Program Directives
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- Enclosure| Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English| Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- Enclosure A – Vendor Packet Checklist PDF
- Enclosure B – General Self-Directed Supports Qualifications and Agreement Form PDF
- Enclosure C – Financial Management Services Self-Directed Supports Qualifications and Agreement Form PDF
- Enclosure D – DS1890 Vendor Application with sample form and FAQs PDF
- Enclosure E – DS1891 Applicant/Vendor Disclosure Statement with sample form PDF
- Enclosure F – Conflict of Interest Form with FAQs PDF
- Enclosure G – Business Associate Agreement/HIPAA Form with FAQs PDF
- Enclosure H – Home and Community-Based Services Provider Agreement Form with sample form PDF
- Enclosure I – W-9 Request for Taxpayer Identification Number and Certification PDF
- English| Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- Enclosure PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English| Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- Enclosure A | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- Enclosure B | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- Enclosure A | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese
- Enclosure B | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese
- Enclosure C | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic / (Enclosure 1) | Hmong / (Enclosure 1) | Japanese / (Enclosure 1) | Korean / (Enclosure 1) | Laotian / (Enclosure 1) | Russian / (Enclosure 1) | Simplified Chinese / (Enclosure 1) | Traditional Chinese / (Enclosure 1) | Spanish / (Enclosure 1) | Tagalog / (Enclosure 1) | Vietnamese / (Enclosure 1) PDF
Funding to Support Implementation of the Self-Determination Program – Fiscal Year 19/20 - March 2020
- English | Arabic | Hmong | Japanese | Korean | Laotian, Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
- English | Arabic | Hmong | Japanese | Korean | Laotian | Russian | Simplified Chinese | Traditional Chinese | Spanish | Tagalog | Vietnamese PDF
Last modified: May 23, 2023
