What you need to know before submitting an ... - Oklahoma 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Section A with your facility name, DBA name, and physical address. Ensure accuracy as this information is crucial for processing.
3. In Section B, provide contact information for the person responsible for the application. This includes their email and phone number, which will be used for any deficiency notifications.
4. Proceed to Section C to select the type of ownership. Check the appropriate box and attach the required form based on your selection.
5. Complete Sections D through H carefully, ensuring all necessary details are provided, especially regarding FDA registration and disciplinary history.
6. Review all sections thoroughly before submission. Use our platform's features to reset or edit any fields as needed.

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