Client's/resident's personal property/valuables entrusted to the facility. Licensee/Administrator is responsible for maintaining a record of personal property/valuables entrusted to and removed from the facility. Under "Number", enter the quantity of items entrusted. Under "Description", describe the item (marking articles by names or numbers may aid identification.). Under "Location", enter where items are stored. Licensee/Administrator and client/resident must sign each entry. Explain why, if.
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How to fill out the Lic 621 online
The Lic 621 form is essential for managing the personal property and valuables of residents within community care facilities. This guide will provide clear, step-by-step instructions to help you fill out the Lic 621 online confidently and accurately.
Follow the steps to complete the Lic 621 form effectively.
- Click the ‘Get Form’ button to obtain the Lic 621 document and open it in the editor of your choice.
- Begin by entering the name of the client or resident at the top of the form. This identifies whose property and valuables will be recorded.
- Under section A, titled 'Personal Property/Valuables Entrusted to Facility,' list the number of items being entrusted. Enter a brief description of each item for identification.
- Provide the date when the items were entrusted and specify the location where they will be stored within the facility.
- Both the client or resident and the licensee or administrator should sign this section in acknowledgment. If the client or resident does not sign, provide a clear explanation in the designated area.
- In section B, titled 'Personal Property/Valuables Removed,' list any items that are being removed from the facility. Include the number, description, date of removal, and storage location.
- Ensure that the removal is also signed by the client or resident and the licensee or administrator, providing an explanation if necessary.
- After completing all entries, review the form for accuracy. Save your changes, and you may choose to download, print, or share the form as required.
Complete your Lic 621 form online today for efficient management of personal property and valuables!
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