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?
A: Form CCL.009 is the Certificate of Health Assessment for the state of Kansas.

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 licenses or employment positions in Kansas, such as child care providers or adult care home employees.

Q: What is the purpose of Form CCL.009?
A: The purpose of Form CCL.009 is to assess the health status of applicants in order to ensure the safety and well-being of the individuals they will be taking care of.

Q: What information is required on Form CCL.009?
A: Form CCL.009 requires information such as the applicant's personal details, medical history, immunization records, and results of a physical examination.

Q: Who should complete the physical examination portion of Form CCL.009?
A: The physical examination portion of Form CCL.009 should be completed by a licensed healthcare provider, such as a doctor or nurse practitioner.

Q: Is there a fee for submitting Form CCL.009?
A: There may be a fee associated with submitting Form CCL.009, depending on the licensing agency or employer. It is recommended to check with them directly.

Q: How often should Form CCL.009 be completed?
A: The frequency of completing Form CCL.009 may vary depending on the specific requirements of the licensing agency or employer. It is recommended to follow their guidelines.

Q: Are there any additional requirements for obtaining a license or employment in Kansas?
A: Yes, in addition to Form CCL.009, there may be other requirements such as background checks or training courses. It is recommended to inquire with the licensing agency or employer for a complete list of requirements.