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Adult Day Service

Change Notification

Notifications: An applicant or licensee must notify the Department in writing, by mail, electronic mail, or facsimile as required at:  175 NAC 5-004.07 & 175 NAC 5-006.01
Additional General Requirements:
Change of premises or ownership – The sale, whether of stock, title, or assets, lease, or discontinuance of operations terminates the license. The licensee must notify the Department in writing ten days before an adult day service is sold, leased, discontinued, or moved. A license is issued only for the premises and persons named in the application and is not transferable or assignable.

Forms – The following form must be printed, completed, signed, and mailed to our office. A separate form must be completed for each change and/or correction being requested.

Documents in PDF PDF format require the use of Adobe Acrobat Reader
which can be downloaded for free from Adobe Systems, Inc.
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