Form 1 Application for Health Center Program Recipients for Dee
Applications for Deemed Public Health Service Employment with Liability Protections Under the FTCA for Health Centers, Deemed Health Center Volunteers, and Free Clinic Sponsored Individuals
Health Center Deeming Application Tool
Application for Health Center Program Recipients for Deemed PHS Employment with Liability Protections Under the FTCA
OMB: 0906-0090
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0906-0090 can be found here: