Alaska administrator designee form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Name of Individual' in the designated field. This is crucial for identifying the applicant.
3. Select the appropriate role for this individual by checking one of the boxes: Administrator, Resident Manager, or Designee.
4. Fill in the 'Name of Assisted Living Home' along with its phone number to provide context about where this individual will be working.
5. Input the 'Date of Birth' in MM/DD/YYYY format and include any driver's license number if applicable.
6. Complete both physical and mailing addresses accurately, ensuring all fields are filled out correctly for effective communication.
7. List three character references who are not related to you, including their names and contact information. This helps validate your qualifications.
8. Provide two employment references as required, ensuring they meet the same criteria as character references.
9. Attach necessary documentation that proves you meet at least one of the specified criteria for qualification as outlined in the form.
10. Finally, review all entered information for accuracy before signing and dating your application at the bottom of the form.

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