Emergency Deeming Sponsorship Application

Applications for Deemed Public Health Service Employment with Liability Protections Under the FTCA for Health Centers, Deemed Health Center Volunteers, and Free Clinic Sponsored Individuals

OMB: 0906-0090

IC ID: 266942

Documents and Forms

Document Name Document Type
Form 3 Emergency Deeming Sponsorship Application Form and Instruction
3 Emergency Deeming Sponsorship Application Health Center VHP Emergency Deeming Application Tool.pdf Form and Instruction