California hospice license application fee 2026

1. Click ‘Get Form’ to open the California Hospice License Application in the editor.
2. Begin by filling out the applicant's formal name consistently across all sections. Ensure that you provide accurate contact information, including mailing address and phone number.
3. In Section A.3, indicate the amount of the licensing fee enclosed. Remember to check the current fee on the California Department of Public Health website as it changes annually.
4. Complete Section B regarding ownership details. If applicable, submit an organization chart showing ownership percentages and roles within your organization.
5. For each individual listed in Section C, ensure you attach their professional licenses and resumes as required. This includes the Administrator and Director of Nursing.
6. Review all fields for completeness. Do not leave any items blank; if a question does not apply, respond with 'Not Applicable' or 'N.A.'
7. Once completed, save your document and utilize our platform’s signing feature to sign using blue ink digitally before submission.

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