This form must be completed to request any of the following types of inspections:
- