Get Clyde L Reese Iii Esq Email Info Form

Filling out the Clyde L Reese Iii Esq Email Info Form online is an essential step for those looking to participate in the Community Care Services Program. This guide provides straightforward instructions to ensure an efficient and successful submission process.

Follow the steps to effectively complete the form online.

1. Click the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin by entering the agency or facility name in the designated field. Ensure this information is accurate, as it represents your organization.
3. Next, provide the names and titles of the individuals attending the training. Up to two participants from each agency can be listed.
4. Fill in the daytime telephone number and email address of the primary contact for your agency. This information will be used for communication purposes.
5. Complete the agency mailing address section with your organization's current mailing details.
6. Select the Community Care Services Program services for which you are applying by checking the appropriate boxes.
7. Attach the required documents, such as a copy of your business license or any other legal documentation, proving your agency has been operational for at least the past twelve months.
8. Submit a payment of $25 per participant, either by check or money order, made payable to the DAS Healthy Aging Trust Fund, and ensure that it is included in the submission.
9. Review all information for accuracy and completeness before mailing the registration form, payment, and any required attachments to the specified address.
10. After submission, retain a copy of all documents for your records and await feedback regarding your training registration.

Complete your Registration Form online today to take the next step in participating in the Community Care Services Program.