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, or a legal entity other than a partnership or corporation, complete Items 8 and 9. Attach supplementary sheets where space is inadequate. CORPORATION 1. STOCK OF APPLICANT CORPORATION No. of Shares Authorized No. of Shares Issued No. of Shares Subscribed Total Number of : (a) Stockholders 2. Is applicant corporation directly or indirectly controlled by another corporation or other legal entity? If answer is “Yes” give name and address of other corporation or other legal entity and desc.

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How to fill out the AL ADPH RH 313R online

The AL ADPH RH 313R form is essential for individuals and entities applying for regulatory approval. This guide will provide you with clear instructions on how to successfully complete the form online, ensuring that you submit accurate and complete information.

Follow the steps to complete the AL ADPH RH 313R form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Review the legal structure of the applicant. Determine whether the applicant is a corporation, partnership, or other legal entity. Complete the relevant sections accordingly—items 1 to 4 for corporations, items 5 to 7 for partnerships, or items 8 and 9 for other entities.
  3. For corporations, in item 1, provide the number of authorized, issued, and subscribed shares, as well as the total number of stockholders. Ensure accuracy in these figures as they are crucial for the review process.
  4. In item 2, indicate whether the corporation is controlled by another entity. If yes, provide the name and address of that entity, along with a description of how control exists and to what extent.
  5. In item 3, identify individuals or entities owning 10 percent or more of the corporation's stock, including names and addresses. Also, provide the names and addresses of all the corporation's officers and directors.
  6. In item 4, indicate the jurisdiction under which the corporation is incorporated. This is important for legal accountability.
  7. For partnerships, begin with item 5, providing the names and addresses of all individuals or entities with a partnership interest. Ensure all stakeholders are accurately represented.
  8. In item 6, specify the ownership percentage for each partner listed. This transparency aids in understanding the structure of the partnership.
  9. In item 7, identify the jurisdiction under which the partnership is organized.
  10. If applicable, for other legal entities complete item 8 by describing the nature of the applicant and the state or territory of organization.
  11. In item 9, detail the total number of members or owners, along with their names, addresses, and ownership interests.
  12. Once all fields are completed and checked for accuracy, you can save your changes. After validating your information, proceed to download, print, or share the completed form as needed.

Start filling out your AL ADPH RH 313R form online today!

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When you see signs of possible abuse or neglect, you should submit a report to the Alabama Public Health Department by contacting the ElderCare Hotline at 1-800-356-9596. If the matter is urgent and you believe a family member's life is in danger, call 911 immediately.

Write a letter of complaint addressed to: ATTN: Complaint Unit, Alabama Department of Public Health, Bureau of Health Provider Standards, 201 Monroe Street, Suite 700, Montgomery, AL 36130-3017.

The State Committee of Public Health meets monthly between the annual meetings and is authorized to act on behalf of the State Board of Health. The State Health Officer is empowered to act on behalf of the State Committee of Public Health when the committee is not in session.

General Information: 1-800-252-1818, 8 a.m. - 5 p.m.

Foodborne Illness Complaints Did you or someone you know get sick after eating at a restaurant? If so, complete the Foodborne Illness Complaint Form to provide ADPH with additional information. ADPH uses information from foodborne illness complaints to better identify and investigate illness and food establishments.

To print an application and find more information on requesting certified copies, restrictions, identification requirements and current fees, please visit the Alabama Department of Public Health, Vital Records website , or call (334) 206-5418.

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