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Health Care Facility (HCF) - Apply online

APPLY NOW Initial Application Renewal Application Amendment Application
HCF#   X X
Federal Tax I.D. # X X X
Application Fee $300 $300 $150 (when applicable)
Confirmation Printout to be mailed to ODH X X X
Fire Inspection Report (within last 12 months)  X X (address change or building renovation only) 
Use and Occupancy Permit X X (address change or building renovation only) 
Notarized Affidavit (required when someone other than an owner signs application)  X X X
Renewal Notice Mailed to you   X