This is a legal form that was released by the California Department of Rehabilitation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form DR171?
A: Form DR171 is the Individual Service Provider (ISP) Application for California.
Q: Who is this form used by?
A: This form is used by individual service providers (ISPs) in California.
Q: What is an individual service provider (ISP)?
A: An individual service provider (ISP) is a person who provides services to clients with developmental disabilities.
Q: What does the Form DR171 require?
A: The Form DR171 requires the ISP's personal and contact information, as well as information about their qualifications and experience.
Form Details:
Download a fillable version of Form DR171 by clicking the link below or browse more documents and templates provided by the California Department of Rehabilitation.