Representative Designation Forms, Arkansas

File Downloads / Links

  • Screening Form Word
  • Screening Form PDF
  • Designation Form Word
  • Designation Form PDF

Article Publication Date: 
2/4/2004
Summary: 
Forms are provided for designating a representative and screening a representative for Arkansas' IndependentChoices program.
Populations: 
Personal Assistant
Sources: 
Grantee produced
Arkansas
IndependentChoices Program; Cash Expenditure Plan; IndependentChoices monthly allowance; Designation for Authorized Representative Form; Representative Screening Questionnaire; participant's representative; A representative must; A representative cannot

Contact

Elizabeth Maguire
National Resource Center for Participant-Directed Services
elizabeth.maguire.1@bc.edu
Phone: 
617-552-0562

Short URL: http://www.advancingstates.org/node/52137