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Form CERT-13 Service Declaration: Residential Habilitation Services Family Home Habilitation Site Information / Change of Status Report - Alaska
What Is Form CERT-13?
This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is CERT-13 form?
A: CERT-13 form is a Service Declaration form used for reporting Residential Habilitation ServicesFamily Home Habilitation Site Information/Change of Status in Alaska.
Q: What is the purpose of CERT-13 form?
A: The purpose of CERT-13 form is to report changes in Residential Habilitation Services Family Home Habilitation Site Information or change of status in Alaska.
Q: Who needs to fill out the CERT-13 form?
A: The CERT-13 form needs to be filled out by providers or agencies offering Residential Habilitation Services in Alaska.
Q: What information is required in the CERT-13 form?
A: The CERT-13 form requires information such as the provider's name, address, contact information, site information, and details of any changes or status updates.
Q: Are there any fees associated with submitting the CERT-13 form?
A: There are no fees associated with submitting the CERT-13 form in Alaska.
Q: What should I do if there are changes in my Residential Habilitation Services Family Home Habilitation Site?
A: If there are changes in your Residential Habilitation Services Family Home Habilitation Site, you should fill out and submit the CERT-13 form to report those changes to the appropriate authorities in Alaska.
Q: Can I submit the CERT-13 form by mail or in person?
A: Yes, the CERT-13 form can be submitted by mail or in person at authorized offices in Alaska.
Form Details:
- Released on August 13, 2020;
- The latest edition provided by the Alaska Department of Health and Social Services;
- 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 CERT-13 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.
