Get Form Mh 4453. Tennessee Department Of Labor And Workforce Development

Filling out the Form Mh 4453 is an essential step for users applying for licensure with the Tennessee Department of Labor and Workforce Development. This guide provides a detailed, step-by-step approach to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the Form Mh 4453 online.

1. Select the ‘Get Form’ button to access the form and open it for completion.
2. Provide your name and mailing address clearly in the designated fields. Ensure that the information is accurate to avoid any processing delays.
3. Indicate the application date in the specified area to document when you are submitting the form.
4. Select the type of license by checking either ‘Initial’ or ‘Renewal’, depending on your application needs.
5. Fill in the name and street address of the service and/or facility for which the fee is being submitted. Use additional pages if necessary.
6. Enter your email address and complete the street or rural route information along with your city, state, zip code, and county.
7. Compute the total fee based on the number of sites operating distinct categories of services and/or facilities. Follow the provided pricing guidelines to determine the fees accurately.
8. If applicable, calculate the fees for residential facility capacities, following the specified amounts for different bed capacities.
9. For mental health hospitals, indicate the total number of beds at all sites and calculate the associated fees.
10. Sum all computed fees to determine the grand total. This is crucial for the processing of your application.
11. Review all entries for accuracy before saving. You can then download, print, or share the completed form as needed.

Start filling out your Form Mh 4453 online today to ensure a smooth application process.