Form 220 Notification Form for Closing or Moving a Behavioral Health Agency Site - Arkansas

Form 220 Notification Form for Closing or Moving a Behavioral Health Agency Site - Arkansas

What Is Form 220?

This is a legal form that was released by the Arkansas Department of Human Services - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 220?A: Form 220 is the Notification Form for Closing or Moving a Behavioral Health Agency Site in Arkansas.

Q: Who needs to fill out Form 220?A: Behavioral Health Agencies that are closing or moving a site in Arkansas need to fill out Form 220.

Q: What is the purpose of Form 220?A: The purpose of Form 220 is to notify the Arkansas Department of Human Services about the closing or relocation of a Behavioral Health Agency site.

Q: What information is required on Form 220?A: Form 220 requires information such as the agency's name, site location, reason for closure or relocation, and intended date of closure or relocation.

Q: Are there any fees associated with Form 220?A: No, there are no fees associated with submitting Form 220.

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Form Details:

  • The latest edition provided by the Arkansas Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 220 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Arkansas Department of Human Services.

Download Form 220 Notification Form for Closing or Moving a Behavioral Health Agency Site - Arkansas

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