Get Bcal 3483 Form

The Bcal 3483 Form is essential for documenting resident information and identification within adult foster care settings. This guide will provide clear steps on how to effectively complete the form online, ensuring all necessary information is accurately provided.

Follow the steps to fill out the Bcal 3483 Form online

1. Press the ‘Get Form’ button to access the Bcal 3483 Form and open it in your preferred online editing tool.
2. Begin by entering the license number associated with the adult foster care facility. This information is crucial for identification purposes.
3. Complete the resident's name as it appears on their official documents to ensure clarity.
4. Input the case number relevant to the resident, if applicable. This identifies the specific case managed by the agency.
5. Provide the resident's Social Security number, ensuring confidentiality and proper handling of sensitive data.
6. Indicate the veteran status of the resident and include their veteran number, if this applies.
7. Select the marital status of the resident from the available options for accurate data collection.
8. Fill in the complete home address, including the street address, city, and zip code, to establish the resident’s permanent location.
9. Enter the date of birth for the resident, as this is necessary for demographic information.
10. Input the information for the next of kin, guardian, or designated representative including their name, address, and telephone number.
11. Complete the sex field as it pertains to the resident.
12. Continue with the details of the placing agency or individual, ensuring to include their name, telephone number, and address.
13. Record the dates of admission and discharge accurately for tracking purposes.
14. Fill in the name of the physician responsible for the resident's care, along with their contact information.
15. Add the name and address of the preferred hospital designated for the resident, if applicable.
16. Collect religious preference and insurance information as required, ensuring this is respected and confidential.
17. Note any burial provisions, if applicable, to complete the resident’s important personal information.
18. Review all entries for accuracy, then save the document. You can choose to download, print, or share the form as needed.

Complete your documents online today.