Form AGL-07 Older Adult Daily Living Centers Provider Self-certification and Civil Rights Compliance Form - Pennsylvania

Form AGL-07 Older Adult Daily Living Centers Provider Self-certification and Civil Rights Compliance Form - Pennsylvania

What Is Form AGL-07?

This is a legal form that was released by the Pennsylvania Department of Aging - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form AGL-07?
A: Form AGL-07 is the Older Adult Daily Living Centers Provider Self-certification and Civil Rights Compliance Form.

Q: Who is responsible for completing Form AGL-07?
A: The Older Adult Daily Living Centers provider is responsible for completing Form AGL-07.

Q: What is the purpose of Form AGL-07?
A: The purpose of Form AGL-07 is to self-certify and demonstrate compliance with civil rights requirements for Older Adult Daily Living Centers providers in Pennsylvania.

Q: What information is required on Form AGL-07?
A: Form AGL-07 requires information such as the provider's name, address, contact information, and a signed certification of compliance with civil rights requirements.

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Form Details:

  • Released on September 30, 2016;
  • The latest edition provided by the Pennsylvania Department of Aging;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form AGL-07 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Aging.

Download Form AGL-07 Older Adult Daily Living Centers Provider Self-certification and Civil Rights Compliance Form - Pennsylvania

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