Get Slrp Contract Requirements/provisions - Nhsc - Hrsa - Nhsc Hrsa

Filling out the SLRP Contract Requirements/Provisions is a crucial step for participants in the State Loan Repayment Program. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and efficiently, ensuring compliance with NHSC and HRSA guidelines.

Follow the steps to properly complete your SLRP contract online.

1. Press the ‘Get Form’ button to access the SLRP Contract Requirements/Provisions document and open it for editing.
2. Enter the participant's name in the designated field. Ensure that the name matches the official documentation.
3. Fill in the contract award period, specifying the start and end dates of the award.
4. Indicate the total contract amount. Remember that the maximum award is $50,000 per year for full-time participants and $25,000 for half-time participants.
5. Provide the name and physical address of the practice site, including the 9-digit ZIP code and the HPSA identification number.
6. Specify the state funding details that outline the financial responsibility of the state for loan repayment.
7. Detail the practice agreement stating the obligations for primary health services in exchange for loan repayment.
8. Clarify the practice hours that define full-time and half-time commitments at the HPSA site.
9. Ensure the site requirements are met, confirming that the practice site accepts Medicare, Medicaid, and utilizes a sliding fee scale.
10. Include the service obligation clause which outlines consequences for failure to complete service.
11. Add a waiver provision for circumstances preventing the completion of service.
12. State the conditions under which the contract can be canceled or terminated.
13. Review all sections for accuracy, then save changes, download, or print the completed form as needed.

Complete your SLRP contract online today to secure funding for your education!