Form HS-3423 Application for a License to Operate an Adult Day Services Agency - Tennessee

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What Is Form HS-3423?

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

FAQ

Q: What is Form HS-3423?
A: Form HS-3423 is an application for a license to operate an Adult Day Services Agency in Tennessee.

Q: Who needs to fill out Form HS-3423?
A: Anyone who wants to operate an Adult Day Services Agency in Tennessee needs to fill out this form.

Q: What information is required on Form HS-3423?
A: Form HS-3423 requires information about the applicant, the agency's location, services provided, staff qualifications, and more.

Form Details:

Released on March 1, 2019;
The latest edition provided by the Tennessee 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 HS-3423 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Human Services.