Get Nursing Home Application

Filling out the Nursing Home Application online is a straightforward process that allows users to apply for a permit efficiently. This guide provides clear, step-by-step instructions to help you complete each section of the application accurately.

Follow the steps to fill out your application with ease.

1. Click the ‘Get Form’ button to obtain the Nursing Home Application and open it for editing.
2. Fill out Part 1: Applicant Information. Provide your name, title, and date of birth to identify the applicant. Note that this information is only required for the first application.
3. Move on to Part 2: Company Information. Enter the company name, business address, mailing address (if different), business telephone, cellular, fax, and email. Make sure all locations where alcohol will be used or stored are listed.
4. In Part 3: Company Requirements, indicate the type of product you will use, the estimated quantity per year, and the purpose for use. If you are purchasing from a Nova Scotia Liquor Corporation outlet or an out-of-province company, provide the necessary details.
5. Complete Part 4: Declaration of Applicant by signing and dating the application to confirm the accuracy of the information provided. If submitting by email, check the agreement box to acknowledge your understanding.
6. In Part 5: Application Fee – Payment Options, select the method of payment for the $15 application fee. If using a credit card, do not write the card number on the form; call the provided number with your details.
7. Review all information entered on the form for accuracy. Once completed, save the changes. You can then download, print, or share the form as needed.

Start filling out the Nursing Home Application online to complete your permit request today.