№ files_lp_3_process_7_056587
File format: docx
Character count: 1923
File size: 29 KB
Self-declaration form confirming compliance with statutory Fit and Proper Person Test requirements for appointment to a regulated role in England.
Document Type:
Self-attestation form
Subject:
Fit and Proper Person Test declaration
Jurisdiction:
England
Applicable Legislation:
Fit and Proper Person Test requirements
Related Checks:
DBS check
Relevant Sectors:
Healthcare and social care
Declarations Included:
Character, qualifications, professional registration status, health capability, criminal convictions, bankruptcy status, barred list status, misconduct and mismanagement
Obligation to Notify:
Duty to inform the chair of any change in circumstances affecting compliance
Signatories:
Applicant and Chair of the organisation
Fields Included:
Name, job title/role, professional registrations, DBS check date, appraisal date, signatures and dates
Intended Audience:
New starters applying for a role within a regulated organisation
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2020
Region / City:
United States
Subject:
Eligibility Documentation for WIOA Title I-B Programs
Document Type:
Policy Change
Agency / Institution:
Department of Labor (DOL)
Author:
Not specified
Target Audience:
Case Managers, LWDBs, Service Providers
Effective Date:
March 23, 2020
Expiration Date:
June 30, 2024
Date of Approval:
Not specified
Date of Amendments:
December 3, 2021
Effective Date:
March 23, 2020
Expiration Date:
June 30, 2024
Note:
Minimum Requirements for Documenting Eligibility for WIOA Title I-B Programs
Period of Effectiveness:
March 23, 2020 – June 30, 2024
Year:
2023
Region / City:
United States
Theme:
Employment, Workforce Development
Document Type:
Eligibility Form
Agency / Organization:
WIOA
Author:
WIOA Career Planner
Target Audience:
Individuals applying for the Dislocated Worker Program
Validity Period:
Ongoing
Approval Date:
N/A
Date of Changes:
N/A
Context:
A form used by individuals to self-attest their eligibility for the Dislocated Worker Program under WIOA based on specific categories of dislocation, including layoffs, military service, and other factors.
Year:
N/A
Region / City:
N/A
Subject:
Employment / Healthcare / Social Work
Document Type:
Self-attestation form
Organization:
N/A
Author:
N/A
Target Audience:
Healthcare professionals, social workers, and other regulated professionals
Validity Period:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Note:
Year
Topic:
Data Privacy, Federal Agencies, Data Security
Document Type:
Questionnaire, Data Management Plan
Target Audience:
Federal Agencies
Purpose:
This form is for federal agencies requesting research data through the CMS Data Use Agreement (DUA) process.
Security Requirements:
Data Custodian responsible for compliance with CMS data security requirements.
Evidence Required:
Authority to Operate (ATO) Letter(s) with official details.
Year:
2026
Region / City:
United Kingdom
Subject:
Employment Compliance and Professional Standards
Document Type:
Self-Attestation Form
Organization / Institution:
Healthcare or Social Care Provider
Author:
Employee / New Starter
Target Audience:
New hires in regulated roles
Applicable Regulations:
Fit and Proper Person Test requirements, professional registration obligations
Required Registrations:
Relevant professional body registration if applicable
Background Checks:
DBS check, professional qualifications verification
Signature Dates:
Employee and Chair acknowledgment
Program:
Data Privacy Safeguard Program
Document Type:
Self-Attestation Questionnaire
Subject:
Data Security and Privacy Controls for CMS Data
Organization / Authority:
Centers for Medicare & Medicaid Services (CMS)
Reference Standard:
CMS Acceptable Risk Safeguards (ARS) 3.1
Reference Framework:
NIST SP 800-53 Revision 4 Security and Privacy Controls
Purpose:
Attestation of organizational compliance with CMS security and privacy safeguard requirements
Primary Topic:
Information Security and Privacy Governance
Scope:
Access Controls, Security Controls, and Privacy Controls for CMS Data Environments
Applicable Environment Types:
Cloud Service Provider (CSP), Onsite, Hybrid Computing Environments
Responsible Role:
Data Custodian
Additional Contact Role:
Secondary Point of Contact (POC)
Related Document:
Data Management Plan (DMP)
Information Type Covered:
CMS data including PII/PHI
Intended Respondent:
Organizations requesting access to CMS data
Year:
2021
Region / City:
USA
Topic:
Public gathering event planning and safety
Document type:
Guide
Author:
Federal Emergency Management Agency (FEMA)
Target audience:
Organizations, jurisdictions, emergency planners, facilitators, evaluators
Period of validity:
Not specified
Approval date:
April 2021
Date of changes:
Not specified
Year:
20XX
Region / City:
Iowa Upper Midwest Region
Topic:
Contractor expenses for broilers and starter pullets
Document Type:
Survey
Agency:
National Agricultural Statistics Service (NASS)
Author:
NASS
Target Audience:
Agricultural contractors and poultry producers
Period of Validity:
20XX
Approval Date:
N/A
Date of Revisions:
N/A
OMB Approval Number:
0535-NEW
Confidentiality:
Information protected under the Confidential Information Protection and Statistical Efficiency Act of 2018
Description:
This is a survey collecting data on contractor expenses for raising poultry, including detailed cost breakdowns for various inputs like feed, fuel, and labor.
Year:
2016
Region / city:
Europe
Subject:
Data management, Standardization
Document type:
Guidelines
Organization / institution:
eTRIKS
Authors:
Philippe Rocca-Serra, Fabien Richard, Dorina Bratfalean, Michael Braxenthaler, Paul Houston, Robin Munro, Philippe Rocca-Serra, Martin Romacker, Susanna-Assunta Sansone
Intended audience:
Researchers, data managers, project leaders
Period of validity:
Ongoing updates
Approval date:
25 April 2016
Date of changes:
Not specified
Year:
2021
Region / City:
Melbourne
Subject:
Employment, Onboarding
Document Type:
Employment Information Pack
Organization / Institution:
Department of Premier and Cabinet
Author:
Jeremi Moule
Target Audience:
New Employees, Prospective Employees
Effective Period:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Year:
2020
Region / City:
United States
Topic:
COVID-19 Vaccination, Emergency Preparedness
Document Type:
Guidance, Exercise Kit
Organization / Institution:
FEMA, CDC
Author:
Federal Emergency Management Agency (FEMA), Centers for Disease Control and Prevention (CDC)
Target Audience:
State, Local, Tribal, Territorial (SLTT) Governments, Health Authorities, Emergency Managers
Period of Application:
2020 and beyond
Approval Date:
2020
Date of Changes:
Not specified
Year:
[Month, Date, Year]
Region/City:
[Insert Location of Meeting]
Theme:
Biological Agents, Public Health Emergency, Response and Recovery
Document Type:
Exercise Starter Kit, Scenario Manual
Organization:
[Insert Sponsoring Organization]
Author:
[Insert Author Name]
Target Audience:
Jurisdictional and organizational response teams, public health officials, exercise planners
Period of Validity:
[Insert Date]
Approval Date:
[Insert Date]
Modification Date:
[Insert Date if applicable]
Year:
[Insert Year]
Region / City:
[Insert Location]
Topic:
Hazardous Material Spill Tabletop Exercise
Document Type:
Facilitator Guide
Organization:
Department of Homeland Security (DHS), Federal Emergency Management Agency (FEMA)
Author:
[Insert Author]
Target Audience:
Facilitators, Exercise Planners, Academic Institutions
Period of Effectiveness:
[Insert Time Period]
Approval Date:
[Insert Date]
Date of Changes:
[Insert Date]
Year:
2025
Region / City:
Not specified
Subject:
Career development in research
Document type:
Application form
Institution / Organization:
WCRC
Author:
Not specified
Target audience:
PhD candidates applying for funding
Period of validity:
Not specified
Approval date:
Not specified
Date of amendments:
Not specified
Year:
2025
Region / City:
Moose Jaw, Saskatchewan
Theme:
Agility Dog Trial
Document Type:
Event Registration Form
Organization:
Moose Jaw Dog Club
Author:
Moose Jaw Dog Club
Target Audience:
Dog owners and handlers
Period of Action:
November 22-23, 2025
Approval Date:
October 10, 2025
Amendment Date:
Not specified
Year:
[Insert Year]
Region / City:
[Insert Location]
Theme:
Public Safety, Emergency Management
Document Type:
Instructional Guide
Organization / Institution:
[Insert Organization]
Author:
[Insert Author]
Target Audience:
Emergency Management Professionals, Public Safety Officials
Period of Validity:
[Insert Duration]
Approval Date:
[Insert Date]
Modification Date:
[Insert Date]