Florida Department of State and Division of Library and Information Services

Reference: Ref-09105

Reference Name: Background Screening Application for Exemption, AHCA Form 3110-0019, January 2017
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Original Document(s):
1/19/2018 Background Screening Application for Exemption, AHCA Form 3110-0019, January 2017
Modified Document(s): No Modified document(s).
Description: Background Screening Application for Exemption, AHCA Form 3110-0019, January 2017

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
59A-35.090 		Background Screening. 20007237 Effective:
02/13/2018



Under Florida law, E-mail addresses are public records. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.