Loading
Form preview picture

Get Hhs 690 Form 2019-2024

S.W. Washington D.C. 20201 Name of Healthcare Facility Receiving/Requesting Funding Street Address City State Zip Code Form HHS-690 3/2011. ASSURANCE OF COMPLIANCE REHABILITATION ACT OF 1973 TITLE IX OF THE EDUCATION AMENDMENTS OF 1972 AND THE AGE DISCRIMINATION ACT OF 1975 The Applicant provides this assurance in consideration of and for the purpose of obtaining Federal grants loans contracts property discounts or other Federal financial assistance from the U.S. Department of Health and Human Services. THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH 1. Title VI of the Civil Rights Act of 1964 Pub. L* 88-352 as amended and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services 45 C. F*R* Part 80 to the end that in accordance with Title VI of that Act and the Regulation no person in the United States shall on the ground of race color or national origin be excluded from participation in be denied the benefits of or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. 2. Section 504 of the Rehabilitation Act of 1973 Pub. L* 93-112 as amended and all requirements imposed by or pursuant to the his or her disability be excluded from participation in be denied the benefits of or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. 3. Title IX of the Education Amendments of 1972 Pub. L* 92-318 as amended and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services 45 C. F*R* Part 86 to the end that in accordance with Title IX and the Regulation no person in the United States shall on the basis of sex be excluded from participation in be denied the benefits of or be otherwise subjected to discrimination under any education program or activity for which the Applicant receives Federal financial assistance from the Department. 4. The Age Discrimination Act of 1975 Pub. L* 94-135 as amended and all requirements imposed by or pursuant to the in or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department. and that it is binding upon the Applicant its successors transferees and assignees for the period during which such assistance is provided* If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department this assurance shall obligate the Applicant or in the case of any transfer of such property any transferee for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is so provided this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property.

How It Works

cms hhs 690 rating
4.8Satisfied
40 votes

Tips on how to fill out, edit and sign C form hhs online

How to fill out and sign 690 form hhs690 online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

The days of distressing complicated legal and tax forms have ended. With US Legal Forms submitting legal documents is anxiety-free. The best editor is already at your fingertips giving you a wide range of useful tools for filling out a HHS-690. The following tips, with the editor will help you with the entire procedure.

  1. Click on the Get Form option to begin modifying.
  2. Switch on the Wizard mode on the top toolbar to acquire more pieces of advice.
  3. Fill out each fillable area.
  4. Be sure the information you fill in HHS-690 is updated and correct.
  5. Indicate the date to the record using the Date tool.
  6. Click on the Sign tool and create a digital signature. There are three available alternatives; typing, drawing, or uploading one.
  7. Make certain each and every area has been filled in correctly.
  8. Click Done in the top right corne to save and send or download the form. There are several options for receiving the doc. An attachment in an email or through the mail as a hard copy, as an instant download.

We make completing any HHS-690 much faster. Use it now!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Video instructions and help with filling out and completing assurance of compliance hhs 690

Optimize the way you deal with document managing. Watch our video recommendations to learn how to use robust browser-based instruments for completing your Form from your place in minutes.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to form hs 690

  • hhs 690 assurance
  • d 690 assurance
  • civil rights compliance form
  • hhs 690 confirmation
  • form 690 2019
  • form 690 hhs
  • from act assurance
  • hhs 690 portal
  • 690 hhs690
  • state hhs 690
  • state form 690
  • applicant assistance assurance
  • s hhs 690
  • receiving form 690
  • requesting hhs 690
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.