Program statement 2026

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  1. Click ‘Get Form’ to open the program statement in the editor.
  2. Begin by entering the 'Original Program Statement Date' at the top of the form. This helps track updates and revisions.
  3. Fill in the 'Provider Address' section, ensuring to include City, State, and Zip code for accurate identification.
  4. In the 'Adult Family Home Program Information' section, specify the number of beds certified for use and check the appropriate gender options for residents.
  5. Provide a detailed description of your home and grounds, including type, accessibility features, and any relevant community resources nearby.
  6. Complete the 'Skills and Services of Provider' section by checking all applicable services you can provide to residents.
  7. Finally, review all entered information for accuracy before saving or submitting your completed program statement.

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2020 4.9 Satisfied (24 Votes)
2017 4.4 Satisfied (23 Votes)
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