Alaska Temporary Assistance Program Forms and Office Locations – Government Agency in Alaska

41 - 60 of 227 forms

Form Title	Topics
Cert-04 Notice of Appointment or Change of Program Administrator
Cert-05 Service Declaration: Nursing Oversight and Care Management
Cert-06 Service Declaration: Care Coordination Services
Cert-08 Service Declaration: Adult Day Services
Cert-14 Service Declaration: Supported Employment Services
Cert-20 Care Coordinator Disclosure of Business and Familial Relationships
Cert-36 Personal Care Services Provider Certification Application
Cert-37 Provider Certification Assurance on Policies
Cert-50 QIR Quality Improvement Report Example
Certified / Accredited Provider Child Care Assistance Application
Certified / Accredited Provider Child Care Assistance Application Coversheet
CFC-01/PCS-03 Amendment to PCS Service Plan
CFC-02/PCS-15 Application for Community First Choice Personal Care Services When Traveling
CFC-03/PCS-16 Notification of Transfer Form
CFC-04/PCS-07 Consumer/Legal Representative Agreement
CFC-05/PCS-02 Personal Care Services/CFC Personal Care Services Request for Passive Range of Motion
CFC-06 Application for Community First Choice
CFC-06 Instructions
CFC Initial Application Checklist
CFC Provider Request Inquiry Care Coordinator Checklist

1 contact point

Phone numbers:

Alaska Temporary Assistance Program