess the health of individuals.
Q: Who needs to fill out Form CCL.009?A: Form CCL.009 needs to be filled out by individuals who are applying for certain positions requiring a health assessment, such as childcare providers.
Q: What information is required in Form CCL.009?A: Form CCL.009 requires information such as the individual's name, address, medical history, and results of health assessments.
Q: Is there a fee for submitting Form CCL.009?A: There may be a fee associated with submitting Form CCL.009. It is best to check with the Kansas Department for Children and Families for specific fee information.
Form Details:
- Released on March 1, 2017;
- The latest edition provided by the Kansas Department of Health & Environment;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form CCL.009 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Kansas Department of Health & Environment.
