Get Wi Dhs F-60287 2011

Filling out the WI DHS F-60287 form accurately is essential for obtaining an initial license for a Community Based Residential Facility (CBRF) in Wisconsin. This guide provides step-by-step instructions to help you complete the form seamlessly and submit it online.

Follow the steps to complete the WI DHS F-60287 form.

1. Press the ‘Get Form’ button to access the document you need for your application.
2. Begin with the general information section, including the name of the facility, FEIN, address, and contact details. Ensure the information is complete and accurate.
3. Provide information about the administrator and facility size. Select the appropriate categories for class/type and indicate the owner details.
4. Fill in the designated mail recipient's information. This is the person who will receive correspondence from the Division of Quality Assurance.
5. List all individuals residing in the facility who are not residents, providing their names, relationship to the licensee, and birth dates.
6. Complete the resident information section detailing total capacity and primary client groups served.
7. In the financial information section, document your monthly operating expenses, along with evidence of financial stability for at least 60 days.
8. Address the fit and qualified requirements by answering questions regarding past licensure applications and current licensing situations.
9. Provide ownership details, including all interested parties relative to the licensee and financial interest information.
10. Conclude by reviewing the attestation section. Ensure to sign the form and include the date. Consider any additional pages that may be necessary for questions requiring more detail.
11. Once you have completed the form and attached any required documents, you can save changes, download the form, print it, or share it as needed.

Start completing the WI DHS F-60287 online today to ensure a smooth application process.