FACILITY APPLICATION FORM (APD 2014-01)-2026

1. Click ‘Get Form’ to open the FACILITY APPLICATION FORM (APD 2014-01) in our editor.
2. Indicate whether this is an application for an initial license or a renewal by checking the appropriate box at the top of the form.
3. Fill in your name, address, telephone number, and email address in the designated fields. Ensure that you clearly state your role in the operation of the facility.
4. In Section I, provide details about the residential facility including its name and physical address. If applicable, include a mailing address.
5. Complete Section II by specifying the requested capacity, age range of residents, and any conditions you are willing to serve. Check all relevant boxes.
6. Proceed to Section III to provide ownership and management information. Fill out details for property owners and on-site managers as required.
7. Attach any additional documentation as specified in Section IV before submitting your application through our platform.

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