Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to access the CT BHP ASD Waiver Outline. This action will allow you to retrieve the document online and begin filling it out.
2. Provide your personal information in the designated sections. Ensure you enter your full name, contact details, and any required identification information accurately.
3. In the section requesting background information, include your Social Security Number and Date of Birth as required for the background check.
4. Write a detailed letter of intent explaining the services you plan to provide to individuals with autism. Make sure to highlight your relevant experience and qualifications in this letter.
5. Attach your resume or curriculum vitae. This should outline your professional experience specifically related to providing services to individuals with Autism Spectrum Disorder.
6. Include a copy of your university diploma and your current professional clinical license or certification (if applicable). Ensure that these documents are up to date.
7. If you do not have liability insurance through an agency, you must submit a certificate demonstrating your professional liability insurance coverage.
8. Complete the Department of Children & Families Release of Information Form as part of your application materials.
9. If applicable, provide two samples of behavior support plans that demonstrate your competence in developing effective interventions for autism. Ensure that no identifying information is included in these samples.
10. Review all completed sections for accuracy and clarity. Once you have filled out the form, you can save your changes, download a copy for your records, and choose to print or share the form as needed.

Begin the process of completing your CT BHP ASD Waiver Outline online today!