Section 16.03.19.101 - APPLICATION FOR CERTIFICATIONThe applicant must apply for certification on Department forms and submit the following to the Department:
01.Completed Application Signed by Applicant.02.Statement to Comply. A written statement that the applicant has thoroughly read and reviewed all CFH requirements, and is prepared to comply.03.Statement Disclosing Revocation or Disciplinary Actions. A written statement disclosing any past, current, or pending revocation, or other disciplinary action, against the applicant as a care provider in any jurisdiction.04.Electrical Inspection. A written statement from a licensed electrician or the local/state electrical inspector within the past twelve (12) months indicating that all electrical installations in the home comply with applicable local code and are in good working order.05.Plumbing Inspection. A written statement from a licensed plumber within the last twelve (12) months that the water supply and sewage disposal system in the home are in good working order.06.Heating and Air Conditioning Inspection. A written statement within the last twelve (12) months by a person licensed to service heating and cooling systems that these systems in the applicant's home are in good operating condition.07.Proof of Insurance. Proof of homeowner's or renter's insurance on the applicant's home. For continued certification, the provider must ensure that insurance is kept current.08.List of Individuals Living in the Home. A list of all individuals living in the home at the time of application and their relationship to the applicant.09.Other Information as Requested. Other information that may be requested by the Department for the proper administration and enforcement of the CFH requirements.Idaho Admin. Code r. 16.03.19.101