Get Il Dhs Application For Waiver Of Cants Indication To Allow Employment In A Community Development

This guide provides a comprehensive approach to completing the IL DHS Application for Waiver of CANTS Indication, aimed at those seeking employment in community development settings. Follow the instructions carefully to ensure that your application is completed correctly and submitted successfully.

Follow the steps to complete the form accurately

1. Click ‘Get Form’ button to obtain the form and open it in the editor. This allows you to access the application needed for your waiver request.
2. In Part 1, begin by filling in your printed full name, including any other names you have used in the past such as aliases or maiden names. Provide your date of birth and the last four digits of your Social Security number.
3. Next, provide your current address, including city, state, and zip code. If applicable, state your relationship to the person receiving home-based services.
4. In the designated section, describe the events that led to the DCFS investigation and finding. If there were multiple investigations, include detailed information about each one. Attach additional pages if necessary.
5. You will need to explain the actions you have taken after the investigation to address the concerns raised by DCFS. Again, if more space is required, use additional pages.
6. Confirm the accuracy of the information you have provided by signing and dating the section.
7. Move on to Part 2, where the employer must complete their section. The employer will include their name, business name, job title, FEIN, mailing address, phone number, fax number, targeted job title for the applicant, and email address.
8. The employer should indicate if the applicant has been previously employed, providing dates if applicable. Additionally, they must provide comments regarding the employee's work history and justification for seeking a waiver.
9. Indicate the percentage of the employee’s work time that will be under direct supervision and whether increased training/supervision is anticipated.
10. Attach the required documents, including the results of the CANTS background check and the Health Care Worker Registry Clearance.
11. The employer should sign and date the form, confirming their understanding that a waiver, if granted, is valid only for the specific job title and programs listed.
12. After completing all sections, save the changes made to the form. You can then download, print, or share the application as needed for submission.

Complete your application online now to ensure a smooth process for obtaining your waiver.