Secure Document Upload

Upload Your Application Documents

Please have your RCFE or ARF facility license application handy — most documents come directly from it. Upload what you have and skip anything you don't. We'll follow up on anything missing.

Accepted formats: PDF, JPG, PNG, Word (.doc/.docx). Fields marked Optional can be skipped. For items with multiple owners, you can select multiple files in a single upload field. Questions? Call (213) 640-9995 or email info@getALW.com.
Your Information
General Documents
1
Current RCFE or ARF Facility License
Your active facility license. Please also have your original facility license application available as a reference.
2
State-Issued Driver's License & SSN Documentation
Required for all individuals with 5% or more ownership interest. You may select multiple files. For SSN, upload a separate document — do not write your SSN directly in a file name.
3
Federal Tax ID / EIN Letter
IRS SS-4 confirmation letter showing your Employer Identification Number
4
Resident Admission Agreement (Sample)
Your standard sample admission agreement for incoming residents
5
Declaration Page — General Liability Insurance
Declarations page from your current general liability insurance policy
6
Declaration Page — Worker's Compensation Insurance
Declarations page from your current worker's compensation insurance policy
7
Business License If city requires it
Local city or county business license, if required in your jurisdiction
8
NPI (National Provider Identifier)
NPI confirmation letter or documentation. If you don't have one yet, we can assist.
9
Lease Agreement If facility is leased
Current lease agreement for the facility property, if applicable
10
Brochures or Marketing Materials Optional
Any brochures, flyers, or marketing materials about your facility
11
House Rules
Your facility's current house rules provided to residents
Part A — LIC Forms
A1
LIC 200 or LIC 215 (preferred) — Application
RCFE or ARF facility application form. LIC 215 is preferred if available.
A2
LIC 309 — Administrative Organization If available
Administrative organization chart for the facility
A3
LIC 400 or LIC 402 — Surety Bond
Current surety bond documentation for the facility
A4
LIC 610E — Emergency Disaster Plan
Must be the newer version, signed and dated
A5
LIC 999 — Facility Sketch (Floor Plan)
Current floor plan / facility sketch showing room layout
Part B — Policies & Supplemental
B1
Articles of Incorporation and DBA If applicable
Articles of Incorporation and any DBA filing documentation
B6
In-Service Training — Policies & Documentation
Any policies, training schedules, or documentation related to staff in-service training
B10
Sample Menu
A sample weekly or monthly menu for facility residents
B+
Sample Activities
Sample activities schedule or activity programming documentation
Tell Us About Your Facility
Do you have an LVN or RN on staff?
Alert System / Individualized Response System
Not required for facilities with 6 beds or fewer. How is staff alerted and how does staff respond to resident assistance requests? Examples: call button, phone by the bedside. Please describe your response system in detail.
Transportation Policy
Do you provide transportation? Do you only coordinate transportation? Please describe your transportation policy in detail.
Interior of Your Facility — What makes it stand out?
Please describe anything about the interior of your facility (living area) that sets it apart from others. Examples: extra-large family room for activities, dedicated area for resident visitors, etc.
Exterior of Your Facility — What makes it stand out?
Please describe anything about the exterior of your facility (yard/outdoor area) that sets it apart. Examples: large shade area under a big tree, a place for residents to garden, etc.
Files are securely transmitted. We'll confirm receipt within 1 business day.