Hs200 form 2025

1. Click ‘Get Form’ to open the hs200 form in the editor.
2. Begin with Section A, Application Information. Select the type of application by checking the appropriate box (Initial, Change of Ownership, etc.).
3. Provide the effective date of ownership change if applicable, and enter the fee amount enclosed.
4. In Section B, Licensee Information, fill in your name, federal employer’s tax ID number, and select your owner type. Ensure to provide a complete address and contact information.
5. Proceed to Section C for Facility Information. Enter the proposed facility name and address. If applicable, include details about management agreements.
6. Complete Section D regarding Property Information by indicating property ownership status and providing necessary documentation.
7. Finally, review all sections for accuracy before signing in Section F to declare compliance with local ordinances.

Start filling out your hs200 form today for free using our platform!