Get the free DC HPLRP Recommendation Form Section II - Department of Health - doh dc

DC Department of Health Primary Care Bureau 899 North Capitol Street NE, 3 Floor Washington, DC 20002 (202) 442-9168 EMAIL: HP LRP DC.gov DC HEALTH PROFESSIONAL LOAN REPAYMENT PROGRAM APPLICATION

How to fill out dc hplrp recommendation form

How to fill out the DC HPLRP recommendation form:

1. Start by downloading the DC HPLRP recommendation form from the official website or obtain a physical copy from the relevant authority.
2. Read the instructions carefully to understand the purpose and requirements of the form.
3. Begin by providing your personal information, such as your full name, contact details, and any relevant identification numbers, as requested on the form.
4. Indicate the name of the organization or institution where you are currently employed or affiliated with, along with its address and contact information.
5. Provide details about your qualifications and experience, including your educational background, professional certifications, and any relevant training programs you have completed.
6. If applicable, disclose any previous participation in loan repayment programs or any other related financial assistance you have received.
7. In the next section, you will be asked to provide information about the individual who is recommending you for the DC HPLRP. Include their name, position, contact details, and a brief explanation of the working relationship between you and the recommender.
8. Ensure that the recommender completes their portion of the form, including their professional opinion and their assessment of your qualifications for the program.
9. Review the completed form thoroughly to make sure all the information provided is accurate and complete.
10. Sign and date the form in the designated area to verify that the information provided is true and accurate to the best of your knowledge.
11. If required, gather any supporting documents or additional information as specified in the instructions, and attach them to the form.
12. Submit the completed DC HPLRP recommendation form to the appropriate authority or organization according to the instructions provided.

Who needs the DC HPLRP recommendation form?

1. The DC HPLRP recommendation form is needed by individuals who are applying for the DC Health Profession Loan Repayment Program (HPLRP).
2. This form is specifically designed for applicants who are seeking financial assistance in repaying their educational debts in exchange for providing healthcare services in underserved areas of Washington, D.C.
3. The form is required to be completed by the applicant as well as a professional who can vouch for the applicant's qualifications and suitability for the program. This professional is typically an employer, supervisor, or colleague who is familiar with the applicant's work in the healthcare field.

For pdfFiller’s FAQs

What is dc hplrp recommendation form?

DC HPLRP recommendation form is a form used to recommend a candidate for the Health Profession Loan Repayment Program (HPLRP) in Washington, DC.

Who is required to file dc hplrp recommendation form?

Healthcare employers in Washington, DC are required to file the DC HPLRP recommendation form to recommend eligible healthcare professionals for loan repayment assistance.

How to fill out dc hplrp recommendation form?

To fill out the DC HPLRP recommendation form, employers must provide information about the candidate's qualifications, employment history, and the amount of loan repayment assistance requested.

What is the purpose of dc hplrp recommendation form?

The purpose of the DC HPLRP recommendation form is to recommend eligible healthcare professionals for loan repayment assistance in exchange for providing healthcare services in underserved areas.

What information must be reported on dc hplrp recommendation form?

The DC HPLRP recommendation form must include the candidate's name, contact information, qualifications, employment history, and the amount of loan repayment assistance requested.

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