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The Florida CF 831 form is a crucial document for individuals and organizations seeking certification for Batterer Intervention Programs (BIPs) in the state. This application is required for both new certifications and annual renewals, with specific fees associated: $300 for new applications and $150 for renewals. Applicants must complete the form accurately, providing detailed information about the program, including its name, location, and the judicial circuit it serves. The form also requires the inclusion of information about the onsite director and facilitators, ensuring that all personnel meet the necessary qualifications and moral character standards. Each application must be submitted separately for each circuit, along with the appropriate fees and supporting documents. Additionally, the renewal process depends on the completion of any corrective actions mandated by the Department of Children and Families. Incomplete applications will be rejected, emphasizing the importance of thoroughness and accuracy in the submission process. Understanding the requirements and adhering to the guidelines set forth in the CF 831 form is essential for those involved in providing these vital services to the community.

Documents used along the form

The Florida CF 831 form is a crucial document for those seeking certification for a Batterer Intervention Program. However, several other forms and documents are often used in conjunction with this application to ensure compliance with state regulations and requirements. Below is a list of these related documents, along with brief descriptions of each.

  • CF 1649D, Declaration of Good Moral Character: This form is required for both applicants and facilitators. It attests to the moral character of the individual, ensuring they meet the standards set by the Department of Children and Families.
  • Application for Certification - Additional Program Locations: If a program operates in more than one location, this form collects information about each additional site, including the onsite director and contact details.
  • Facilitator Information Form: This document lists all facilitators involved in the program. It requires details about their qualifications, including resumes, college transcripts, and training certificates.
  • Certificate of Status: For corporations or partnerships, this document confirms the legal status of the business entity with the Florida Department of State, ensuring compliance with state laws.
  • Business Licenses: Both individual and corporate applicants must provide relevant business licenses to demonstrate that they are legally authorized to operate within their jurisdiction.
  • Owner Information Form: This form gathers detailed information about the legal owner of the program, including their qualifications and role within the organization.
  • Judicial Circuit Information: Applicants must specify the judicial circuit their program serves. This information is necessary for regulatory purposes and to ensure proper oversight.
  • Application Fee Payment: A check or money order must accompany the CF 831 form, covering the application fee for new certifications or renewals. This payment is non-refundable and must be made out to the Department of Children and Families.

Each of these documents plays a significant role in the certification process for Batterer Intervention Programs in Florida. Collectively, they help ensure that programs meet the necessary standards and operate effectively within the community.

Similar forms

The Florida CF 831 form is similar to the Application for Licensure for Mental Health Professionals. Both documents require detailed information about the applicant and their qualifications. They also involve a thorough review process to ensure compliance with state regulations. Applicants must provide evidence of their professional background, including education and experience, as well as any relevant licenses. Both forms emphasize the importance of accurate information and the consequences of misrepresentation.

Another document akin to the Florida CF 831 is the Application for Certification of Substance Abuse Treatment Programs. Like the CF 831, this application requires comprehensive details about the program, including its location and the qualifications of staff members. Both forms mandate that applicants submit supporting documents, such as resumes and proof of good moral character. Additionally, they both involve a renewal process that assesses ongoing compliance with state standards.

The Application for Provider Enrollment with Medicaid shares similarities with the CF 831 form. Each document requires detailed information about the organization and its services. Both applications must be completed accurately to avoid delays in processing. They also require the submission of supporting documentation, such as business licenses and proof of qualifications for staff. Compliance with state regulations is crucial in both cases.

The Application for Child Care Facility License is another comparable document. Both the CF 831 and this application require information about the facility, including its location and the qualifications of the staff. They both focus on ensuring that the programs meet state standards for safety and quality. Each application also includes a renewal process that evaluates the ongoing compliance of the facility with applicable regulations.

The Application for Certification of Domestic Violence Centers is similar to the CF 831 form in that both require detailed information about the program and its staff. They emphasize the importance of meeting state standards for certification. Both applications also require supporting documentation, including resumes and proof of good moral character for key personnel. Compliance with the rules is essential for both types of certification.

The Application for Home Health Agency License parallels the CF 831 in terms of the information required about the agency and its services. Both documents necessitate a detailed description of the organization's operations and staff qualifications. They also involve a review process to ensure compliance with state regulations. Each application must be completed accurately to avoid delays in licensure.

The Application for Certification of Foster Care Programs shares similarities with the CF 831 form, as both require comprehensive details about the program's operations and staff. They both emphasize the need for compliance with state regulations and the importance of submitting accurate information. Supporting documents, such as resumes and background checks, are also required in both cases.

The Application for Certification of Educational Programs for Substance Abuse Treatment is another document that resembles the CF 831. Each application requires detailed information about the program and its facilitators. Both emphasize the importance of meeting state standards for certification and require supporting documentation to verify qualifications. The renewal process for both applications assesses ongoing compliance with applicable regulations.

The Application for Certification of Behavioral Health Programs is similar to the CF 831 form in that both require extensive information about the program and its staff. They both focus on ensuring that the programs adhere to state regulations and standards. Supporting documentation, including proof of qualifications for staff members, is necessary for both applications. Compliance with the rules is critical for certification.

