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Welcome to the Clermont Senior Services provider portal. Here, you can download the necessary forms and documents required to become or continue as a certified service provider in the Home Options Program (HOP). This page is designed to help current and prospective service providers access essential documents and guidelines for participating in the Home Options Program (HOP). Each document provides crucial information and guidelines to ensure compliance and participation in our program.

Application Documents

HOP Application and Instructions

Step-by-step instructions for completing the application to become a certified service provider.

HOP Conditions of Participation

 Essential requirements and guidelines for providers to participate in the HOP program.

HOP Homemaking Service Specifications
 

A detailed and informative breakdown of homemaking expectations.

HOP Personal Care Service Specifications

A detailed and informative breakdown of personal care service expectations. 

HOP Respite Care Service Specifications

A detailed and informative breakdown of respite care service expectations.

OAC Links 

List of links for Ohio Administrative Code's rules for background checks. 

clermont senior services

2085 James E. Sauls Sr. Dr,

Batavia, OH 45103, United States

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© Clermont Seniors Services. All Rights Reserved |  This institution is an equal provider and employer

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In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident. Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the State or local Agency that administers the program or contact USDA through the Telecommunications Relay Service at 711 (voice and TTY). Additionally, program information may be made available in languages other than English. To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Mail Stop 9410, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.

USDA is an equal opportunity provider, employer, and lender.

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