Residential Service Agency Initial Licensure Application - Dhmh - dhmh maryland 2026

1. Click ‘Get Form’ to open the Residential Service Agency Initial Licensure Application in our editor.
2. Begin by filling in the official name of your agency, trading name, and address. Ensure accuracy as this information is crucial for your application.
3. Complete the contact details including business phone number, email address, and emergency contact number. This ensures OHCQ can reach you if needed.
4. Select the level of care your agency will provide by checking the appropriate box. This section is vital for determining your agency's operational scope.
5. Attach the required non-refundable application fee of $500. Make sure to follow payment instructions carefully to avoid delays.
6. Review all sections thoroughly before submitting. Use our platform’s features to save and edit your application as needed.

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