Right Column
Forms Workgroup
Workgroup Objective: Develop and implement the following forms: 1) Provider Enrollment form to be completed and signed, under penalty of perjury, by all who seek to provide supportive services. The form will include statements that persons convicted or incarcerated following a conviction for certain crimes in the previous 10 years are ineligible for enrollment to provide supportive services or receive payment for supportive services. 2) Protective Supervision Medical Certification form to obtain medical certification from appropriate medical professional regarding a person's need for protective supervision.
Status: The workgroup convened March 25, 2005 and the last meeting held August 12, 2005.
The following information was provided during the workgroup process.
| August 12, 2005 | Agenda | Summary |
| July 7, 2005 | Agenda | Summary |
| May 24, 2005 | Agenda | Summary |
| April 29, 2005 | Agenda | Summary |
| March 25, 2005 | Agenda | Summary |