Get Domestic Violence Operating Certificate Application Request(pdf) - Ocfs Ny

Filling out the Domestic Violence Operating Certificate Application Request is an important step for agencies providing services related to domestic violence. This guide offers clear, step-by-step instructions to assist you in completing the application accurately and efficiently.

Follow the steps to accurately complete your application.

1. Press the ‘Get Form’ button to access the Domestic Violence Operating Certificate Application Request form and open it in your chosen PDF editor.
2. Begin by entering the applicant's agency name in the designated field. This should reflect the official name of your organization as listed on the Certificate of Incorporation.
3. Fill out the section for the program site name, ensuring it matches what appears on your Certificate of Incorporation.
4. Provide the executive director's name in the relevant field. This is important for official records and communication.
5. Indicate the program code only if you are applying for recertification or a program change.
6. Complete the agency's street address, including city, state, and zip code. Double-check for accuracy to prevent delays in processing.
7. Provide the contact details, including business telephone, fax number, and email address for the agency. This contact information is vital for correspondence.
8. Specify the county where the agency operates, ensuring it aligns with the registration details.
9. Indicate the program type by selecting one of the options: Domestic Violence Shelter, Domestic Violence Program, Safe Home Network, or Domestic Violence Sponsoring Agency.
10. If applicable, fill in the address related to the program, including any changes in business addresses, as required.
11. For program changes, detail any alterations to capacity, closing, or other relevant modifications. Specify the total current and new capacity where prompted.
12. Complete the compliance statement to confirm that your agency meets all necessary statutes and regulations. This is a key requirement for certification.
13. Review the entire application for completeness and accuracy. Make sure all sections are filled out correctly to avoid processing delays.
14. Once you have completed the application, use the options to save your changes, download a copy for your records, print, or share the form as needed.

Complete your Domestic Violence Operating Certificate Application Request online today to ensure your agency can continue providing essential services.