3395
This form is used for requesting retroactive payment for specialized child care services provided through the Children's Integrated Services program in Vermont.
This Form is used for authorizing referrals and initial intake in Vermont.
This form is used for applying for extraordinary financial relief for child care centers in Vermont.
This Form is used for reporting the screening results of the Ages and Stages Questionnaire (ASQ-3) for children receiving Children's Integrated Services in Vermont.
This form is used for requesting financial assistance for early intervention services in Vermont's Children's Integrated Services program.
This form is used for referring children to the Part C Early Intervention program in Vermont. It serves as a supplemental intake referral form for initial assessments and intervention services for children in need.
This form is used for reporting the active one plan for Part C early intervention in Vermont. It is a way to document the services and progress for children receiving early intervention services.
This document is used for reporting the exit one plan for the Children's Integrated Services Part C Early Intervention program in Vermont.
This document grants permission to share sensitive medical information in the state of Vermont.
This document is a checklist used in the state of Vermont for releasing sensitive notifications. It is a guide to ensure proper procedures are followed when sending out sensitive information.
This type of document is used for referring children to Part C Early Intervention services in Vermont when there is no existing plan in place.
This type of document, called a Media Release Form, is used in the state of Vermont to obtain consent from individuals to use their name, image, or voice in various forms of media such as photos, videos, or interviews.
This Form is used for notifying individuals about a scheduled hearing or granting permission to waive the requirement of a 24-hour notice in the state of Vermont.
This document allows someone in Vermont to waive their appearance at a disciplinary hearing or refuse to appear.
This form is used for reporting information from confidential informants in the state of Vermont.
This form is used for inmates in Vermont to appeal disciplinary actions taken against them while in prison.
This form is used for reporting details and outcomes of a hearing in the state of Vermont.
This form is used to report a suspension notice in the state of Vermont.
This document is used in Vermont when an individual wants to request a waiver for appearing or refusing to appear during a furlough violation hearing.
This Form is used for special observation purposes in the state of Vermont. It allows users to gather specific information and document observations in a standardized way.
This Form is used for waiving appearance or refusing to appear in an Administrative Segregation hearing in Vermont.
This form is used for reporting the placement of individuals in administrative segregation in the state of Vermont.
This document is used for applying for a payment contract or waiver in the state of Vermont.
This document is a sexual violence screening tool used in Vermont to help identify and address cases of sexual violence.
This form is used to enter information about a wanted person into the National Crime Information Center (NCIC) database. It is specifically for the state of Vermont.
This document is a Sexual Violence Screening Tool specifically designed for Booking/Medical Staff in Vermont. It helps staff members identify and address cases of sexual violence during the booking or medical examination process.
This type of document is used to report and document incidents that occur in the state of Vermont. It is an official form for recording details and information about the incident.
This Form is used for establishing work rules and maintaining confidentiality in Vermont.
This form is used for registering for the Volunteer Services Program in Vermont.
This form is used for registering as a hazardous waste handler in Vermont.
This document is used for the annual renewal statement in the state of Vermont. It provides information about renewing a specific activity or license.
This document is used for hazardous waste transporters in the state of Vermont to submit a supplemental application.
This form is used for disclosing personal history information in the state of Vermont.
This form is used to apply for a permit to operate a fuel to fuel aggregation facility in the state of Vermont.
This document outlines the procedures for filing a petition to list or delist hazardous waste in the state of Vermont. It provides guidelines on the necessary steps and requirements for submitting a petition.
This document certifies the closure of a hazardous waste facility in Vermont. It verifies that all necessary requirements have been met and the facility is no longer generating hazardous waste.