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

OMB 0906-0090

Latest Forms, Documents, and Supporting Material

Document Name
Form 3 Emergency Deeming Sponsorship Application Form and Instruction
Form 2 Application for Deemed Health Center Program Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment with Liability Protections Under the FTCA Form and Instruction
Form 1 Application for Health Center Program Recipients for Deemed PHS Employment with Liability Protections Under the FTCA Form and Instruction
Form 4 Application for Free Clinics to Sponsor Individuals for Deemed PHS Employment with Liability Protections Under the FTCA Form and Instruction
FINAL PAL 2024-02 VHP Emergency Deeming Sponsorship Application.docx Supplementary Document
Supporting Statement A- BPHC- Combined Package- 0906-New-4.15.24.docx Supporting Statement A
Emergency Deeming Sponsorship Application Form and Instruction
Application for Deemed Health Center Program Recipients to Sponsor Volunteer Health Professionals (VHPs) for Deemed PHS Employment with Liability Protections Under the FTCA Form and Instruction
Application for Health Center Program Recipients for Deemed PHS Employment with Liability Protections Under the FTCA Form and Instruction
Application for Free Clinics to Sponsor Individuals for Deemed PHS Employment with Liability Protections Under the FTCA Form and Instruction