Kentucky Finance and Administration Cabinet Forms

This document is a sample report that provides information about enrollees in a Primary Care Physician (PCP) panel in Kentucky. It includes details about the number and demographics of the enrollees.

This document is a screening form used in Kentucky to assess child stress disorders.

This document is used for administering the Pediatric Symptom Checklist in the state of Kentucky.

This document is used for conducting an initial risk evaluation for maternity care in Kentucky.

This document is the First Amendment to the Vision Services Agreement in Kentucky. It includes changes made to the original agreement regarding vision services.

This document is an Eighth Amendment to the Behavioral Health Services Agreement in Kentucky. It signifies a change or addition to the existing agreement regarding behavioral health services in the state of Kentucky.

This document is a mental health screening tool called the Primary Care PTSD Screen (Pc-PTSD) used in Kentucky for identifying symptoms of post-traumatic stress disorder (PTSD) in primary care settings.

This document is the PTSD Checklist for DSM-5 used in Kentucky. It helps to assess and diagnose Post-Traumatic Stress Disorder (PTSD) in individuals.

This document is a Tenth Amendment to the Optuminsight Services Agreement for the state of Kentucky. It contains changes or updates to the original agreement between Optuminsight and the state regarding the services provided.

This document is a Fourth Amendment to the Physical Health Services Agreement in Kentucky. It outlines changes that have been made to the agreement regarding physical health services.

This document is used to formally declare the intention of taking a specific action in the state of Kentucky. It may be related to business activities, construction projects, or other legal matters.

This document notifies individuals of the issuance of something related to Kentucky.

This document shows the revenue payable to the Commonwealth of Kentucky.

This document is a sworn statement regarding campaign finance laws in Kentucky, specifically KRS 45a.110 and KRS 45a.115.

This type of document is used for reporting any prior violations by vendors on construction sealed bids in the state of Kentucky.

This form is used for reporting the participation of Disadvantaged Business Enterprises (DBE) in Kentucky. It provides information on the involvement of DBEs in various projects and contracts.

This document is a required affidavit for bidders and contractors in the state of Kentucky. It contains important information and declarations about the bidder or contractor's qualifications and eligibility for a specific project.

This form is used for contractors, bidders, and offerors in Kentucky who need to submit an affidavit as part of their contractual obligations.

This document provides instructions on how to apply for a Master Agreement with the Commonwealth of Kentucky. It outlines the necessary steps and requirements for businesses or organizations interested in entering into a contractual agreement with the state.

This document certifies the permanent assignment of a vehicle to an agency in the state of Kentucky.

This document is used to provide information for completing the Vehicle Inventory and Permanently Assigned Vehicle Request form in the state of Kentucky. It is used to request a vehicle and record inventory details.

This document outlines the delegation of authority to additional departments in the state of Kentucky. It specifies the roles and responsibilities of each department in accordance with the delegation agreement.

This document is used for the delegation of authority in Kentucky. It specifies the agreement between parties regarding the transfer of authority and responsibilities.

This document provides a report of prior violations of tax and employment laws in the state of Kentucky. It helps to identify any past non-compliance issues and ensures that the necessary actions are taken to rectify them.

This Form is used for providing attorney information in a case related to Gal/Cac in the state of Kentucky.

This document provides instructions on how to file property claims for fire and tornado damage in Kentucky if you are self-insured.

This form is used for adding or changing coverage for all risks inland marine in the state of Kentucky.

This Form is used for requesting user login credentials for accessing the Xaap system for submitting Sprinkler Inspection Reports in Kentucky.

This Form is used for recording and notifying delays in Kentucky.

This form is used for reporting and documenting suspected and determined breaches in the state of Kentucky.