Act Program Templates

The ACT Program, also known as Program ACT, is a comprehensive initiative that aims to provide support and benefits to individuals affected by various occupational illnesses. This program encompasses a range of documents and resources designed to facilitate the application and processing of claims and requests.

One key document within the ACT Program is the Form EE-2 Survivor's Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program Act. This form enables individuals or their survivors to seek compensation for occupational illnesses related to energy work.

Another essential document is the Instructions for DSHS Form 17-292 ACT Program Service Request / Work Order for Induction Loops. This resource provides guidance on how to complete the service request form, which is essential for requesting induction loops for individuals with hearing impairments.

For those residing in Arkansas, the Form DH-21-0014 Arkansas Clinical Transformation (ACT Program) Application Packet is a crucial document. It contains all the necessary forms and information for healthcare providers looking to participate in the Arkansas Clinical Transformation program.

Additionally, the Georgia Tourism Development ACT Program Application plays a vital role in promoting tourism and cultural development in the state of Georgia. This document provides details and instructions for applying to the program and accessing available funding and resources.

Whether you're seeking compensation for occupational illnesses, requesting services for individuals with hearing impairments, or exploring opportunities in tourism development, the ACT Program documents offer valuable resources and support. These documents ensure that individuals and organizations have access to the necessary information and assistance to navigate the various aspects of the ACT Program.