Application for a License
Effective Sep 29, 2023Mass. Register #1505MGL c. 111, § 3 St. 2011, c. 87 as amended by St. 2012, c. 239, § 21Department of Public Health
- (A) Applications for licensure shall be made on forms prescribed by, and available from, the Department. The term Application as used in 105 CMR 158.000 shall include original and renewal applications. Every original application shall be signed under the pain and penalty of perjury either by each applicant as defined in 105 CMR 158.004, or by an applicant(s) who certifies that all other applicants have received copies of the application.
(B) In support of an application for an original or renewal license, each applicant shall submit:
- (1) Any information concerning ownership or control, as the Department may require; and
- (2) Any information required by the Department as part of the application package.
- (C) Applications for renewal licenses must be filed on or before the expiration date of the previous license.