This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Application for License to Operate an Ownership Interest Worksheet is a legal document that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska.
Q: What is an Assisted Living Home?
A: An Assisted Living Home is a residential setting that provides housing, personal care, and assistance with activities of daily living for elderly or disabled individuals.
Q: Who can apply for a license to operate an Assisted Living Home in Alaska?
A: Any individual or entity who wishes to operate an Assisted Living Home in Alaska can apply for a license.
Q: What is the purpose of the Ownership Interest Worksheet?
A: The purpose of the Ownership Interest Worksheet is to provide information about the individuals or entities who have an ownership interest in the Assisted Living Home.
Q: What information is required in the Ownership Interest Worksheet?
A: The Ownership Interest Worksheet requires information such as the name, address, and percentage of ownership for each individual or entity with an ownership interest.
Q: Is there a fee to apply for a license to operate an Assisted Living Home?
A: Yes, there is a fee to apply for a license. The fee amount varies depending on the number of beds in the Assisted Living Home.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Alaska Department of Health and Social Services.