Get Living Care Disclosure Act Registration Application - State Of Michigan

Filling out the Living Care Disclosure Act Registration Application for the State of Michigan is essential for facilities wishing to register or renew their registration. This guide provides clear, step-by-step instructions for completing the application online, ensuring users can navigate the process with confidence.

Follow the steps to complete your application online successfully.

1. Press the ‘Get Form’ button to begin your application process and access the Living Care Disclosure Act Registration Application.
2. Select the type of filing you are submitting by checking the appropriate box for Registration, Renewal, or Amendment.
3. If you are submitting an amendment, explain the nature of the changes in the designated area, marking which documents you are including with your application.
4. Provide your facility information, including the name of the facility, any 'doing business as' (d/b/a) names, and the complete address, including city, state, and zip code.
5. Indicate the organization form by checking the applicable box. If your organization does not fit standard categories, specify what it is in the ‘Other’ field.
6. Complete the date and place of your organization's formation, and indicate whether it is a profit or non-profit entity, providing the IRS status if applicable.
7. Enter the name and contact information of the certified public accounting firm that audits your facility's financial statements.
8. Answer the question regarding whether there has been a change in accounting firms since your last financial statement; check 'Yes' or 'No' accordingly.
9. Attach a list of sales agents who meet the criteria outlined in Rule 5(1) if applicable, and ensure this list accompanies your application.
10. Designate a person to whom communications regarding the application should be directed, providing their name, company affiliation, and contact information.
11. In the signature section, ensure the authorized agent of the facility signs and dates the form. This must be notarized to validate the application.
12. Complete the waiver of automatic effectiveness section if applicable, to agree that the facility will not sell or offer to sell a life interest or long-term lease until the registration is effective.
13. Once all fields are completed, save your changes, download the completed application, and ensure it is printed or shared as necessary.

Ensure you complete your Living Care Disclosure Act Registration Application online today for a smooth application process.