Form CERT-09 Service Declaration: Residential Supported Living Services - Alaska

Form CERT-09 Service Declaration: Residential Supported Living Services - Alaska

What Is Form CERT-09?

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-09 Service Declaration?
A: CERT-09 Service Declaration is a form used for Residential Supported Living Services in Alaska.

Q: What are Residential Supported Living Services?
A: Residential Supported Living Services are services provided to individuals with disabilities in a residential setting to support their independence and quality of life.

Q: Who is the form for?
A: The form is for providers of Residential Supported Living Services in Alaska.

Q: What information is required in the form?
A: The form requires information about the service provider, the individual receiving services, and the type of services being provided.

Q: Is the form mandatory for providers of Residential Supported Living Services?
A: Yes, the form is mandatory for providers of Residential Supported Living Services in Alaska.

Q: Is there a deadline for submitting the form?
A: The form should be submitted within 30 days of the start of service provision.

Q: Are there any fees associated with submitting the form?
A: No, there are no fees associated with submitting the form.

Q: What should I do if I have questions about the form?
A: If you have questions about the form, you should contact the Alaska Department of Health and Social Services for assistance.

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Form Details:

  • Released on September 18, 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-09 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.

Download Form CERT-09 Service Declaration: Residential Supported Living Services - Alaska

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