Home Health, Home Services, Home Nursing Agency renewal change of ownership licensure application CH 2026

1. Click ‘Get Form’ to open the Home Health, Home Services, Home Nursing Agency renewal change of ownership licensure application in the editor.
2. Begin by selecting the applicable agency type at the top of the form. Ensure you check all relevant boxes for your agency.
3. Fill in the general information section, including your agency name, address, and contact details. Be thorough to avoid delays.
4. Complete the ownership section by indicating any changes from previous applications. Use drop-down menus where applicable for clarity.
5. In the personnel section, accurately record full-time equivalent (FTE) employees across specified job classifications. This data is crucial for compliance.
6. Review each page carefully before submitting. Make sure all required attachments are included and that you retain a copy for your records.

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