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.
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.
Form Details:
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.