CRCapplication MATH HOMES doc - dhs georgia 2026

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  1. Click ‘Get Form’ to open the CRCapplication MATH HOMES document in the editor.
  2. Begin by selecting your applicant type: either 'Administrator/Owner' or 'Owner'. This is crucial for identifying your role in the application process.
  3. Fill in your personal details, including your full name, date of birth, sex, height, race, weight, social security number, eye color, place of birth, hair color, and home telephone number. Ensure all information is accurate and clearly printed.
  4. Provide your mailing address including city, state, and zip code. Double-check for any typos to avoid delays.
  5. Authorize the Department of Human Resources by signing where indicated. Attach any required affidavits regarding criminal history as specified.
  6. For the maternity home provider section, print the name and address of the provider clearly. Indicate whether they are currently licensed or applying for a new license.
  7. Finally, as the Administrator/Owner, verify all provided information and sign accordingly. Include your contact number for follow-up.

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