Get Osh Fd 123

Filling out the Osh Fd 123 form is an essential process for reporting verified compliance in construction projects under the jurisdiction of the Office of Statewide Health Planning and Development. This guide will provide you with clear, step-by-step instructions to ensure you complete the form accurately and efficiently online.

Follow the steps to fill out the Osh Fd 123 form online

1. Click the ‘Get Form’ button to access the Osh Fd 123 form and open it for editing.
2. In section A, enter the facility identification number, facility name, OSHPD number, street address, city, county, zip code, phone number, and fax number. Ensure that the facility name matches the one on the facility license.
3. Also in section A, complete the record name field with a title that describes the work being performed, matching it with the title on your Application for New Project or Building Permit form.
4. In section B, provide the interval or milestone information as defined by the approved Testing, Inspection and Observation Program. Include the reference number and the date corresponding to the report.
5. For section C, specify the construction elements that were observed. Confirm if you are reporting based on an interval or a milestone, and list the corresponding elements of construction recognized during this period.
6. In section D, include a compliance statement declaring that the work and materials used were in accordance with the approved drawings and specifications. Also, provide any tentative items that need completion or correction.
7. In section E, add any comments and/or exceptions regarding the observed construction. If needed, attach additional sheets for detailed notes.
8. Complete section F by entering your print name, registration number, firm name, and address details. Select applicable roles. Ensure you sign and date the form before submission.
9. Once all sections are completed, you can save your changes, download a copy, print, or share the Osh Fd 123 form as required.

Complete your Osh Fd 123 form online today to ensure timely compliance reporting.