Order Online or call 1-800-679-3611

Choose the location for which to obtain a license, permit, or tax registration.

Choose the license, permit, or tax registration applications.

Check out and pay for the contents of the shopping cart.

Fill out the applications, attach documents, and sign the applications.

Submit your applications online, or print and mail them.

Business Location » FL » Brevard » Scottsmoor » Home Health Care License » Affidavit Form Of Compliance With Screening Requirements »

Home Health Care License:

Affidavit Form Of Compliance With Screening Requirements

The following must be submitted along with the application: ( Additional Form ) By Mail

The cost of the form & instructions is $19.99

Submit Online (Add $49.99) How it Works? Submit Online Choosing online submission offers the added benefit that each form is reviewed by our licensing experts to make sure that it has been filled out correctly. Applications to licensing authorities that accept electronic submissions are transmitted directly to them, electronically, along with electronic payment. Where electronic submission is not feasible, we mail a printed version of the application. You can have your applications sent via overnight carrier (for an additional charge). You then receive a tracking number that enables you to track your applications’ delivery status. A check is sent along with each application, if required. The check has your name imprint along with our name underneath yours as c/o. You decide how your name should appear on the check.
	Online submission is fast & easy Upload any attachments Sign your forms online Click a button to submit
Shipping: