Get Application For Homemaker-home Health Aide ... - State Of New Jersey - Nj

Filling out the Application for Homemaker-Home Health Aide can be a straightforward process when you know the steps to take. This guide provides clear, step-by-step instructions to help users complete the application accurately and efficiently.

Follow the steps to successfully complete the application.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Carefully review the personal information section. Provide your last name, first name, middle initial, and maiden name, ensuring clarity in your responses.
3. Fill in your home address, including street, city, state, ZIP code, and county. Be sure to complete the telephone number and Social Security Number fields where indicated.
4. Indicate whether your telephone numbers are listed or unlisted by checking the appropriate box.
5. Enter your date of birth, sex, and place of birth in the specified formats. Include your height, weight, eye color, and hair color.
6. Complete the citizenship and immigration status section by checking the appropriate box and providing the necessary documentation if you are not a U.S. citizen.
7. Address any student loan obligations by indicating whether you are in default and if so, provide documentation as required.
8. Respond to the child support obligation questions accurately and ensure you certify any obligations you may have.
9. Answer medical conditions and chemical substance use questions, ensuring you understand your rights regarding self-incrimination.
10. Provide information about your training as a homemaker-home health aide, indicating whether it was through a home health care agency or school.
11. Disclose any disqualifying crimes or offenses as required, and ensure to include any necessary documentation about convictions.
12. Review and sign the affidavit confirming that all information provided is true to the best of your knowledge.
13. Attach a recent passport-style photograph at the designated space, ensuring it meets the required specifications.
14. Finalize your application by checking that all sections are complete and that all necessary attachments are included before saving or sharing the form.

Complete your application for Homemaker-Home Health Aide online today to ensure a smooth certification process.