Get Provider Application For Dc Hplrp - Department Of Health - The ... - Doh Dc

The Provider Application for the DC Health Professional Loan Repayment Program (HPLRP) is a vital document for healthcare providers seeking financial assistance in repaying educational loans. This guide provides a step-by-step overview to help you complete the application efficiently and accurately.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Begin by filling out Section I: Applicant Profile. Provide your personal information including your name, provider type, and contact details. Ensure all fields are completed accurately.
3. In Part A, include details about your education and professional experience. Remember to specify your proposed practice site and expected start date.
4. Complete the race and ethnicity sections, as well as your date of birth. Confirm your citizenship status and language proficiency.
5. In Part B: Information Release and Attestation, review and sign to authorize the release of information as necessary.
6. In Part C: Loan Information, provide detailed information about your educational loans, including the amount requested for repayment and the lending institution details.
7. Ensure you complete Part D: Applicant Certification, which needs to be notarized before submission.
8. Prepare your attachments as outlined in the checklist, ensuring to include transcripts, licenses, and other required documents.
9. Once all sections are completed and verified, save your application.
10. Submit the completed application electronically along with the attachments and ensure to follow up on any additional requirements from your lender or recommendation sources.

Complete your Provider Application for DC HPLRP online today and take the first step towards loan repayment support.