Get Georgia Collaborative Aso Application

Filling out the Georgia Collaborative ASO Application is a crucial step for individuals seeking to provide services under the Georgia Department of Behavioral Health and Developmental Disabilities. This guide will help you understand each section of the application and ensure that you provide the necessary information accurately.

Follow the steps to accurately complete your application

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide your demographic information. Complete all fields marked with an asterisk (*), including your last name, first name, mailing address, city, county, state, zip code, and telephone number. Make sure to include your social security number and date of birth.
3. Indicate your U.S. citizenship status by selecting 'Yes' or 'No'. If applicable, provide your professional designation or title and email address.
4. In the attestation section, read through the requirements carefully. You must acknowledge compliance with the Department guidelines by signing and dating the application.
5. Prepare and gather all required documents to submit with your application. This includes the completed and signed Individual Provider Application, proof of age, CPR and First Aid certifications, verification of education, IRS tax ID information, a health examination statement, and a copy of your liability insurance certificate.
6. Save your application form, ensuring that all information is correctly entered and documented. Review each section before finalization.
7. Download or print your completed application for your records. You can then submit it by mail or email using the provided contact details.

Complete your Georgia Collaborative ASO Application online today to streamline your application process!