Follow the steps to successfully complete your license renewal application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section 1, provide the applicant renewal information. This includes the organization name, license number, mailing address, city, county, state, zip code, phone number, and contact details for the CEO or CAO.
3. In Section 2, list the license numbers you are applying to renew. Ensure that you enter each license number accurately in the provided spaces.
4. In Section 3, if applicable, list the license numbers that you choose not to renew. This indicates any services your organization is discontinuing.
5. In Section 4, provide any service change information. Record changes related to location names, license numbers, number of beds, addresses, and contact information for location managers.
6. In Section 5, read and sign the Certificate of Application. Make sure the individual signing the application is authorized to do so, and include the date and title.
7. If your organization provides children's residential services, remember to include the $100.00 renewal fee with the application. Payments should be made via a business check or money order, payable to the Treasurer of Virginia.
8. Once all information is filled out and reviewed, save your changes to the application. You can then download, print, or share the completed form as needed.

Complete your Dbhds License Renewal Application online today to ensure your services remain uninterrupted.