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Pw 633 application for certificate of compliance in pa 2026
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- Click ‘Get Form’ to open the pw 633 application in our editor.
- 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.
- 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.
- Complete the 'County and Municipality' field by specifying where your facility is located, followed by entering details about the responsible person overseeing operations.
- Select the type of agency/facility/service from the provided options. If applicable, fill in the requested/licensed capacity specifically for Personal Care Homes.
- 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.
- Answer questions regarding any past convictions or denials related to licenses, ensuring you explain any 'Yes' responses on a separate sheet if necessary.
- 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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