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Comar 10 63 application

Comar application 2025

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The document is an application packet from the Maryland Department of Health and Mental Hygiene for certification under COMAR 10.47 related to Alcohol and Drug Abuse Administration. It outlines the necessary sections and information required for applicants, including ownership details, current certification status, service level requests, staffing information, supporting documentation, and statistics on patient services. The application aims to ensure compliance with state regulations for alcohol and drug treatment programs.

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Click ‘Get Form’ to open the comar application in the editor.
Begin by filling out the Ownership and Emergency Contact Information section. Provide the legal name of the business or owner, mailing address, and contact details. Ensure accuracy as this information is crucial for certification.
Next, complete the CURRENT Certification Information section. Enter your current certification number and expiration date. If applicable, check 'Not Applicable' for initial applications.
Proceed to CURRENT Service Level Certification. Check all relevant service levels you provide and indicate the number of adults, adolescents, and children served under each category.
If adding or changing service levels, fill out the NEW Level Requests section with similar details as above.
Complete the Staffing Information section by providing names and contact details for required staff positions.
Finally, attach any General Supporting Documentation required, such as a governing body roster and organizational chart.

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Versions	Form popularity	Fillable & printable
2013	4.9 Satisfied (468 Votes)
2011	4 Satisfied (60 Votes)

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