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INITIAL APPLICATION FOR LICENSE - state tn

INITIAL APPLICATION FOR LICENSE - state tn 2025

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The document is an application form from the Tennessee Department of Mental Health and Substance Abuse Services for individuals or organizations seeking a license to operate facilities or services related to mental health, alcohol and drug abuse, or personal support services. It outlines the necessary information required from the applicant, including identification details, organizational structure, management oversight, background checks, financial resources, facility descriptions, and community references. The application must be completed thoroughly and submitted along with applicable fees and supporting documents.

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Click ‘Get Form’ to open the INITIAL APPLICATION FOR LICENSE in our editor.
Begin by entering the DATE OF APPLICATION. Fill in the month, date, and year clearly.
Identify the APPLICANT by providing details about the individual or organization applying for the license.
Complete the APPLICANT'S ADDRESS section with both street and mailing addresses, ensuring accuracy.
Input the APPLICANT'S TELEPHONE NUMBER(S) AND FAX NUMBER(S) for contact purposes.
Select your ORGANIZATIONAL STRUCTURE by checking one of the provided options that best describes your entity.
Fill out information regarding the CHIEF EXECUTIVE OFFICER OR DIRECTOR responsible for daily management.
If applicable, complete CORPORATION/ASSOCIATION INFORMATION detailing governing body members.
Answer BACKGROUND AND HISTORY questions truthfully, as these are crucial for application approval.
Provide EDUCATION AND EXPERIENCE details about key individuals involved in managing the facility/service.
Attach a FINANCIAL RESOURCES statement demonstrating financial solvency to operate your facility/service.
Describe your FACILITY/SERVICES accurately, ensuring compliance with licensure rules and requirements.
List COMMUNITY REFERENCES who can vouch for your character and ability to run a responsible service.
Finally, review all sections before signing the CERTIFICATION OF APPLICATION to confirm accuracy and completeness.

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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.

What documents do I need to get a TN state ID?

TWO proofs of residence: Current utility bill including telephone, electric, water, gas, cable, etc. Current Tennessee vehicle registration or certificate of title showing Tennessee address (may use one, not both) Mortgage papers including property deed or mortgage payment coupon or book.

How to get your Tennessee license when you move there?

Scheduling an appointment allows a customer to be served at a select Driver Services Centers on a specific day and time. Appointments are not available at all Driver Services Centers. The type of appointment available may vary by location.

What are two proofs of residency for DMV in Tennessee?

Go to the DMV for license change. Youll need your current license,another form of identification, a form to show your new adddess(check online for supporting docs). They give you a color printed TN paper temp license and you receive your new one in the mail. They take your out of state license as you cannot have both.

What counts as proof of residency for Tennessee ID?

What will I need to get a free photo ID from the Department of Safety and Homeland Security? You will need: Proof of citizenship (such as a birth certificate), and. Two proofs of Tennessee residency (such as a voter registration card, a utility bill, vehicle registration or title, or bank statement).

What documents are needed for a TN state ID?

At least one document must be dated within the last four months when you get your Real ID. A home utility bill. A current Tennessee vehicle registration certificate or title. A current Tennessee voter registration card. An Internal Revenue Service tax return. A bank statement. A payroll check stub.