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Lead Training Course Permit Application Minnesota Department of Health State Mn  Form

Lead Training Course Permit Application Minnesota Department of Health State Mn Form

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This video is part of a series of videos designed  to help applicants submit a correct and complete   application for an Assisted Living License. All  applicants will need to be familiar with Minnesota   Statute 144G governing assisted living facilities  and, as part of the application process,   will need to attest to knowledge of this statute. To apply for an assisted living facility (ALF)   or an assisted living facility with dementia care  (ALFDC) license applicants will need to have the   following information available: Application contact information  Business information including Federal tax  ID and Health Facility ID (where applicable)  Contact information for Authorized Agent Contact information for all Managerial Officials  Contact information for  Registered Nurse Supervisor  Contact information for all direct and  indirect owners with more than 5% ownership  Contact information for Managerial and controlling  individuals with more than 5% ownership

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