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Click ‘Get Form’ to open the SC Department of Social Services Form 1522 in our platform.
Begin by entering the 'Name of Facility or Agency and Complete Address' in the designated field. Ensure all details are accurate for proper identification.
Next, fill in the 'Name of Board President and Complete Address' along with the 'Name of Administrator' and their 'Title'. This information is crucial for accountability.
Check the appropriate items that apply to your agency's services. Specify the maximum number of children, age range, and gender for licensing under residential group care.
If applicable, list any changes during the past licensing cycle regarding programs, administration, or facilities in the provided section.
Finally, ensure that the application is signed by the president of the board or a designated representative. Add their title and date to complete the form.

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