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-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.
Form Details:
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.