Residential Care Apartment Complexes - Forms
Introduction | Rules_&_Regulations
| Forms | Providers |
Contacts | Publications | Related Sites
Questions regarding residential care apartment complexes:
call the Division of Quality Assurance Regional Offices
or E-mail the Division
of Quality Assurance
The first four items are fillable PDF forms, select the first field to begin typing. Tab from field to field. You
can print this document but you cannot save it.
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F-62380
(PDF, 73 KB): Residential Care Apartment
Complex Certification or Registration Application
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F-62381
(PDF, 47 KB): Residential Care Apartment Complex
Regulations Compliance Statement
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F-62548
(PDF, 17 KB):
Assisted Living Facility Request for Waiver, Approval, Variance or
Exception
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Fire
Report form DQA F-62500 (Word, 78 KB) - Fillable form with
contacts to assist the reporting of fires in a healthcare facility.
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Fire
Watch memorandum DQA 12-013 - Outlines the minimum procedures for
when a required sprinkler or fire alarm system is out of service.
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Construction/Remodeling of Health Care Facilities - Plan
Review Requirements (including forms)
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See the Wisconsin
Caregiver Program site for forms and information regarding
background checks.
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Last Updated: August 21, 2012 |
