Get Ak Dhss 06-9437 2018-2025

Filling out the AK DHSS 06-9437 form is an essential step in the process of becoming a licensed caregiver in Alaska. This guide will help you navigate the form online, ensuring that you can provide all necessary information accurately and efficiently.

Follow the steps to successfully complete the AK DHSS 06-9437 form.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Begin by entering your full name, including last name, first name, and middle name. This information is crucial for identifying the applicant.
3. Fill out the household name section which is important to recognize the home environment where the caregiving will take place.
4. Complete the section for aliases, including maiden names and any previous married names you may have used.
5. Provide your Social Security number as it is required for background checks.
6. Enter your date of birth and place of birth, including city and state, to verify your identity.
7. Fill in your driver’s license number and the state of issuance to authenticate your identity further.
8. Provide your home phone number and an alternate phone number where you can be reached.
9. Complete the physical address section, ensuring that you provide accurate city, state, and zip code information.
10. Fill in the mailing address, if different from your physical address, including city, state, and zip code.
11. Indicate your residency duration in Alaska by filling in the years and months you have lived there.
12. Select your gender by marking either the box for male or female.
13. List your previous residences for the last ten years, attaching additional pages if necessary.
14. Indicate if you have been previously licensed to care for children or adults and provide details if applicable.
15. Respond to questions regarding any previous revocations or denials of licenses, attaching explanations where necessary.
16. Answer questions about investigations for child abuse or neglect and other health-related issues, providing explanations if applicable.
17. Sign the form as the household member, ensuring you agree to the review of criminal justice and licensing records.
18. Once all sections are completed accurately, save your changes. You can then download, print, or share the completed form as needed.

Take the next step in your caregiving journey by completing your documentation online today.