Form 4 Application for Free Clinics to Sponsor Individuals for

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

FTCA Free Clinic Application Tool

Application for Free Clinics to Sponsor Individuals for Deemed PHS Employment with Liability Protections Under the FTCA

OMB: 0906-0090

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