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-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.
Form Details:
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.