Tier Level Request Form is a legal document that was released by the Arkansas Department of Human Services - a government authority operating within Arkansas.
Q: What is the Tier Level Request Form?
A: The Tier Level Request Form is a document used in Arkansas to request a change in the COVID-19 tier level.
Q: Why would someone need to fill out a Tier Level Request Form?
A: Someone would need to fill out a Tier Level Request Form if they want to request a change in the COVID-19 tier level for their county or region.
Q: How do I fill out the Tier Level Request Form?
A: You will need to provide information about your county or region's COVID-19 cases, testing capacity, hospital capacity, and other relevant data.
Q: Who can submit a Tier Level Request Form?
A: Local officials, such as county judges or mayors, can submit a Tier Level Request Form on behalf of their county or region.
Q: How long does it take to process a Tier Level Request Form?
A: The processing time for a Tier Level Request Form can vary, but the Arkansas Department of Health aims to review and make a decision within a timely manner.
Q: What happens after a Tier Level Request Form is submitted?
A: After a Tier Level Request Form is submitted, the Arkansas Department of Health reviews the request and makes a decision on whether to approve or deny the request.
Q: Can I request a change in the COVID-19 tier level for my personal circumstances?
A: No, the Tier Level Request Form is specifically for requesting a change in the COVID-19 tier level for a county or region, not for personal circumstances.
Q: What are the different tier levels in Arkansas?
A: Arkansas has five COVID-19 tier levels: low, moderate, high, very high, and critical. The tier level determines the level of restrictions and guidelines in place for a county or region.
Q: How often can I submit a Tier Level Request Form?
A: There is no specific limitation on how often a Tier Level Request Form can be submitted, but it is recommended to submit the form with updated and relevant data when significant changes occur.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Arkansas Department of Human Services.