Get Zero Tolerance Policy - San Gabrielpomona Regional Center - Sgprc

Filling out the Zero Tolerance Policy - San Gabriel/Pomona Regional Center - Sgprc online is an essential step for service providers to ensure compliance with mandatory reporting of abuse or neglect. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully fill out the form online.

1. Press the ‘Get Form’ button to access the form and open it in the designated editor.
2. In the first section of the form, indicate your agreement to comply with the Zero Tolerance Policy by checking the box that states: 'Yes, I have reviewed SG/PRC’s Zero Tolerance Policy and agree to comply with the requirements contained therein.'
3. Fill out the 'Service Provider' field with the official name of your organization. Ensure your entries are clear and legible.
4. Input the 'Vendor #' in the provided field. This number may be found in your agreement documents with SG/PRC.
5. Provide the 'Name/Title of Person Signing Agreement'. Make sure this is the individual authorized to represent the service provider.
6. In the 'Signature' field, the authorized representative should sign the document. Ensure the signature is clear.
7. Enter the 'Date' when the document is signed, ensuring the date format is consistent.
8. After completing all the necessary fields, make a copy of the signed document for your records.
9. Return the completed form to the provided address, marked ‘ATTN: Vendorization, San Gabriel/Pomona Regional Center’.

Complete the Zero Tolerance Policy form online today to ensure compliance and protect those you serve.