Get Providerapplicationpacket.doc

Filling out the ProviderApplicationPACKET.doc is an essential step for providers seeking approval for HIV/AIDS courses in Kentucky. This guide will provide you with clear, step-by-step instructions to ensure the process is straightforward and accessible to all users.

Follow the steps to complete your application efficiently.

1. Press the ‘Get Form’ button to obtain the application document and open it in your preferred online editing tool.
2. Begin by carefully reading through the introduction and instructions provided in the document. This will offer valuable insights into the requirements for submission.
3. Complete the required fields, including the provider name, address, direct phone number, fax number, published phone number, email address, and contact person. Ensure that all details are accurate and up to date.
4. Fill in the course details, including the course title, length in hours, course fee, creation date (month/year), and date(s) of the course. Remember that the course must have been developed within the past year.
5. Indicate your approval status in the designated areas throughout the application. This includes choosing approve or reject for each course section. Make sure to provide any required comments or feedback.
6. Attach all necessary documents as outlined in the checklist, such as lesson plans, handouts, post-tests, and curriculum vitae for instructors.
7. Review the entire application for completeness and correctness. Ensure that the required content is included and that all sections have been filled out thoroughly.
8. Once you have confirmed that your application is complete, save your changes. You can download, print, or share the form as necessary.
9. Submit your completed application via email to the specified address (greg.lee@ky.gov). Make sure your submission is timely, allowing at least twenty working days for the review process.

Begin filling out your ProviderApplicationPACKET.doc online today to ensure timely approval for your HIV/AIDS course.