Form CERT-10 Service Declaration: Day Habilitation Services - Alaska

Form CERT-10 Service Declaration: Day Habilitation Services - Alaska

What Is Form CERT-10?

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-10?
A: CERT-10 is a service declaration form.

Q: What does the CERT-10 form cover?
A: The CERT-10 form covers Day Habilitation Services.

Q: What are Day Habilitation Services?
A: Day Habilitation Services are a type of support service for individuals with disabilities.

Q: Who is the CERT-10 form for?
A: The CERT-10 form is for providers of Day Habilitation Services in Alaska.

Q: What information is required in the CERT-10 form?
A: The CERT-10 form requires information such as the provider's name and address, service location, and program capacity.

Q: Is the CERT-10 form mandatory?
A: Yes, the CERT-10 form is mandatory for providers of Day Habilitation Services in Alaska.

Q: Are there any fees associated with submitting the CERT-10 form?
A: There are no fees associated with submitting the CERT-10 form.

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Form Details:

  • Released on August 7, 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-10 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.

Download Form CERT-10 Service Declaration: Day Habilitation Services - Alaska

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