Lastly, the Application for Certification of Nonprofit Organizations shares similarities with the CF 831 form. Both documents require detailed information about the organization, including its mission and the qualifications of its leadership. They also emphasize the importance of compliance with state regulations. Supporting documentation, such as proof of good moral character and relevant licenses, is required in both cases.

Obtain Answers on Florida Cf 831

  1. What is the Florida CF 831 form?

    The Florida CF 831 form is an application for certification of a Batterer Intervention Program (BIP). This form must be completed by the owner or designated representative of the program seeking either new certification or renewal of an existing certification. It includes essential information about the program, its locations, and the qualifications of its staff.

  2. What are the fees associated with the CF 831 form?

    There are specific fees associated with the application. A new application requires a fee of $300, while a renewal application costs $150. It is crucial to submit the correct fee along with the application to avoid delays in processing.

  3. What happens if the application is incomplete?

    An incomplete application will not be accepted. It is vital to ensure that all sections of the CF 831 form are filled out completely and accurately. Missing information or documentation may lead to rejection of the application, which can hinder the program's ability to operate legally.

  4. What documents are required for submission?

    When submitting the CF 831 form, several documents are required. These include:

    • A copy of the applicant's resume.
    • The CF 1649D, Declaration of Good Moral Character form.
    • For corporations and partnerships, a certificate of status or acknowledgment letter from the Florida Department of State.
    • For each facilitator, copies of college transcripts, training certificates, and current resumes.

    It is essential to attach all required documents to ensure that the application is complete.

  5. What are the consequences of providing false information on the application?

    Providing false information on the CF 831 form can have serious repercussions. It constitutes a second-degree misdemeanor under Florida law. Additionally, any misstatements or omissions can lead to rejection or suspension of certification, jeopardizing the program's operation.

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Check Appropriate Box(es)

APPLICATION FOR CERTIFICATION

 

New - $300

 

 

Renewal - $150

 

BATTERER INTERVENTION PROGRAM

 

Change of Ownership

 

 

 

 

Change of Address

 

 

Change of Director

PLEASE TYPE OR PRINT LEGIBLY

Instructions: This application must be completed for new certification as well as annual renewal by the owner of the program or in the case of a corporation or partnership, the designated representative of the owner. A separate application and fee must be submitted for each circuit. Mail the application with the application fee and required documents to the department at the address provided. Make checks payable to the Department of Children & Families. Renewal of certification is contingent upon completion of any corrective action imposed by the department. An incomplete application will not be accepted.

PROGRAM INFORMATION

Program ID (Not required for new applications)

Name of Program as it is to appear on certification

Program Street Address (do not enter P.O. Box) If more than one location, attach additional sheet(s).

Judicial Circuit Served

City

County

Zip Code

Number of Locations within Circuit

Telephone No.

Fax No.

Email Address

Program Mailing Address, if different

City

County

Zip Code

GROUP(S) SCHEDULE

List locations, day, and time for group(s). For first-time applicants, list proposed schedule

STREET ADDRESS, CITY, COUNTY

DAY

TIME

 

 

 

 

 

 

 

 

 

 

 

 

ONSITE DIRECTOR INFORMATION (If multiple sites with multiple directors, attach additional sheets.)

For initial application, attach copy of resume and CF 1649D, Declaration of Good Moral Character form

Name of Director FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

City

County

Zip Code

Telephone No.

Fax No.

Email Address

FACILITATOR INFORMATION (Attach additional sheets if needed.)

All facilitators must be approved by the department. For each, attach college transcript, training certificates, current resume and CF 1649D, Declaration of Good Moral Conduc form. Attachments are not required for previously approved facilitators on renewal applications, but must be maintained in personnel file.

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

APPLICANT INFORMATION (Applicant is the person with authority to request certification.)

For initial application attach copy of resume and CF 1649D, Declaration of Good Moral Character form

Name of Applicant

FIRST

MIDDLE

LAST

Position/Title

 

 

 

 

 

Check One:

Owner

Designated Representative (Applicable to corporations and partnerships only.)

Applicant's Mailing Address

City

County

Zip Code

 

Telephone No.

 

Fax No.

 

Email Address

 

 

 

 

 

 

 

 

CF 831, January 2007

 

 

 

 

 

Authority: ss. 741.325-327, F.S.,

Chap. 65H-2, FAC

1 of 2

Office of Domestic Violence Program

LEGAL OWNERSHIP OF BIP

Complete only one of the categories listed below.

INDIVIDUAL

For initial application attach copies of resume, all licenses and CF 1649D, Declaration for Good Moral Conduct form

Name of Owner

FIRST

MIDDLE

LAST

Position/Title

 

 

 

 

 

FEID No.

Professional License No.

City Business License No.

Co. Business License No.

Business Mailing Address

City

County

Zip Code

Telephone No.

Fax No.

Email Address

Role in BIP (attach additional sheets if necessary):

CORPORATION (not-for-profit or for profit)

Attach certificate of status or acknowledgement letter of registration from the FL Dept. of State, and current list of directors with title, address and phone number. Failure by any corporation to comply with all requirements under Chapter 607, F.S., is grounds for rejection or suspension of certification.

