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Image of a report. Certification (PPD) Appendix IV - Character and Competence Schedule of the entity’s character and competence. Must be notarized. Download about Appendix IV - Character and Competence
Image of a report. Certification (PPD) Exhibit A Schedule to note the required entity establishment documentation Download about Exhibit A
Image of a report. Certification (PPD) Exhibit B Schedule of proposed service component information Download about Exhibit B
Image of a report. Certification (PPD) Exhibit D (QA-6) Fiscal viability schedule Download about Exhibit D (QA-6)
Image of a report. Certification (PPD) Changes to Prevention Sites (PPD-14) Schedule to add/remove prevention services. Download about Changes to Prevention Sites (PPD-14)
Image of a report. Certification (PPD) Local Governmental Unit Review Report (PPD-6) To be completed by the local government unit as part of the certification process. Download about Local Governmental Unit Review Report (PPD-6)
Image of a report. Certification (PPD) Regional Office Review Report (PPD-7) To be completed by Regional Office representatives as part of the certification process. Download about Regional Office Review Report (PPD-7)
Image of a report. Certification (PPD) Provider Termination Plan (PPD-13) Termination plan to be submitted by all closing treatment programs. Download about Provider Termination Plan (PPD-13)
Image of a report. Certification (PPD) Appendix A -Close-Out Checklist (PPD-13A) Checklist of items necessary to completed in order to close a program Download about Appendix A -Close-Out Checklist (PPD-13A)