Get Family Systems Licensing Application - Minnesota Department Of ... - Dhs Mn

This guide provides comprehensive instructions for completing the Family Systems Licensing Application through the online platform of the Minnesota Department of Human Services (DHS). Follow the steps outlined below to ensure a smooth submission process.

Follow the steps to fill out the Family Systems Licensing Application online.

1. Click the ‘Get Form’ button to access the Family Systems Licensing Application. This will allow you to start filling out the necessary information in the designated online interface.
2. Begin with the date of application section; ensure that you accurately enter the current date in the provided space.
3. Select the type of license you are applying for. Choose from individual categories and provide required documentation if applicable.
4. Indicate whether this is a new application or a renewal by selecting the appropriate checkbox.
5. Complete the license history section by answering whether you have ever held a license. If applicable, provide details regarding the type of license, license number, and effective dates.
6. Fill out the license holder information, including full legal names, addresses (avoid using P.O. Boxes), email addresses, and phone numbers of all individuals involved.
7. Enter your tax identification details, specifically your Minnesota Tax ID and Federal Employer ID Number if applicable. Be aware that this information remains confidential.
8. Provide the program name and physical location of the services you will be providing.
9. In the dwelling information section, check all applicable options regarding the type of residence or business space you are operating.
10. List all children and adults who will be living or working in the program. Additional pages may be attached if necessary.
11. Include references if this is your initial licensure application. List their names, addresses, and contact numbers.
12. Select the class of license and capacity according to the type of services you will provide.
13. Detail your hours of operation, specifying the open and closed months along with the daily hours for each day of the week.
14. Submit the necessary workers' compensation insurance verification form to comply with Minnesota laws.
15. Acknowledge whether you will receive public funding reimbursement by selecting the relevant option and understanding compliance requirements.
16. Finally, ensure that all applicants sign the agreement in the presence of a notary public, as notarization is required for initial applications.
17. Once all sections are completed, ensure you have saved the document, and consider downloading or printing a copy for your records before final submission.

Complete your application for the Family Systems Licensing online today to ensure your license is processed efficiently.