Get Statement Of Hiv Verification - Onecpd

Completing the Statement Of HIV Verification is a vital step in ensuring access to housing opportunities for individuals living with HIV. This guide will provide you with clear, step-by-step instructions to assist you in accurately filling out the form online.

Follow the steps to successfully complete your form.

1. Click the ‘Get Form’ button to download the form and open it in your preferred document editor.
2. In the space provided, enter the applicant’s name to identify the individual who has tested positive for HIV.
3. Fill in the applicant’s social security number, ensuring accuracy to maintain confidentiality.
4. Under the certification section, write the name of the person who has tested positive for the Human Immunodeficiency Virus.
5. The physician or certified health care worker completing the form must print their name clearly in the designated area.
6. Obtain the signature of the authorized individual, confirming the information provided in the form.
7. If applicable, enter the license number and the state where the license was issued in the respective fields.
8. Fill in the date of completion for the form, which is essential for record-keeping purposes.
9. Provide the telephone and fax numbers for contact purposes, ensuring they are accurate and up to date.
10. Complete the address section, including city, state, and zip code, to ensure proper communication.
11. Review the entire form for any errors or missing information to ensure accuracy before submission.
12. Once completed, save your changes, and choose to download, print, or share the form as needed.

Complete your forms online today for a seamless process.