NV.gov
If you already have an existing license and you are just making a change to your license, you can use this system to apply for any of the following:
- Change of Administrator
- Change of Name (facility name only)
- Change in Corporate Personnel
and more...
Checklist for Initial (new facility) or CHOW Licensure Applications
For all initial/CHOW licensure applications the following items are required to be uploaded to your application:
- Resume for the Director
- Must list and match the director's name provided in your application.
- Provide a Copy of Current Elder Abuse, Neglect, and Exploitation Training for the Director
- Copy of Nevada State Business license from the secretary of state office with your NV ID number
- Only the Copy of the license will be accepted. No receipts or screenshots from SilverFlume.
- Must list your registered name with the secretary of state listed in your application.
- Must list your NV business ID with the secretary of state listed in your application.
- Bill of Sale (CHOW only)
- Should include information about the buyer and seller, the date of the sale, a description of the transaction, the price, and signatures from both parties.
- Letter of Governing Body stating the effective date of change and specifying what is changing (CHOW only)
- (i.e: change of owner from/to)
- Lease Agreement
- All Licensed facilities must have a physical location in the State of Nevada.
- Must list your facility name, facility physical address, proof that you are allowed to run the facility from that location, and must be fully executed.
- Articles of Organization (for LLCs only)
- Must list your LLC name, the names of the officers, and the Nevada Business ID number.
- Articles of incorporation (for corporations only)
- Must list your corporation's name, the names of the officers, and the Nevada Business ID number.
- Operating Agreement (for LLCs only)
- Must list your LLC name and by fully executed.
- Governing Body Bylaws (for corporations only)
- Must list your corporation's name and be fully executed.
- Partnership Agreement (if applicable only)
- 3-Year Business History
- Provide either the owner(s) resume proving 3 years of owning the same type of facility
- Or if that doesn't apply, provide the resume and 1 letter of reference for each owner.
- Certificate of Liability Insurance (COI)
- Must list facility name and physical address in the "Insured" box
- Must have insurance complete the occurrence and amount information.
- Must have "certificate holder" box list the Division of Purchasing and Compliance 727 Fairview Drive, Suite E, Carson City, NV 89701.
- Copy of (Local - City or County) Business License, Conditional Use Verification Form, Zoning Approval Letter, or Special Use Permit from the local, city or county Jurisdiction.
- Payment receipts do not meet this requirement and will not be accepted.
- The local license must list your Doing Business As (DBA) facility name and physical location of the facility.
- Plan Review Application (for facilities with 11 or more beds)
- Visit Construction and Plan Review for more information on construction plan review applications and food establishment (kitchen) permits.
- Certificate of Compliance (CofC) from the NV State Fire Marshall (SFM).
- State personnel will send a facility inspection request to the SFM once you have uploaded all of the required checklist items to your application. You will be required to upload the CofC to your once received from the SFM.
- Background Check Requirements
- Each owner that owns 10% or more is required to do a background check.
- Health Facilities - Licensing - Use this link to see more information on background checks requirements.
- Floor Plan with dimensions
- Proof that Director is 21 Years Old
- Government-issued Identification: Documents like driver's license or state ID cards can serve as proof of age.
- High School Diploma or Equivalent for Director
- A United States high school diploma or equivalent.
- Must go through NACES if a foreign diploma.