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Independent Choices Program (ICP) Provider / Representative All forms must be correctly and completely filled out, returned to the local APD office in person before you can be paid for working. A
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How to fill out independent choices participation agreement

01
Obtain the independent choices participation agreement form from the relevant organization or institution.
02
Read through the entire agreement carefully to fully understand all terms and conditions.
03
Fill in your personal details accurately, including your name, contact information, and any other requested information.
04
Review any sections that require signatures and sign the agreement where indicated.
05
Date the agreement once all sections have been completed.
06
Make a copy of the signed agreement for your records before submitting it to the appropriate parties.

Who needs independent choices participation agreement?

01
Individuals who are participating in activities or programs offered by the organization or institution that require a signed agreement to confirm their participation.
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Independent Choices Participation Agreement is a legal document that allows individuals to choose and direct their own services and supports.
Individuals who are seeking to self-direct their services and supports through a program like Independent Choices are required to file the participation agreement.
To fill out the Independent Choices Participation Agreement, individuals need to provide personal information, choose their services and supports, and sign the agreement.
The purpose of the Independent Choices Participation Agreement is to empower individuals to make their own decisions about their services and supports.
The Independent Choices Participation Agreement must include personal information about the individual, chosen services and supports, and signatures of the parties involved.
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