Get Lic 9200 9 11

This guide provides you with a clear and supportive approach to filling out the Lic 9200 9 11 form online. By following these detailed steps, you can ensure all necessary components are addressed for your Adult Residential Facility license.

Follow the steps to complete your form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
2. Begin by entering the facility name in the appropriate field. Ensure the name accurately represents your facility as registered with the state.
3. Next, locate the facility number section. This number is typically assigned upon the submission of your application; fill it in accurately.
4. Proceed to review the checklist items under the 'Buildings and Grounds' section. For each item, verify that compliance is met and check the corresponding box.
5. Continue with the 'Furniture and Equipment' section. Again, evaluate compliance and mark each item that meets the set standards.
6. In the 'Records' section, confirm that administrator, employee, and client records are maintained. Provide necessary documentation or notes as required.
7. At the end of the form, read through the certification statement carefully. Ensure that all sections have been reviewed for compliance.
8. Finally, sign and date the form by entering your name and the current date in the designated signature area.
9. Once you've completed the form and confirmed all inputs are accurate, you can save changes, download, print, or share the form as needed.

Complete your Lic 9200 9 11 form online today for a smoother pre-licensing evaluation process.