Application for Health Center Program Recipients for Deemed Public Health Service Employment with Liability Protections Under the Federal Tort Claims Act (FTCA)

OMB 0906-0035

OMB 0906-0035

Deemed status for FTCA medical malpractice coverage requires HRSA approval of an application for deeming of certain eligible health centers. The FTCA Program Deeming Application for Health Centers is an electronic application submitted to HRSA through the Electronic Handbooks as part of the process of deeming qualified health centers.

The latest form for Application for Health Center Program Recipients for Deemed Public Health Service Employment with Liability Protections Under the Federal Tort Claims Act (FTCA) expires 2021-04-30 and can be found here.


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