Rural Health Care
About Rural Health Care:
- Overview of the Program
- Overview of the Process
- Monthly Conference Calls
- Site Visits
- Understanding Audits
- Filing Appeals
- Rural Health Care Pilot Program
Rural Health Care Tools:
Required Forms
The forms may be revised each funding year. Applicants must use the correct funding year form to participate.
Applicants are encouraged, if possible, to e-cert and submit their forms electronically. Please note that only PDF versions of the forms are available.
Fund Year 2008
| FY
2008 Form 465 Description of Services Requested & Certification Form |
Apply Online or Download only: View instructions Download: |
| FY
2008 Form 466 Funding Request & Certification Form |
Apply Online or Download only: View instructions Download: |
| FY
2008 Form 466-A Internet Service Funding Request & Certification Form |
Apply Online or Download only: View instructions Download: |
| FY
2008 Form 467 Connection Certification Form |
Apply Online or Download only: View instructions Download: |
