Get Odh Form 953 B

Filling out the Odh Form 953 B online can seem daunting, but this guide is designed to provide clear and supportive steps to help you complete the process with confidence. Whether you are renewing a license or submitting an initial application, understanding each section of this form will ensure accurate and complete submission.

Follow the steps to fill out the Odh Form 953 B online effectively.

1. Press the ‘Get Form’ button to access the form and open it in your preferred digital editor.
2. Begin by entering the facility identification information. You will need to provide the facility ID number and the facility name (doing business as name). Ensure accuracy in this section as it is crucial for identification.
3. In the owner(s)/lessor(s) section, input the name of the owner(s) or lessor(s), followed by their complete address, phone number, and any relevant contacts. Make sure to double-check the information for correctness.
4. If the owner or lessor is a government entity, indicate the appropriate type (County, City, or State) by checking the correct box. Complete the detailed attachment (ODH Form 953-C) for this section as required.
5. In the lessee information section, if your facility is leased, answer 'Yes' and provide the required details for the lessee, including their name, address, and contact information. If there are any sub-leases, ensure all parties are listed adequately.
6. For management or supervisor information, specify if your facility has contracted a manager or supervisor to perform management or administrative services. If 'Yes', include their details using the same format as previous sections.
7. Include the affirmation section by submitting a copy of the Affirmation Attachment (ODH Form 953-D) for each person who holds an interest in the facility.
8. Finally, indicate if there have been any changes regarding the owner, lessee, or manager/supervisor. Check the appropriate boxes and provide effective dates for any changes mentioned.
9. Once all sections are completed, review the form thoroughly. Ensure all required attachments are included. You can then save the changes, download a copy for your records, and print or share the form as needed.

Complete your documents online with confidence by following this guide.