Get Household And Personnel List - Dhhs Nh

Filling out the Household And Personnel List is an essential process for ensuring compliance in child care and residential programs. This guide will provide you with clear, step-by-step instructions on how to efficiently complete the form online.

Follow the steps to successfully complete the form.

1. Press the 'Get Form' button to obtain the form and open it for editing.
2. Begin by entering the program name, address, and license number. Ensure this information is complete as the form will not be accepted without it.
3. Provide your detailed mailing address, including PO Box or street address, city, state, and zip code.
4. List all staff or household members ages 17 and over who reside at the facility or have regular contact with children. Remember to submit one form per individual.
5. Enter the full name and date of birth for each person being processed on the form. Ensure that names are entered clearly and correctly.
6. Document the dates when FBI and state background checks were completed. Check if individuals have been fingerprinted in the last three years.
7. Make sure to include any maiden names or previous married names for accuracy.
8. Indicate the type of background check performed, specifying whether it's an FBI check or state background check. Include the applicable dates.
9. Review all entries for accuracy and clarity. Neatly printed information is crucial for processing.
10. Once completed, save your changes, download the document, print it for your records, or share it as needed.

Complete your documents online today for a smoother application process.