Get Prosecution Diversion Agreement, Hcf 16026. Prosecution Diversion Agreement, Hcf 16026

This guide provides a comprehensive overview of how to accurately complete the Prosecution Diversion Agreement, HCF 16026. By following these steps, you can ensure that your form is filled out correctly and submitted efficiently.

Follow the steps to complete the Prosecution Diversion Agreement, HCF 16026.

1. Press the ‘Get Form’ button to access the Prosecution Diversion Agreement, HCF 16026. This will allow you to open the document in a format that is easy to edit.
2. Fill in your name in the designated field, including your last name, first name, and middle initial. Ensure that the information is accurate and clearly presented.
3. Enter your case number in the provided space. This number is crucial for identifying your specific agreement and should be verified for accuracy.
4. State the amount of Public Assistance Funds you agree to repay. Include the dollar amount in the correct field, ensuring it reflects the total funds received.
5. Specify the dates you received the Public Assistance Funds, completing the 'from' and 'to' fields with accurate dates.
6. Read through the agreement sections carefully, as they outline your acknowledgment of receiving funds and the conditions for repayment instead of prosecution.
7. Indicate your monthly repayment amount and the total number of months over which you agree to repay the specified funds.
8. Ensure all signatures are collected in the appropriate spaces: your signature, your attorney's (if applicable), the District Attorney’s, and the Fraud Investigator’s.
9. If required, have a notary public witness the agreement and sign in the designated area. Provide the date of notarization as well.
10. Once the form is completely filled out and signed, you can save your changes, download the document, print it for your records, or share it as necessary.

Complete your Prosecution Diversion Agreement, HCF 16026 online today to ensure a swift resolution.