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Click ‘Get Form’ to open the sds 0654 form in the editor.
Begin with Section 1, where you will select your application type. Check all that apply: New, Renewal, Change of address, Increase in capacity, or Change in provider.
Proceed to Section 2 and fill in your AFH-DD Home Information. Include your name, contact details, and the number of individuals to be served. Specify the type of dwelling and any physical features of the home.
In the Occupants section, list all individuals living in the home. Ensure you include their full names, relationships, Social Security numbers, and dates of birth.
Move to Section 3 for Provider information. Document your education and employment history related to working with individuals with developmental disabilities.
Complete Section 4 by listing all caregivers along with their positions and relevant details. Ensure compliance with required approvals.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (125 Votes)
2012	4.1 Satisfied (62 Votes)

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