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HCA Rein Rev 10/18For Official Use Onstage OF CONNECTICUTDEPARTMENT OF CONSUMER PROTECTION License Services Division 450 Columbus Blvd, Ste 801 Hartford, CT 06103 Email: DCP.license services×ct.gov Website:
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Obtain a copy of the homemaker-companion agency reinstatement form from the relevant authorities or website.
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Read the instructions provided with the form carefully to understand the requirements.
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Fill in your personal information such as your name, address, contact details, and any other requested details.
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Provide any necessary documentation or evidence of meeting the reinstatement criteria.
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Submit the completed form to the designated authority or address as mentioned in the instructions.
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Follow up with the relevant authority or agency to ensure that your reinstatement request is being processed.

Who needs homemaker-companion agency reinstatement form?

01
Individuals who previously operated a homemaker-companion agency but had their license revoked or suspended and now wish to get it reinstated.
02
Owners or operators of homemaker-companion agencies who voluntarily surrendered their license but now want to regain the license.
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The homemaker-companion agency reinstatement form is a document used to request reinstatement of a homemaker-companion agency that has been inactive or suspended.
Homemaker-companion agencies that have been inactive or suspended are required to file the reinstatement form.
The form must be completed with updated agency information, reasons for suspension or inactivity, and any additional required documentation.
The purpose of the form is to provide agencies with a way to reinstate their license to operate as a homemaker-companion agency.
The form will require information such as agency name, address, contact information, reasons for inactivity or suspension, and any other required documentation.
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