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Ng evaluator and reviewed by the licensing supervisor. The purpose of this form is to review staff coverage in large Residential Facilities for 24-hours per day covering a (3) three-week period to ensure sufficient staff coverage. CAREFULLY review split shifts, weekend coverage and irregular days off to ensure sufficient staff coverage. FACILITY NAME FACILITY NUMBER CLIENT/RESIDENT CENSUS LICENSING EVALUATOR For The Month(s) 2. Food Services (e.g, includes cook, dishwasher) Employee Name(s.

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How to fill out the Lic 507 online

The Lic 507 form is essential for evaluating staff coverage in large residential facilities. This guide will provide you with step-by-step instructions to complete the form accurately and efficiently online.

Follow the steps to complete the Lic 507 form successfully.

  1. Press the ‘Get Form’ button to access the Lic 507 and open it in your chosen editor.
  2. Begin by entering the facility name and facility number at the top of the form. Ensure that this information is accurate to avoid any processing delays.
  3. Next, fill in the client or resident census, which indicates the number of individuals being served in the facility.
  4. Identify the licensing evaluator responsible for completing the form and enter their name in the designated field.
  5. In the section for food services, list the names of employees responsible for this area, such as cooks and dishwashers. Then, input their work hours for each day of the week.
  6. Continue with the care and supervision section by adding employee names and their work hours in a similar manner, ensuring you account for all relevant staff.
  7. Proceed to the housekeeping section by entering staff names and their work hours. Repeat this process for any additional service areas, such as transportation/maintenance and administrative/clerical staff.
  8. Lastly, review all entries to confirm that the information is complete and accurate before submitting. Once satisfied, you can save changes, download, print, or share the completed Lic 507 form.

Complete the necessary documents online to ensure compliance and proper staffing for your facility.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232