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FORM OPWDD 151 (8/2013)State of New York OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES1. DATE OF SUBMISSION2. APPLICANT NAMERequest for MHL 16.34 ABUSE/NEGLECT HISTORY CHECK3. APPLICANT SSN4.

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How to fill out the Opwdd 151 online

The Opwdd 151 form is essential for requesting a check of abuse and neglect history for prospective employees and volunteers within the OPWDD system. This guide provides a clear, step-by-step approach to accurately complete the form online, ensuring a smooth submission process.

Follow the steps to successfully complete the Opwdd 151 form.

  1. Click the ‘Get Form’ button to obtain the form and open it in your browser or preferred editor.
  2. In the first section, enter the date of submission. Make sure to use the date format as specified in the form.
  3. Next, fill in the applicant's name, ensuring it matches the identification documents.
  4. Provide the applicant's Social Security Number (SSN) while ensuring confidentiality.
  5. Input the applicant's date of birth (DOB) in the required format.
  6. Enter the authorized person's name — this should be the person responsible for submitting the form.
  7. Fill in the email address of the authorized person for correspondence regarding the application.
  8. Indicate the name of the provider of services. Only registered providers should fill this out.
  9. Respond to the question regarding whether the provider is a registered provider by selecting 'Yes' or 'No'.
  10. Select the program type from the provided list using the four-digit code indicated. Refer to page 2 of the form for codes.
  11. Indicate whether the applicant is a prospective employee or volunteer by checking the appropriate box.
  12. Answer if a Staff Exclusion List (SEL) request was submitted by checking 'Yes' or 'No'.
  13. Lastly, confirm if a Criminal Background Check (CBC) request has been or will be submitted.
  14. Review all entries to ensure accuracy and consistency before submitting.
  15. After completing the form, save your changes, and choose your preferred option to download, print, or share the completed form.

Complete the Opwdd 151 form online today to ensure compliance and facilitate a smooth application process.

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The purpose of this form is to request that OPWDD conduct a check of records of substantiated allegations of abuse and neglect that occured or were discovered prior to June 30, 2013 and that involved the applicant.

The Coordinated Assessment System (CAS) is a comprehensive assessment tool that OPWDD uses to identify a person's strengths, needs and interests to help with the person-centered planning for his/her care. The CAS starts with a conversation to gather information.

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