Get Dhs 36

The Dhs 36 form is essential for programs seeking initial certification to provide comprehensive community services for individuals with mental disorders and substance-use disorders. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to complete the Dhs 36 application form.

1. Click the ‘Get Form’ button to access the Dhs 36 online form. This will allow you to obtain the necessary document in an editable format.
2. Fill in the 'Name – Program' field with the official name of your program. Ensure that all details are accurate and reflect the registered name as per your business documents.
3. Enter the 'Business Address' along with the 'City,' 'State,' and 'Zip Code' accurately. If your program has a different mailing address, complete that section as well.
4. Provide the 'Telephone Number,' 'Fax Number,' and 'E-mail Address' for your program. Ensure that the email address is one that can be published in the provider directory.
5. Specify the 'Name – Contact Person' with their contact details, including telephone number and email address, if applicable.
6. Indicate the amount paid by entering '$550.00' in the payment required field and provide the check number if applicable.
7. In the 'Signature – Director' section, the director must sign, followed by printing or typing their name and entering the date signed.
8. Review all information for accuracy and completeness. Correct any errors and ensure all necessary sections have been filled out before submission.
9. Finally, save your changes, download a copy for your records, and prepare to submit the form to the relevant department.

Complete the Dhs 36 application form online today to start providing essential community services.