Get Sc Dhec 3297 2018-2025

The SC DHEC 3297 form is essential for applying for a licensure for residential treatment facilities for children and adolescents. This guide will provide clear instructions on filling out the form online, ensuring your application is complete and accurate.

Follow the steps to complete the SC DHEC 3297 form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Indicate the reason for the application by selecting one of the options: Initial, Renewal, or Amended License Request. If renewing, enter the license number and expiration date.
3. Fill out Part A: Facility Information, providing the facility name, physical address, contact person, and corresponding mailing address. Ensure all provided information is current and complete.
4. In Part B: Operation and Ownership Disclosure, enter the licensee information, indicating the ownership type. If applicable, include the names of partners or members of an LLC.
5. Complete Part C only if applicable for licensure changes, specifying the type of change and providing the required information for each section.
6. In Part D: Verification, ensure the application is signed by the appropriate individuals based on the ownership structure. This section must also be notarized.
7. After completing the form, review all sections thoroughly for accuracy. Save your changes, and then you may download, print, or share the form as required.

Complete your SC DHEC 3297 application online today to ensure timely licensing.