Get Ocfs 4659

Filling out the Ocfs 4659 form is an essential step for individuals seeking to avoid the submission of a duplicate fingerprint card. This guide will provide clear and instructive steps to help you complete the form accurately and efficiently.

Follow the steps to complete the Ocfs 4659 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your last name in the designated field. Ensure you spell your name correctly as it appears on your identification.
3. Input your first name in the space provided. Double-check that it matches your formal identification.
4. Enter your middle initial if applicable. This field can be left blank if you do not have a middle name.
5. Select your sex by checking the appropriate box for Male or Female.
6. Fill in your date of birth in the format of month/day/year. Ensure that this information matches your ID.
7. If you have an alias or maiden name, please fill it in the respective section.
8. Check the box if you are providing a new address. This indicates that your current address differs from the one previously used.
9. Provide your current street address to ensure accurate documentation.
10. Enter your city and state in the designated fields associated with your address.
11. Input your zip code to confirm your location.
12. Provide the new facility/provider ID number where you are now applying.
13. Enter the name of the new facility or provider you are associated with.
14. Fill in the street address of the new facility or provider.
15. Input the new facility/provider's city and state in the respective fields.
16. Enter the zip code for the new facility/provider.
17. Check the box corresponding to your current role from the provided options.
18. Indicate whether you have been previously fingerprinted by the NYS OCFS or other agencies. This is necessary for the review process.
19. List any previous facility/provider or agency ID numbers where applicable. Provide names and addresses for these entities.
20. Finally, sign the form and date it to confirm that all provided information is accurate to your knowledge.
21. Upon completion, save your changes, and then download, print, or share the form as needed. Be sure to forward the completed form to your licensing or registration representative.

Complete your Ocfs 4659 form online today to facilitate your application process.