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Commonwealth of VirginiaState Health Benet's Program Enrollment Form For 202021 Language Assistance Statement Retirees, Survivors and LTD Participants State Health Benefits Program Instructions for

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How to fill out 2020-21 language assistance statement

01

Obtain a copy of the 2020-21 language assistance statement form.

02

Fill in the name and contact information of the individual requiring language assistance.

03

Specify the language that assistance is needed in.

04

Sign and date the form to confirm accuracy and understanding.

Who needs 2020-21 language assistance statement?

01

Individuals who require language assistance in order to effectively communicate in a particular language during the 2020-21 period.

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What is 21 language assistance statement?

The 21 Language Assistance Statement is a document that organizations file to report their compliance with language assistance requirements, ensuring that individuals with limited English proficiency can access essential services.

Who is required to file 21 language assistance statement?

Organizations that receive federal funding and provide services to the public are required to file the 21 Language Assistance Statement.

How to fill out 21 language assistance statement?

To fill out the 21 Language Assistance Statement, organizations must provide detailed information regarding their language assistance programs, including services offered and the languages covered.

What is the purpose of 21 language assistance statement?

The purpose of the 21 Language Assistance Statement is to demonstrate compliance with federal regulations regarding language access and to ensure that non-English speakers receive necessary services.

What information must be reported on 21 language assistance statement?

The statement must report on the types of language assistance provided, the number of individuals served, languages spoken, and any challenges faced in delivering these services.

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