Form dhhs 2026

1. Click ‘Get Form’ to open the Renewal Application for Title 404 NAC Certification in the editor.
2. Begin by entering the full name of the entity requesting renewal in the 'Identifying Information' section. Ensure that this is the legal name as it should appear on the certification.
3. Fill in any additional legal names if applicable, along with the Federal Employer ID number if not an individual.
4. Complete the business address fields, including street, city, state, and zip code. If you have a preferred mailing address for official notices, provide that information as well.
5. In the 'Ownership Information' section, select your ownership type and list all owners along with their mailing addresses. Be thorough to avoid delays.
6. Attach any required documents such as organizational charts and policies as specified in the program description section.
7. Review all entries for accuracy before signing at the end of the document. Ensure that all necessary signatures are included.

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