Downloadable Forms

KANA makes a number of commonly required forms available for download on the web. By downloading and completing your forms prior to your visit, you'll save time and increase our ability to serve you quickly and efficently.

Rural Providers Conference Registration Form ~ Download

 

Human Resources & Employment Forms

  • KANA Job Application ~ Download PDF
    Print and complete on paper, fax or mail.

    Provider Application ~ Download PDF
    Print and complete on paper, fax or mail.

  • Provider Application for Word ~ Download .DOC
    Complete in Word and submit electronically.

  • VPSO Application Checklist ~ Download .DOC
    Print and complete on paper, fax or mail. Requires notarization and signatures and is a required component of a VPSO Job Application.

 

Medical Forms

  • Notice of Privacy Practices ~ Download.DOC
     
  • Authorization for Release of Information HIPAA ~ Download.DOC
    Print and complete on paper. Completed form may be faxed to the confidential fax number (907) 486-9897 with the originals to be delivered in the mail or in person.

 

Community Development Forms

  • Kodiak Area Native Association Temporary Assistance for Needy Families (TANF) Application ~ Download.DOC
  • Kodiak Area Native Association Heating Assistance Aplication ~Download.DOC   

WIA, Scholarship and Childcare Application Forms

Download and complete forms. Fax them to 907-486-9898, drop them off or mail them to KANA 3449 Rezanof Drive East, Kodiak, AK 99615.
 
3449 E Rezanof Dr, Kodiak, Alaska 99615  ~  Phone: 907.486.9800  ~  Fax: 907.486.9898