Application for Basic Care

Applications and Fees

Credit card payment must be remitted at time of application submission.

License Fee Schedule

License Fee	$ 10.00/per bed

Application Form Signature

There will only be 1 required signature on the application.

Floor Plan

Please have a floor plan ready to be uploaded into the application as this is required.

Application Approval Process

Once you have submitted the application, it will be sent for approval. Once the application has been reviewed and approved, the contact for the facility will receive an email letting them know it has been approved. The facility may then go to the website and print a license.