License Application Checklist

Incomplete applications will be returned to sender, without processing, accompanied by a letter explaining the incorrect or missing information. Please complete the appropriate checklist prior to submitting your license application.

24-Hour Residential Checklist

  1. Cover letter
  2. Completed Initial Licensure Application (PDF, 283 KB)
  3. Local Management Entity support letter
  4. Annual fee
  5. Floor plan with dimensions (specify residential)
  6. Photographs (interior and exterior)
  7. Zoning approval (original)
  8. Directions to facility

Day Program Checklist

  1. Cover letter
  2. Completed Initial Licensure Application (PDF, 283 KB)
  3. Floor plan with dimensions (specify residential)
  4. Annual fee
  5. Photographs (interior and exterior)
  6. Zoning approval (original)
  7. Directions to facility
  8. Fire inspection (clear copy or original)
  9. Sanitation inspection (clear copy or original) if serving food
  10. Building inspection (original) if applicable