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Business Location » FL » Brevard » Scottsmoor » Health License » Adult Family Care Home Background Screening Affidavit of Compliance »

Health License:

Adult Family Care Home Background Screening Affidavit of Compliance

The following must be submitted along with the application: ( Additional Form )
The following special signature/seal are required: ( Notary Public )

The cost of the form & instructions is $19.99

Submit Online ($49.99) Not available on this form The application needs to be notarized.
	Online submission is fast & easy Upload any attachments Sign your forms online Click a button to submit

Print and Mail
	Print your forms Sign them Mail to provided authority

Used For:

Additional Documents:

Hospitals and Other Facilities Regulations and Laws

Ambulatory Surgical Treatment Center License Renewal Alert

Florida Administrative Codes

Health Care Licensing Procedures Act (Chapter 408, s. 408.801-408.832, F.S.)

Adult Day Care Center Comprehensive Emergency Management Plan Criteria

Assisted Living Facility Application Checklist

Adult Family Care Home Application Checklist

Health Care Licensing Procedures Act

Background Screening (Level 2) Information

Additional Docs (Add $19.99)

May include important information to help you fill out the form. See list of available documents to your right.

TOTAL:

$19.99

How is this Calculated?

The pricing schedule is as follows:
Form and instructions	$19.99
Associated documents, such as schedules, ordinances, statutes, etc	$19.99
Electroning Filing	$49.99

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