Agl02 2026

1. Click ‘Get Form’ to open the agl02 application in the editor.
2. Begin by entering the name, address, and phone number of the facility where services will be provided. Ensure accuracy, especially if this is a renewal application.
3. Next, provide the name and mailing address of the legal entity responsible for operating the facility. Include a contact phone number for easy communication.
4. Indicate the purpose of your application by checking the appropriate box—whether it’s for a new facility, renewal, relocation, or other reasons.
5. Fill in the county where your facility is located to ensure proper jurisdiction.
6. Enter the full name and title of the responsible person (operator) overseeing daily operations.
7. If applicable, indicate your current license expiration date and license number for renewals or changes.
8. Update client enrollment numbers as required in the designated fields.
9. Select whether your operation is profit or non-profit based on definitions provided in the form.
10. Complete any additional sections regarding prior license status and current legal entity status as necessary.

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