Form CERT-04 Notice of Appointment or Change of Program Administrator - Alaska

Form CERT-04 Notice of Appointment or Change of Program Administrator - Alaska

What Is Form CERT-04?

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-04 Notice of Appointment or Change of Program Administrator?
A: The CERT-04 is a form used in Alaska to notify the Department of Revenue of the appointment or change of a Program Administrator for a Community Entity Revenue Tax (CERT) program.

Q: Who needs to file the CERT-04 form?
A: Any Community Entity that has a Revenue Tax (CERT) program needs to file the CERT-04 form when there is a change in the program administrator.

Q: Is there a fee for filing the CERT-04 form?
A: No, there is no fee for filing the CERT-04 form.

Q: What information do I need to provide on the CERT-04 form?
A: The CERT-04 form requires information about the Community Entity, the appointed or changed Program Administrator, and any supporting documentation.

Q: Are there any penalties for not filing the CERT-04 form?
A: Yes, failing to file the CERT-04 form or providing false information may result in penalties or legal action.

Q: Is the CERT-04 form specific to Alaska?
A: Yes, the CERT-04 form is specific to Alaska and is used for the Community Entity Revenue Tax (CERT) program in the state.

Q: Can I make changes to the CERT-04 form once it is submitted?
A: Yes, you can make changes to the CERT-04 form after submission by contacting the Alaska Department of Revenue.

Q: How long does it take to process the CERT-04 form?
A: The processing time for the CERT-04 form varies, but it is generally processed within a few weeks of submission.

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Form Details:

  • Released on February 14, 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-04 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.

Download Form CERT-04 Notice of Appointment or Change of Program Administrator - Alaska

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