Form CERT-02 Care Coordinator Certification Application and Renewal Application - Alaska

Form CERT-02 Care Coordinator Certification Application and Renewal Application - Alaska

What Is Form CERT-02?

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-02?
A: CERT-02 is Care Coordinator Certification Application and Renewal Application form.

Q: What is the purpose of CERT-02?
A: The purpose of CERT-02 is to apply for or renew a Care Coordinator Certification in Alaska.

Q: Who needs to complete CERT-02?
A: Individuals who wish to become or continue being a certified Care Coordinator in Alaska need to complete CERT-02.

Q: What information is required in CERT-02 form?
A: CERT-02 form requires personal information, professional credentials, employment history, and references.

Q: Is there a fee for submitting CERT-02?
A: Yes, there is a fee associated with submitting CERT-02. The fee amount may vary, so it's best to check the current fee schedule.

Q: How often do I need to renew my Care Coordinator Certification?
A: Care Coordinator Certification needs to be renewed every two years.

Q: What happens if I fail to renew my Care Coordinator Certification?
A: If you fail to renew your Care Coordinator Certification, you may lose your certification status and may need to reapply if you wish to continue working as a Care Coordinator.

Q: Can I apply for Care Coordinator Certification if I have a criminal record?
A: Having a criminal record does not automatically disqualify you from applying for Care Coordinator Certification. However, certain criminal convictions may affect your eligibility. It's recommended to disclose any criminal history when submitting your application.

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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-02 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.

Download Form CERT-02 Care Coordinator Certification Application and Renewal Application - Alaska

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