Get Service Definition: - Supreme State Az

Filling out the SERVICE DEFINITION: - Supreme State Az form can seem daunting, but this guide will walk you through the process step by step. By following these instructions, you will be able to provide the necessary information required for a Level I Residential Facility effectively.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred digital editor.
2. Begin by reviewing the form's introduction to understand its purpose and requirements clearly.
3. Fill in the service codes. Select either service code 220 or 224 where indicated.
4. Provide information about the type of facility you are offering—indicate whether it is unlocked or locked, and check the appropriate box for on-site school options.
5. Detail the specific housing units where services will be provided. List the units clearly, making sure to leave no gaps.
6. Fill out the proposed service rates for both service codes. Enter the daily rate you propose for each service code indicated.
7. Complete the additional agreement section indicating that the budget documentation is true and accurate. Sign and date where required.
8. Review the entire form for completeness and accuracy before finalizing your submission.
9. Finally, save your changes, and download, print, or share the completed form as needed.

Start completing your SERVICE DEFINITION: - Supreme State Az form online to ensure you meet all necessary requirements.