Registered Name

FEID No.

Document No.

City Business License No.

County Business License No.

Registered Agent

Position/Title

Registered Mailing Address

City

County

Zip Code

Telephone No.

Fax No.

Email Address

Role in BIP (attach additional sheets if necessary):

PARTNERSHIP (limited or general)

Attach certificate of status or acknowledgement letter of registration from the FL Dept. of State, and a list of partners with title, address and phone number. Failure by any partnership to comply with all requirements under Chapter 620, F.S., is grounds for rejection or suspension of certification.

Registered Name

FEID No.

Document No.

City Business License No.

County Business License No.

Registered Agent

Position/Title

Registered Mailing Address

City

County

Zip Code

Telephone No.

Fax No.

Email Address

Role in BIP (attach additional sheets if necessary):

I declare that the named program in this application meets all standards for state certification as required by Chapter 65H-2, Florida Administrative Code and section 741.325, Florida Statutes. By submission of this application and upon approval by the Department of Children and Families, I agree to abide by all rules and statutes that apply to the operation of a certified batterer intervention program. I understand that any omissions, misstatements, or misrepresentations are grounds for rejection or suspension of certification. I understand that the certification fee is non-refundable and certification is for one year and non-transferable. I understand that knowingly making a false statement on this application constitutes a second- degree misdemeanor as provided in section 837.06, Florida Statutes. By signing this application, I am declaring that all the information given within this application is true and correct.

Signature of Applicant

 

Date

CF 831, January 2007

 

 

Authority: ss. 741.325-327, F.S., Chap. 65H-2, FAC

2 of

Office of Domestic Violence Program

ATTACHMENT 1

 

 

 

 

 

APPLICATION FOR CERTIFICATION

 

 

 

 

 

BATTERER INTERVENTION PROGRAM

 

 

 

 

 

ADDITIONAL PROGRAM LOCATIONS

Authority: ss. 741.325, 741.327, F.S., Chap. 65C-5, F.A.C.

 

 

 

 

 

 

 

PLEASE TYPE OR PRINT LEGIBLY

 

 

Instructions: For programs with more than one business location, please provide information for each location.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROGRAM & ONSITE DIRECTOR INFORMATION

 

 

A copy of the resume and DCF Form ___, Affidavit of Good Moral Character, is required for initial certification only.

Name of Program

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program Street Address (do not enter P.O. Box)

 

 

 

 

Number of Locations

 

 

 

 

 

 

 

 

 

 

City

 

 

 

County

 

 

Zip Code

 

Judicial Circuit

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

Name of Director

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

County

 

Zip Code

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program Street Address (do not enter P.O. Box)

 

 

 

 

Number of Locations

 

 

 

 

 

 

 

 

 

 

City

 

 

 

County

 

 

Zip Code

 

Judicial Circuit

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

Program Mailing Address, if different

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

County

 

Zip Code

 

 

 

 

 

 

 

Name of Director

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

County

 

Zip Code

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Program Street Address (do not enter P.O. Box)

 

 

 

 

Number of Locations

 

 

 

 

 

 

 

 

 

 

City

 

 

 

County

 

 

Zip Code

 

Judicial Circuit

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

Program Mailing Address, if different

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

County

 

Zip Code

 

 

 

 

 

 

 

Name of Director

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

County

 

Zip Code

 

 

 

 

 

 

 

 

 

Telephone No.

 

 

Fax No.

 

 

Email Address

 

 

(

)

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CF 831, April 2006

Office of Domestic Violence Program

Page 1 of Attachment 1

ATTACHMENT 2

APPLICATION FOR CERTIFICATION

BATTERER INTERVENTION PROGRAM

FACILITATORS

Authority: ss. 741.325, 741.327, F.S., Chap. 65C-5, F.A.C.

PLEASE TYPE OR PRINT LEGIBLY

Instructions: Please list additional facilitators below.

FACILITATOR INFORMATION

All facilitators must be approved by the department. Attach copies of college transcripts, training certificates, current resume and DCF Form ___, Affidavit of Good Moral Conduct. Documents are not required for previously approved facilitators on renewal applications.

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

Name

FIRST

MIDDLE

LAST

Professional License No. (if applicable)

 

 

 

 

 

CF 831, April 2006

Office of Domestic Violence Program

Page 1 of Attachment 2

Dos and Don'ts

When filling out the Florida CF 831 form, it's crucial to follow specific guidelines to ensure your application is accepted without delay. Here are seven important dos and don'ts to keep in mind:

  • Do type or print legibly to avoid any confusion regarding your information.
  • Do submit a separate application and fee for each circuit where your program operates.
  • Do include all required documents, such as resumes and declarations of good moral character, especially for initial applications.
  • Do check that your application is complete before submission, as incomplete applications will be rejected.
  • Don't use a P.O. Box for your program's street address; provide a physical address instead.
  • Don't forget to make your check payable to the Department of Children & Families; incorrect payees can lead to processing delays.
  • Don't provide false information or omissions, as this can result in rejection or suspension of your certification.