Ala. Admin. Code r. 550-X-4-AC
CERTIFICATION OF PRACTICE IN UNDERSERVED AREA
I, _________________, do hereby certify that ___________________,
Name Name of Loan
Recipient
has practiced medicine in __________________________________, for
Locality
the time period of ___________________________.
________________________________
Signature
________________________________
Title
________________________________
Author: Wayne P. Turner
Statutory Authority: Code of Ala. 1975, §§1647121 et seq.; 41221 et seq.
History: New Rule: Filed May 16, 2006; effective June 20, 2006.