Get Or Sds 0448b 2012-2025

The OR SDS 0448B form is essential for individuals looking to apply for an adult foster home license in Oregon. This guide will provide step-by-step instructions on how to properly complete the form online, ensuring a smooth application process.

Follow the steps to successfully complete the OR SDS 0448B online.

1. Press the ‘Get Form’ button to access the OR SDS 0448B form and launch it in your preferred editing tool.
2. Begin by filling out Part 1 with your general information. Enter your applicant name, phone number, and the address of your adult foster home. If you reside at a different mailing address, provide that as well.
3. In the classification section, select the appropriate AFH license classification you are applying for—either Class 1, Class 2, or Class 3.
4. Complete the applicant information section by providing your date of birth and confirming whether the AFH is your primary residence. Additionally, indicate if you have ever been licensed or certified in an AFH.
5. List your emergency contacts, including their name, phone number, and relationship to you. This is crucial in case of any urgent situations.
6. In the education section, document your educational background, including the school attended, degree obtained, and years completed.
7. Fill out the special qualifications portion, indicating any relevant certifications and licenses, along with the license or certificate numbers.
8. Attach verification for required training, such as Fire and Life Safety, CPR, and any other relevant credentials.
9. Provide information for medical professional references if you seek to operate a Class 3 AFH, including their names, titles, and contact details.
10. List all occupants in your home with their names, relationships to you, and birth dates.
11. Detail your caregiving work history for the last five years, including contact information for past employers, job titles, dates of employment, and roles.
12. Provide three general references unrelated to you. Include their names, phone numbers, and mailing addresses.
13. Complete the additional application requirements checklist and include the necessary documents with your application.
14. Finally, read and sign the certification statement to declare that the information provided is true and complete. Date your signature.

Start filling out the OR SDS 0448B online today to ensure your application is complete and accurate.