Get Lic 606

This guide provides clear instructions for users on how to efficiently complete the Lic 606 form online. Whether you are a new applicant or an existing licensee updating information, this step-by-step approach will help you navigate the form with confidence.

Follow the steps to fill out the Lic 606 online effectively.

1. Press the ‘Get Form’ button to access the Lic 606 and open it in your preferred online editor.
2. Begin by entering the name of the facility in the designated field.
3. If applicable, provide the license number of your facility.
4. Enter the name of the applicant, co-applicant, licensee, or co-licensee in the corresponding section.
5. Indicate the name of the individual submitting the information.
6. Fill in the date when the worksheet is being submitted.
7. In Part 1, specify whether this submission is an addendum to an application or an update to licensed facility information by checking the appropriate box.
8. State the type of provider by selecting either for-profit or not-for-profit and entering the email address of record for the facility.
9. Proceed to Part 2 and check if separate lists are attached for individuals holding a beneficial ownership interest and those with operational control.
10. Complete the necessary confirmations for criminal record statements, fingerprints, and employment history for identified individuals.
11. In Part 3, provide details of any other facilities operated by the applicant or licensee, checking the relevant boxes.
12. For Part 4, ensure that the information regarding real property owners is included with appropriate attachments.
13. Follow through Parts 5 to 9, providing requested information about operational control, administrative disciplinary actions, bankruptcy filings, chains of licensees, and management companies, as applicable.
14. In Part 10, notify about any changes to currently licensed facilities and explain how updates will be communicated.
15. Finally, review all information for accuracy, save your changes, and ensure that the form can be downloaded, printed, or shared as needed.

Complete your Lic 606 online today for a smoother application process.