Get State Of Florida Dbpr Ddc 224 2020-2025
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How to fill out the State of Florida Dbpr Ddc 224 online
This guide provides clear instructions on how to complete the State of Florida Dbpr Ddc 224 application form for a health care clinic establishment online. Follow these steps carefully to ensure your application is processed smoothly.
Follow the steps to successfully complete the application form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin filling out Section I by selecting the type of application you are submitting: either a new application or a new application due to a change in ownership. If applicable, include your current permit number.
- In Section II, provide your applicant information, including your federal tax identification number, full legal name, and any fictitious or trade names under which you intend to operate, along with the associated registration number if applicable.
- Input your mailing address and the physical address of the establishment you wish to permit. Ensure to include your email address and phone number for any communications.
- Designate a contact person for the application process in Section II by providing their name, title, and contact details.
- Fill out the details for the designated qualifying practitioner, including their full name, address, contact information, license number, and expiration date.
- In Section III, select the type of ownership. Fill in the state of incorporation or organization and provide details for the applicant’s registered agent for service of process, if applicable.
- List the names and ownership percentages of all owners, partners, members, managers, and corporate officers/directors in the designated spaces.
- Address any background questions in Section IV by answering with 'Yes' or 'No.' If you answer 'Yes' to any question, provide a detailed explanation in Section V.
- Complete the affidavit in Section VI by signing and dating the application. Ensure the signature comes from the owner or a corporate officer as required.
- Once all sections are filled out, review your application for accuracy. Save any changes and prepare to submit your completed application along with the necessary enclosures.
- Lastly, send your application to the Florida Department of Business and Professional Regulation at the specified address, ensuring that you include all required documentation and the application fee.
Start filling out the State of Florida Dbpr Ddc 224 online today to streamline your application process!
Approval times for applications submitted to the Florida DBPR can range from a few weeks to several months, depending on the complexity of the application and the volume of applications being processed. Staying proactive and supplying all necessary documentation can greatly speed up approval related to the State Of Florida Dbpr Ddc 224. For more detailed information about your specific application, USLegalForms can provide valuable guidance.
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