Exemption Checklist - Department of Human Services Med Quest - med-quest 2026

1. Click ‘Get Form’ to open the Exemption Checklist in our editor.
2. Begin by reviewing the checklist items. Ensure you have all required documents ready for submission, including Form DHS 1200, a money order, and any necessary reports.
3. Fill out Form DHS 1200 completely. This form must be signed by the individual requesting the exemption. Remember, a separate form is needed for each exemption request.
4. Prepare a money order for $25.00 payable to Fieldprint, as this is essential for processing your exemption request.
5. If applicable, obtain the State Name Check Report from eCrim that includes relevant conviction details.
6. Draft a Statement of Authenticity confirming the validity of your submitted Hawaii Criminal Justice Data Center report.
7. Request a letter from your prospective employer agency confirming your status and position being considered.
8. Include a Job Description from the employer agency to clarify how your role relates to direct services.
9. Gather Evidence of Rehabilitation such as letters from employers or counselors that demonstrate your progress and readiness for the position.

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