11. Documentation of accreditation as required by Departmental policy. ADDITIONAL DOCUMENTATION Copy of Commercial General Liability or Comprehensive Liability Insurance Certificate; Organizational Chart of the agency; 3. A signed and notarized U.S. Citizen/Qualified Alien Affidavit, with required documentation to be completed by the CEO of the CSU. SUBMISSION REQUIREMENTS The completed DBHDD application, with all required documentation must be submitted simultaneously. The Department will not accept incomplete application packets. Application and supporting documentation must include a single hard copy of all elements, submitted in a 3-ring binder, appropriately labeled and tabbed for easy review. Documents must be submitted in the same order as listed on the checklist. Completed packets must be returned via U.S. Postal Service or other recognized mail carriers, such as UPS, Fed-Ex, DHL, etc. Please mail completed application with supporting documentation to: Department of Behavioral Health and Developmental Disabilities Behavioral Health Licensing Unit 2 Peachtree Street Suite 23.277 Atlanta, Georgia 30303-3142 HAND DELIVERIES WILL NOT BE ACCEPTED
11. Documentation of accreditation as required by Departmental policy. ADDITIONAL DOCUMENTATION Copy of Commercial General Liability or Comprehensive Liability Insurance Certificate; Organizational Chart of the agency; 3. A signed and notarized U.S. Citizen/Qualified Alien Affidavit, with required documentation to be completed by the CEO of the CSU. SUBMISSION REQUIREMENTS The completed DBHDD application, with all required documentation must be submitted simultaneously. The Department will not accept incomplete application packets. Application and supporting documentation must include a single hard copy of all elements, submitted in a 3-ring binder, appropriately labeled and tabbed for easy review. Documents must be submitted in the same order as listed on the checklist. Completed packets must be returned via U.S. Postal Service or other recognized mail carriers, such as UPS, Fed-Ex, DHL, etc. Please mail completed application with supporting documentation to: Department of Behavioral Health and Developmental Disabilities Behavioral Health Licensing Unit 2 Peachtree Street Suite 23.277 Atlanta, Georgia 30303-3142 HAND DELIVERIES WILL NOT BE ACCEPTED
CSU%20Application%20New%20Initial%20Revised%201-24-14.docx