Code of Massachusetts Regulations
105 CMR - DEPARTMENT OF PUBLIC HEALTH
Title 105 CMR 158.000 - Licensure of Adult Day Health Programs
Section 158.006 - Application for a License
Universal Citation: 105 MA Code of Regs 105.158
Current through Register 1531, September 27, 2024
(A) Applications for licensure shall be made on forms prescribed by, and available from, the Department. The term Application as used in 105 CMR 158.000 shall include original and renewal applications. Every original application shall be signed under the pain and penalty of perjury either by each applicant as defined in 105 CMR 158.004, or by an applicant(s) who certifies that all other applicants have received copies of the application.
(B) In support of an application for an original or renewal license, each applicant shall submit:
(1) Any information concerning
ownership or control, as the Department may require; and
(2) Any information required by the
Department as part of the application package.
(C) Applications for renewal licenses must be filed on or before the expiration date of the previous license.
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