Florida Provider FormsAPD FORM DESK
Page one of Application for License to Operate a Residential Facility (New Licensure Application)Fillable
FILLABLELICENSING

Application for License to Operate a Residential Facility (New Licensure Application)

Form number
65G-2.002-A
Revision
footer reads "month October" (no year); PDF authored Sept 2024
Completed by
Provider
Format
PDF · 501 KB · fill fields present
Rule
65G-2.002 F.A.C.
Source
apd.myflorida.com/publications/legal/docs/New%20Licensure%20Application9-25.pdf
Get this form
Download official blank (free) ↓Fill and lock to my facilityOpen at APD ↗

The blank is the unmodified copy APD published. Locked builds carry your license number and a document ID on every copy and are never stored on this site.

Description

Revision footer reads "month October" (no year); PDF authored Sept 2024. Fillable PDF.

Same category

More licensing forms