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The document is a renewal application for a Residential Service Agency (RSA) license from the Maryland Department of Health and Mental Hygiene. It outlines the requirements for submitting the application, including a non-refundable fee, personnel lists, and compliance with state regulations. The document emphasizes the importance of timely submission to avoid termination of the agency's license and Medicaid provider status. It also includes instructions for obtaining Maryland regulations and contact information for inquiries.

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