Get Ky Ogi 001 2018-2026

Filling out the KY OGI 001 form, which is essential for operating a health facility or service, can seem daunting. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to obtain the form and open it in your online document editor.
2. In the 'Type of Application' section, write or type an X next to all applicable options, including 'Provisional Licensure,' 'Annual Re-licensure,' or 'Add Location/Satellite/Service.'
3. Proceed to fill out the 'Change of Name,' 'Change of Location,' or 'Change of Ownership' section as relevant to your application.
4. In the 'Type of Facility or Service' section, check the appropriate facility or service you are applying for, such as 'Adult Day Health Care Program' or 'Community Mental Health Center.'
5. Complete the 'Identification' section by providing the license number, name of facility, physical location, and mailing address if it differs from the physical location.
6. Include the telephone number and email address for the primary contact, and provide the administrator's name.
7. Indicate the date the facility began operating at the current address and under the current owner.
8. If applicable, fill out additional sections for community mental health centers, specifying the number of locations and adding information for each additional location requested.
9. Complete the 'Control' section by checking the appropriate options for state, profit, and ownership type.
10. In the 'Ownership' section, provide the name and address of the direct owner, including supporting documentation as specified.
11. If relevant, include documentation of Fire Marshal's approval in the necessary section.
12. After ensuring all information is accurate, sign the application, include your title, and note the date of submission.
13. Finally, submit the completed application, fee, and supportive documentation to the Office of Inspector General.

Complete your KY OGI 001 application online today for a smooth licensing process.