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Form DR171 Individual Service Provider (Isp) Application - California
What Is Form DR171?
This is a legal form that was released by the California Department of Rehabilitation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form DR171?A: Form DR171 is the Individual Service Provider (ISP) Application for California.
Q: Who is this form used by?A: This form is used by individual service providers (ISPs) in California.
Q: What is an individual service provider (ISP)?A: An individual service provider (ISP) is a person who provides services to clients with developmental disabilities.
Q: What does the Form DR171 require?A: The Form DR171 requires the ISP's personal and contact information, as well as information about their qualifications and experience.
Form Details:
- Released on December 1, 2021;
- The latest edition provided by the California Department of Rehabilitation;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DR171 by clicking the link below or browse more documents and templates provided by the California Department of Rehabilitation.
Download Form DR171 Individual Service Provider (Isp) Application - California
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