Get 05-144 Date 11/10/2005 To: From: County Welfare Director Supply Clerk / Forms Coordinator Forms

This guide provides clear instructions on how to effectively fill out the 05-144 form, ensuring that you understand each section and field of the document. Whether you are new to form management or have some experience, this guide aims to assist you in completing the form accurately.

Follow the steps to fill out the 05-144 form online.

1. Click the ‘Get Form’ button to access and open the form in your preferred online editor.
2. Begin by filling in the 'TO:' section, indicating the recipient of the form, which is the County Welfare Director.
3. In the 'FROM:' section, enter the name and title of the individual completing the form, specifically noting the role as 'Supply Clerk / Forms Coordinator.'
4. In the 'DATE' field, input the current date or the date relevant to the form's completion.
5. Review the details in the notice regarding the form change, ensuring that you understand the updates to the Department of Social Services County Forms Catalog.
6. Fill out the required information sections, such as form number and title, indicating that the form being filed is LIC 604 - Admission Agreement Guide For Residential Facilities.
7. Specify if the form is an initial supply or a revision, and note any replacing forms or discarded old supplies where necessary.
8. Provide any additional information that might be required for clarity, ensuring compliance with any instructions regarding form change or usage.
9. After completing all sections, review your form for accuracy and completeness.
10. Finally, save your changes, and choose whether to download, print, or share the completed form as required.

Start completing your documents online today for a streamlined experience.