Get Application For Approval Family - New York State Office Of ... - Ocfs State Ny

Filling out the APPLICATION FOR APPROVAL FAMILY is an essential step for individuals seeking to operate a family-type home for adults in New York State. This guide provides a clear, step-by-step approach to completing the application online, ensuring that all necessary information is accurately submitted.

Follow the steps to successfully complete the application online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Provide your name, birth date, and maiden name in section 1A. Ensure accuracy as this information will be crucial for identification.
3. In section 1B, provide the address of your home, proposed capacity, type of dwelling, and marital status. Double-check that all information aligns with your current situation.
4. Describe the physical aspects of your home, including its construction type in section 1B. Provide directions to your home to assist with site visits.
5. Document your total gross financial resources for the previous or current year in section 2. Specify amounts for wages, self-employment, and any other income.
6. In section 3, indicate if you have previously applied for a license or approval. If so, provide details regarding the date, type of action, and outcome.
7. Section 4 requires you to disclose any legal violations, excluding minor traffic violations. Provide detailed information if applicable.
8. List the entire household composition in section 5A, including name, date of birth, sex, relationship, and occupation for each person residing at your home.
9. Indicate in section 5B if anyone in your household has a disability, and provide necessary details.
10. Identify persons responsible for substitute care when you are away from home in section 5C.
11. In section 6, state whether you will accept Mental Hygiene discharges in your home.
12. Prepare and gather the required documents listed in section 7 for submission, ensuring all are appropriately signed and dated.
13. Choose to save changes, download, print, or share the completed form once all information has been entered and reviewed.

Take action today and complete your documents online to streamline your application process.