Pw 633 application for certificate of compliance in pa 2026

1. Click ‘Get Form’ to open the pw 633 application in our editor.
2. Begin by filling out the 'Purpose of Application' section. Indicate whether this is for a New Facility or Renewal and provide the Certificate Number if applicable.
3. In the 'Identification' section, enter the name and address of your agency/facility, as well as the legal entity responsible for operations. Ensure all contact details are accurate.
4. Complete the 'County and Municipality' field by specifying where your facility is located, followed by entering details about the responsible person overseeing operations.
5. Select the type of agency/facility/service from the provided options. If applicable, fill in the requested/licensed capacity specifically for Personal Care Homes.
6. Provide either your Federal Employer Identification Number or Social Security Number of the legal entity. Indicate whether your operation is for profit or non-profit.
7. Answer questions regarding any past convictions or denials related to licenses, ensuring you explain any 'Yes' responses on a separate sheet if necessary.
8. Attach required documents such as Certificate of Occupancy and Articles of Incorporation before signing and dating your declaration at the end of the form.

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