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BACKGROUND SCREENING Application for Exemption

AHCA Form #3110-0019, January 2017 Page 1 of 6 Rule , Form available at: BACKGROUND SCREENING Application for Exemption AUTHORITY: In accordance with section , Florida Statutes, persons disqualified from employment may be granted an Exemption from disqualification. The granting of an Exemption does not change an individual s criminal history. It only provides eligibility for employment in a health care setting. An individual seeking an Exemption must demonstrate by clear and convincing evidence that an Exemption from disqualification should be granted.

The Department of Health reviews applications and makes decisions for licensed and certified health care professionals as long as that person is working in the scope of his or her license or certification. For more information regarding the exemption process for licensed or certified individuals with the

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  Applications, Screening, Certified, Exemption, Background, Certifications, Background screening application for exemption

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