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4254861011 www.minico.comADULT RESIDENTIAL FACILITY RENEWAL APPLICATION (CA, OR, WA) Named Insured: Mailing Address: City:State:ZIP:State:ZIP:Location Address: City: Contact Person:Contact Phone:How
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How to fill out arf-renewal-application-ca-or-wa-07-21

01
Download the ARF renewal application form CA or WA-07-21 from the official website.
02
Fill out all the required personal information including name, address, contact details, etc.
03
Provide information about the ARF license number, expiration date, and any changes in personnel or ownership.
04
Complete the sections related to the facility information such as capacity, type of care provided, and any deficiencies or complaints.
05
Sign and date the form to certify the accuracy of the information provided.

Who needs arf-renewal-application-ca-or-wa-07-21?

01
Any Adult Residential Facility (ARF) operator in California or Washington who needs to renew their license.
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The arf-renewal-application-ca-or-wa-07-21 is a form used for renewing the license of an Adult Residential Facility (ARF) in California or Washington.
Owners or operators of Adult Residential Facilities (ARFs) in California or Washington are required to file the arf-renewal-application-ca-or-wa-07-21 form.
To fill out the arf-renewal-application-ca-or-wa-07-21 form, one must provide information about the facility, staff, residents, services offered, and any changes since the last renewal.
The purpose of the arf-renewal-application-ca-or-wa-07-21 form is to ensure that Adult Residential Facilities (ARFs) in California and Washington continue to meet licensing requirements and provide adequate care for residents.
Information that must be reported on the arf-renewal-application-ca-or-wa-07-21 form includes facility details, staff qualifications, resident demographics, services provided, and any compliance or deficiency issues.
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