Get Background Information Disclosure (bid) Appendix

Completing the Background Information Disclosure (BID) Appendix is a crucial step for individuals and entities seeking licensure in Wisconsin's Division of Quality Assurance. This guide provides a comprehensive walkthrough for filling out the form online, ensuring that all necessary details are provided accurately.

Follow the steps to complete your BID Appendix flawlessly.

1. Use the ‘Get Form’ button to access the BID Appendix and open it for editing.
2. In Section 1, identify the most appropriate box for required individuals. Choose whether you are a license holder or legal representative of an existing facility, applicant for a new facility license, entity administrator/operator, principal officer, or non-client resident aged 10 or older.
3. Provide personal information in Section 2, including your social security number (optional), name, birth date, gender, and race. Ensure all fields are filled out completely.
4. Complete Section 3 with specific facility information. Include the facility name, address, licensing number, and entity type code. If applicable, indicate that additional facility details are attached.
5. For corporate or business entities, fill out Section 4 with the organization’s name, address, and contact person information.
6. In Section 5, indicate whether the background check fee is included. Make sure to pay the required fee for your application type.
7. Review the form for accuracy, then sign and date where required.
8. After completing the BID Appendix, save your changes. You can download, print, or share the form as needed before submission.

Start completing your Background Information Disclosure (BID) Appendix online today!