Get Request For Site Evaluation (sqa-6) - Oasas - New York State - Oasas Ny

Filling out the Request For Site Evaluation (SQA-6) form is a critical step in obtaining the necessary approvals for your site within New York State. This guide offers clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete your Request For Site Evaluation form.

1. Click ‘Get Form’ button to access the Request For Site Evaluation form and open it in your browser to begin the completion process.
2. Fill in the legal name of the service provider. Provide the street address, city, state, and zip code for the service provider. Ensure all information is accurate to avoid delays.
3. Provide the date of request along with the contact person's name, title or affiliation, and telephone number.
4. Select the proposed action from the given options, such as temporary emergency relocation or addition of a supportive living facility. Only select one action per request.
5. Complete the site or additional location section with the address details, including the building number, room/suite, floor, and county.
6. Indicate the certified services to be provided at the site. Specify the service or program type and acquisition status.
7. Illustrate the source of funds, whether it is for purchase or lease, and attach required documents as specified (e.g., attachment #1 for lease agreements).
8. Attach site drawings, floor plan sketches, and photographs to meet the requirements detailed in the form instructions. Make sure to label each attachment correctly.
9. Provide information regarding capital investment needs if applicable, and outline any community concerns or zoning classification in the respective sections.
10. Certify that the information is accurate by signing the certification section with the CEO's name and date.
11. Once completed, you can save your changes, download the filled form, and print or share it as necessary.

Complete your Request For Site Evaluation form online today for a streamlined submission process.