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Form CERT-11 Service Declaration: Residential Habilitation Services - Alaska
What Is Form CERT-11?
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-11 Service Declaration?
A: CERT-11 Service Declaration is a form used for Residential Habilitation Services in Alaska.
Q: What is Residential Habilitation Services?
A: Residential Habilitation Services are services provided to individuals with disabilities to support them in their daily living activities.
Q: Who can provide Residential Habilitation Services?
A: Residential Habilitation Services can be provided by approved providers who meet the requirements set by the state of Alaska.
Q: What is the purpose of the CERT-11 form?
A: The purpose of the CERT-11 form is to declare the services provided by an approved provider for Residential Habilitation Services.
Q: What information is required in the CERT-11 form?
A: The CERT-11 form requires information about the approved provider, the individual receiving services, and the type of services provided.
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-11 by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.
Download Form CERT-11 Service Declaration: Residential Habilitation Services - Alaska
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