Form CERT-20 Care Coordinator Disclosure of Business and Familial Relationships - Alaska

Form CERT-20 Care Coordinator Disclosure of Business and Familial Relationships - Alaska

What Is Form CERT-20?

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-20?
A: CERT-20 refers to the Care Coordinator Disclosure of Business and Familial Relationships form.

Q: What is the purpose of CERT-20?
A: The purpose of CERT-20 is to disclose any business or familial relationships that a care coordinator may have with a service provider.

Q: Who needs to fill out CERT-20?
A: Care coordinators in Alaska need to fill out CERT-20.

Q: What information does CERT-20 require?
A: CERT-20 requires care coordinators to disclose any business or familial relationships they have with service providers, including the nature of the relationship.

Q: Why is it important to disclose these relationships?
A: It is important to disclose these relationships to ensure transparency and avoid conflicts of interest in the provision of services.

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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-20 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.

Download Form CERT-20 Care Coordinator Disclosure of Business and Familial Relationships - Alaska

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  • Form CERT-20 Care Coordinator Disclosure of Business and Familial Relationships - Alaska, Page 1
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