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.

ADVERTISEMENT

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 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

4.7 of 5 (21 votes)
  • Form 220 Notification Form for Closing or Moving a Behavioral Health Agency Site - Arkansas

    1

  • Form 220 Notification Form for Closing or Moving a Behavioral Health Agency Site - Arkansas, Page 2

    2

  • Form 220 Notification Form for Closing or Moving a Behavioral Health Agency Site - Arkansas, Page 1
  • Form 220 Notification Form for Closing or Moving a Behavioral Health Agency Site - Arkansas, Page 2
Prev 1 2 Next
ADVERTISEMENT