10. RFR Response Cover Sheet.doc

DOC document 25 KB Posted

Attached to
Hearing Officer RFR
Solicitation number
BD-18-1022-DMH08-8210C-19004
Issued by
Suffolk County, Massachusetts

About this file

This document is a Response Cover Sheet for a Request for Response (RFR) issued by the Massachusetts Department of Mental Health (DMH). The purpose of this RFR is to create a pool of qualified individuals that DMH may use as hearing officers to conduct fair hearings involving DMH and/or individuals seeking or receiving DMH services. DMH will enter into contracts with the individuals it determines are qualified, interested, and available to serve as hearing officers. The DMH General Counsel, or designee, will assign hearings to the contracted hearing officers in writing.

The RFR does not provide details on pricing terms, set-asides, incumbents, funding requirements or sources, or any other salient information beyond the request for qualified hearing officers. The document only contains the standard cover sheet information for the bidder's response, including contact information and an authorized signature.

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Text version

DEPARTMENT OF MENTAL HEALTH

RFR RESPONSE COVER SHEET

Please use this as the first page of your response materials and the label on your submission package.

RFR Number:

RFR Title:

Bidder Information

Name:

Address:

Contact Person Name:

Contact Person Phone:

Contact Person Email:

Contact Person FAX:

Signature (must be an individual authorized to negotiate for and execute the contract on behalf of the Bidder):

(Signature)

(Print Name)

(Title)

(Date)

FOR DMH USE ONLY

Date Response Received:

Time:

Received by:

Title/Department:

File details come from the government source that posted it. Updated .