For additional questions on how to fill-out and submit this application, please contact ELRC Region 5 at 412.350. The Application for Certificate of Compliance (HS 633) is used to apply for a license to become a provider of human services programs.Immediately call 911 if the child is in immediate danger or appears to face an immediate threat of abuse that could result in their death or serious harm. You may fill out the Pro-Bono Mediator Application. What are the requirements for being a Pro Bono Mediator? If you were expecting a letter but did not receive it, please reach out to your Quality Coach. Allegheny College will be responsible for all fees and charges associated with the completion of the three background checks. Check Child Care Maryland, CheckCCMD. The result is that the approval of construction of a church or daycare center in the R-2 Zoning. Disability Benefits.