Homemaker Companion Services Application for Registration - fdhc state fl 2025

1. Click ‘Get Form’ to open the Homemaker Companion Services Application in our editor.
2. Begin by filling out the Business Identification section. Enter your service name, address, and contact details. Ensure that you indicate if the name is fictitious.
3. In the Fees Required section, select the type of application (Initial, Renewal, or Change of Ownership) and enter the total amount enclosed. Remember to attach a check or money order.
4. Complete the Ownership section by providing details about the business owner(s), including their Federal Employer Identification Number (EIN).
5. Fill in the Officers and Board Members section with names and titles of individuals serving in these roles.
6. Address any criminal convictions or terminations as required in sections 6 and 7. Provide necessary explanations if applicable.
7. Finally, review all sections for accuracy before signing the affidavit at the end of the form. Ensure all required documents are attached.

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