Get Sc Dhec 0217 2018

The SC DHEC 0217 form is essential for individuals or entities seeking licensure for community residential care facilities in South Carolina. This guide provides clear, step-by-step instructions to assist users in completing the form online.

Follow the steps to easily complete the SC DHEC 0217 form.

1. Click ‘Get Form’ button to access the SC DHEC 0217 form in your online editor.
2. Select the reason for the application. Choose from 'Initial,' 'Renewal,' or 'Amended License Request.' If renewing, ensure to enter your license number and expiration date.
3. In Part A, provide the facility information required, including the name, physical address, and contact details. Make sure to attach any necessary documents like the Certified Food Protection Manager certificate.
4. Complete Part B by disclosing operational information. Specify the licensee information, ownership type, and any applicable details based on your facility's structure (e.g., corporate, partnership).
5. In Part C, detail the ownership disclosure by listing all individuals or entities with an ownership interest of 5% or more in the facility.
6. If applicable, proceed to Part D to indicate any licensure changes. Complete the relevant sections based on the type of change being made.
7. Finalize the application by completing Part E, ensuring the form is signed by the designated individuals and notarized as required.
8. Once all sections are completed and verified for accuracy, save any changes made, download a copy, and either print or share the completed form as necessary.

Take the next step and complete your SC DHEC 0217 form online today!