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Get the free Indian Health Service Loan Repayment Program Contract Extension Notice - ihs

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This document provides guidance for participants in the Indian Health Service Loan Repayment Program on how to extend their contracts, detailing the necessary requirements, deadlines, and selection
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How to fill out Indian Health Service Loan Repayment Program Contract Extension Notice

01
Read the instructions carefully provided with the Contract Extension Notice.
02
Gather all necessary personal and employment information required for the form.
03
Fill out the personal information section, including your name, contact details, and Social Security number.
04
Provide your current employment details, including the name of the facility where you are serving and your job title.
05
Indicate the duration of the contract you wish to extend.
06
Review and ensure all information is accurately completed.
07
Sign and date the form as required.
08
Submit the completed form to the designated Indian Health Service office by the specified deadline.

Who needs Indian Health Service Loan Repayment Program Contract Extension Notice?

01
Healthcare professionals who have participated in the Indian Health Service Loan Repayment Program and wish to extend their service contracts.
02
Individuals who are required to fulfill their contractual obligations as part of the Loan Repayment Program.
03
Providers aiming to continue receiving loan repayment benefits while serving in Indian Health Service facilities.
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Health Care Professional Loan Repayment Program (HPLRP) To be eligible, Army National Guard officers must serve in the Selected Reserve. For each year of satisfactory service in the Selected Reserve, any DoD-authorized student loan(s) will be considered eligible for repayment.
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The Indian Health Service Loan Repayment Program Contract Extension Notice is a document that allows healthcare professionals who have committed to serving in Indian Health Service facilities to extend their contract in exchange for additional student loan repayment assistance.
Individuals currently participating in the Indian Health Service Loan Repayment Program who wish to extend their service commitment are required to file the Indian Health Service Loan Repayment Program Contract Extension Notice.
To fill out the Indian Health Service Loan Repayment Program Contract Extension Notice, participants must provide their personal and professional information, including their current employment details, previous service duration, and desired contract extension period. Specific instructions are usually provided on the form itself.
The purpose of the Indian Health Service Loan Repayment Program Contract Extension Notice is to formalize the request for extending the service commitment of participants in exchange for additional financial assistance for their educational loans.
The information that must be reported includes the healthcare provider's name, contact information, current position, the number of months served, the requested extension period, and any supporting documentation that verifies the continued service commitment.
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