1. Community Residence Facility:
   1. Initial Community Residence Facility Licensure Application Procedures

   2. Application Packet
      • Letter of Intent
      • Application For Community Residence Facility License
      • Annual Report (Utilization of Beds and Services)
      • Resident Roster
      • Recommendation of Applicant to Operate a Community Residence Facility
      • Community Residence Facility Insurance Verification Request
      • Program Statement
      • Health Certificate for Staff
      • Admission/Annual Medical Certification (General and Special Permission Placement)
      • Clean Hands Act

   3. Community Residence Facility List  

2. Child-Placing Agencies

1. Application Packet
   • Letter of Payment of Licensure Fee For Child-Placing Agencies
   • Payment of License Fee For Child-Placing Agencies
   • Letter of CPA Licensure Renewal Application
   • Application For Child-Placing Agency License
   • Recommendation of Applicant to Operate a Child-Placing Agency
   • Recommendation of a Member of the Board of Directors
   • Notice of Final Rulemaking for Fees
   • Clean Hands Act

2. Child-Placing Agency List