Home
Forms Library
Indiana personal services agency

53391 2026

indiana personal services agency Preview on Page 1

See details

4.8 out of 5

167 votes

The document is an application form for obtaining a license to operate a personal services agency in Indiana, detailing the necessary steps, required documentation, and fees involved. It outlines sections for identifying information, staffing requirements, ownership details, and policies that must be submitted with the application. The form emphasizes compliance with state laws and regulations, including criminal history checks for staff and owners. A non-refundable fee of $250 is required for processing the application.

Here's how it works

01. Edit your indiana personal services agency online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send form 53391 via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 53391 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the application for license to operate a personal services agency in the editor.
Begin with SECTION I, where you must check the appropriate type of application: New Agency or Change of Ownership. Ensure you provide any required documentation as specified.
Move to SECTION II and fill in your Identifying Information. This includes the agency name, physical address, and contact details. Make sure all information is accurate and legible.
In SECTION III, provide staffing details. List managers and their addresses, ensuring that you submit current criminal history reports for each individual listed.
Complete SECTION IV by detailing ownership information. Include names and addresses of individuals with significant ownership interest and select the type of entity.
Finalize your application by completing SECTION VI, certifying that all information is correct. Ensure signatures are provided where required before submitting your application along with the fee.

Start using our platform today to streamline your form completion process for free!

See more 53391 versions

We've got more versions of the 53391 form. Select the right 53391 version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (167 Votes)
2016	4.4 Satisfied (228 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How can I create an electronic signature in my 53391 on Android?

Signing paperwork on a mobile device is fast, simple, and doesn’t require software installation when you have an account with DocHub. Log in from any browser, fill in your empty fields with your information, and click on Sign → Create your signature. You can draw your electronic signature just as you usually do on paper, add its picture to your 53391, or type in your name and stylize its look. Whatever option you select, your paperwork will be valid.

Do I need to set up software to modify my 53391?

When you edit your 53391 with DocHub, you merely need a stable web connection and virtually any web browser installed on your device. No need to set up any third-party applications or study guides. Simply open a tab with DocHub, drag and drop your file, and edit it on the spot.

Try more PDF tools