Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin with Section 1: Program Information. Fill in the program/facility name, mailing address, city, state, zip code, and county. Ensure accuracy to avoid processing delays.
3. Continue to Section 2: Program Type. Choose the type of program you are applying for by selecting one of the options provided for Assisted Housing Programs or Adult Day Services Programs.
4. In Section 3: Waiver Information, provide a clear explanation of the reasons why the regulation(s) cannot be met. Include the specific regulation number and describe the alternative method your facility will use to meet the intent of that regulation.
5. Move on to Section 4: Submission. Ensure that all required documents are included. If requesting a ‘Home Alone’ waiver, attach the necessary doctor's note. Missing documents may lead to delays.
6. In Section 5: Declaration, review the statements provided and certify that the information is true and correct. Fill in your name, sign, and date the application.
7. Finally, submit your completed application. You can save changes, download the form, print it, or share it as needed. Make sure to keep a copy for your records.

Start completing your ME DHHS 020107 form online today!