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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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