Screening form definition

Screening form means form no. DEP-PED-SCREEN-020 as provided by the commissioner.
Screening form means form no. DEEP-WPED-SCREEN-027 as provided by the commissioner.

Examples of Screening form in a sentence

  • For employees or agents who will have access to the Board’s financial records and/or accounting processes, including purchasing, payables, receivables, and treasury or cash management, Consultant also will conduct a credit history check on the employee or agent and certify on the Board-provided Certification of Personnel Screening form that Consultant has determined that the employee or agent does not pose a risk to the Board.

  • To Washington State Department of Health a completed Refugee Health Domestic Screening form for each refugee screened.

  • Grantee must use the questions and responses identified in the HHSC Non-Medical Needs Screening form, Attachment J and available in English and Spanish.

  • The Screening form will be utilized by the Safety Net Unit as a basis to determine the appropriate WTW activity to enroll the individual in.

  • Option A: At least five (5) working days before assigning an employee or agent to operate a Board vehicle under this Agreement, the Consultant will submit the employee’s or agent’s name to the Board’s Representative and certify on the Board-provided Certification of Personnel Screening form that the employee or agent has a valid Colorado driver’s license and a satisfactory driving record, defined as having no more than six (6) points on his/her driving record in the three (3) years prior to the assignment.

  • The CHG Targeted Prevention Eligibility Screening form must be kept in the client file.

  • Prior to purchasing any equipment under this Agreement, when required, City must submit an Environmental and Historic Preservation (EHP) Screening form and receive written approval from FEMA.

  • Grantee must use the questions and responses identified in the HHSC Non-Medical Needs Screening form, Attachment I and available in English and Spanish.

  • Discussion The RCDF Intake Screening form administered by booking officers was revised to include inquiry regarding “4) recent significant loss, such as the death of a family member or close friend; 5) history of suicidal behavior by family members and close friends” (see above).

  • Contractor shall submit the Certification of Personnel Screening form for any employee or Subcontractor who will be entering residences to perform Work.