Get Hd 378e

The Hd 378e is a form used for Group Care and School Inspection Requests in Brevard County, Florida. This guide will provide you with a clear, step-by-step process to complete the form online, ensuring that you meet all necessary requirements for submission.

Follow the steps to complete the Hd 378e online effectively.

1. Press the ‘Get Form’ button to acquire the Hd 378e and open it in your preferred online editing tool.
2. Identify the facility type and check only one box corresponding to your establishment, which may include Adult Family Care Home, Child Caring Agency, and others listed.
3. Fill in the name of the establishment in the designated field.
4. Enter the physical address of the establishment, including street address, city, state, and zip code.
5. If the mailing address differs from the physical address, fill in the mailing address field with the same details: P.O. Box or street, city, state, and zip code.
6. Provide the telephone number of the establishment in the format (____)____________.
7. Submit the e-mail address in the format ________________@_____________.
8. List the contact person's name and their telephone number in the required fields.
9. Fill in the name of the establishment owner along with their mailing address, ensuring to include the city, state, and zip code.
10. Indicate the operating times of the facility, checking the 24-hour box if applicable, and specify opening and closing times for each day of the week.
11. Answer whether the facility is staffed and/or accessible during all hours of operation.
12. Select the water source, indicating if it is from an onsite well or public water supply.
13. Specify the sewage disposal method, choosing either septic system or public sewer.
14. Ensure all necessary approvals are obtained for facilities with onsite wells and/or septic systems.
15. Sign the form by printing or typing the representative's name, signing, and entering the date.
16. Once all fields are completed, you can save changes, download, print, or share the filled-out form as needed.

Complete your Hd 378e form online today to ensure a smooth inspection process.