Adult Family Home - New Provider Licensure Application, F ...

S TEP 2 – COMPLETE APPLICATION. The following items must be attached to this completed application form. 1. A non-refundable licensing fee of $171 [Wis. Stat. § 50.03 3 (2)] 2. Program statement [Wis. Admin. Code § DHS 8 8.03(2)(b)2] 3. Certificate of Completion for viewing Starting an Adult Family Home webcast [Wis. Admin. ................
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