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How to use or fill out hrsa form 6a fillable with our platform
- Click ‘Get Form’ to open the hrsa form 6a fillable in the editor.
- Begin by entering the names of current board members in the designated fields. Ensure accuracy as this information is crucial for your application.
- For each board member, specify their current office position held, gender, and area of expertise. This helps in assessing the diversity and qualifications of your board.
- Indicate whether any board member earns more than 10% of their income from the health industry by selecting 'Yes' or 'No'.
- Mark if any board member is a health center patient and if they live or work in the service area. This information is vital for compliance.
- If applicable, specify if any board member represents a special population and provide details as required.
- Complete the patient board member classification section by indicating the number of male, female, and unreported/declined to report members.
- Finally, answer whether the listed board members represent a co-applicant board if your organization is public. Attach necessary agreements as specified.
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