Get Homebound Service Permit Application

This guide provides detailed instructions on how to complete the Homebound Service Permit Application online. By following these steps, you can ensure that your application is filled out accurately and submitted promptly.

Follow the steps to complete your online application.

1. Click the ‘Get Form’ button to access the Homebound Service Permit Application and open it in your online editor.
2. Begin filling out the applicant information section. Provide your first name, last name, street address, city, state, zip code, phone number, email address, and your operator or salon manager license number. Ensure all information is accurate and up-to-date.
3. Next, move to the insurance information section. Enter the name of your insurance company, the first and last name of your insurance agent, your professional liability policy number, and the agent’s contact information.
4. Attach the Certificate of Professional Liability Insurance as required. Ensure it includes your full legal name and address, clearly states ‘Professional Liability’, is current, and meets the coverage requirements specified in the application.
5. Proceed to the HSP acknowledgments section. Carefully read each acknowledgment (A through H) and provide your initials to indicate your compliance with the outlined responsibilities.
6. Complete the application certification at the bottom of the form by signing and dating it. This signature confirms the truthfulness of the information provided and acknowledges the Tennessen Warning.
7. Once all fields are completed, save your changes. Review the document for any errors or missing information before downloading or printing the final version of the application.
8. Submit the completed application, along with the fee of $50, to the provided address by mail or in person.

Complete your Homebound Service Permit Application online today to ensure timely processing.