Get Application For Approval To Become A Provider Of Bdds Services For ... - Indiana

Filling out the Application For Approval To Become A Provider Of BDDS Services is a critical step for individuals and organizations seeking to provide essential services to those with developmental disabilities in Indiana. This guide offers clear, step-by-step instructions for completing the application accurately and efficiently online.

Follow the steps to complete the application process effectively.

1. Click the ‘Get Form’ button to access the application and open it for editing.
2. In Part 1, provide the general information required, including the date of application, legal name of the entity, Federal Identification Number (FID), or Social Security Number (SSN). If applicable, include any Doing Business As (DBA) names and ensure that you provide proof of registration where necessary.
3. Specify the type of entity by checking the appropriate box: corporation (for profit), corporation (not-for-profit), limited liability company, partnership, or individual/sole proprietorship. Additionally, fill out the main office address, including street, city, state, and ZIP code, along with contact information.
4. In Part 2, carefully outline the service funding streams. Complete all required sections and ensure that necessary supporting documentation is attached. You must submit either Part 3 or Part 4, alongside Parts 1 and 2.
5. Review the statements of compliance. Indicate your agreement by placing initials beside each statement to confirm compliance with state and federal statutes.
6. In Part 3 or Part 4, depending on the services you wish to provide, submit a written service proposal with all relevant documentation. Ensure that your proposal adheres to the required format, with clearly labeled sections.
7. Once all parts are completed, including signatures where required, you can save changes, download, print, or share the finalized application.

Take the next step towards providing crucial services by completing your application online today!