7 Alaska Admin. Code § 74.055

Current through August 30, 2024
Section 7 AAC 74.055 - Required information
(a) An application for admission to a pioneers' home must include
(1) the names and addresses of the applicant's adult relatives, and the name and address of any guardian, conservator, holder of a power of attorney, or other responsible party; and
(2) a description of any physical or cognitive disability of the applicant, and the name of the physician, if any, who last treated the condition.
(b) The department may require additional information relevant to an applicant's eligibility, and may require that the applicant give the department and its agents access to various items, including medical records and financial records.
(c) An applicant shall inform the department of any change in information provided under this section.
(d) Information provided by an applicant is confidential, and not subject to disclosure, to the extent provided by law.

7 AAC 74.055

Eff. 8/1/2004, Register 171

Authority:AS 47.55.010

AS 47.55.020

AS 47.55.030