Lic 200 2025

1. Click ‘Get Form’ to open the lic 200 application in the editor.
2. Begin by entering the applicant(s) name(s) in the designated field. Ensure you print clearly and include full names.
3. Provide your mailing address, including city, state, and zip code. This should be the legal home address for individuals or headquarters for corporations.
4. Select the type of agency or facility by checking the appropriate box that corresponds to your facility type as defined in California regulations.
5. Indicate the requested action by checking one of the options provided, such as initial application or change of capacity.
6. Fill in the facility name and street address where care will be provided. If applicable, also provide a mailing address for correspondence.
7. Complete sections regarding total requested capacity and any specific needs like non-ambulatory or bedridden beds.
8. Review all entries for accuracy before signing and submitting your application through our platform.

Start filling out your lic 200 form online for free today!