Prototype - Utah Provider Code of Conduct Certificate of Understanding and Compliance Logo
  • Utah Provider Code of Conduct Certificate of Understanding and Compliance

    For questions, please contact Morning Sun Financial Services at 1-844-450-5444
  • Utah Provider Code of Conduct Certificate of Understanding and Compliance

    For questions, please contact Morning Sun Financial Services at 1-844-450-5444
  • Signatures

    I understand and accept that my electronic signature will be as valid as a handwritten signature and considered original to the extent allowed by applicable law. Please see the Consumer Consent Disclosure at https://www.jotform.com/consumer-consent-disclosure/
    • I have read and been provided with a personal copy of the DHS Code of Conduct and Client Rights rule.
    • I understand this Code of Conduct and Client Rights rule and I agree to comply with it. 
    • I have been trained and understand agency policies and procedures and agree to comply with them.
    • I have been trained and understand DHS rules and agree to comply with them.
    • I had the opportunity to ask questions and received clarification about the Code of
    • Conduct and Client Rights, Agency Policies and Procedures and DHSrules.
    • I am aware of my responsibility to report any violations of this Code Rules to DHS to the program licensor or to the highlighted phone number listed in section 1(i).
  • Clear
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    • I provided a personal copy of the DHS Code of Conduct and Client Rights rule to this employee.
    • This employee has been provided training on Agency policies and procedures and Licensing rules.
    • I offered this employee the opportunity to ask questions and provided clarification to all questions.
  • Clear
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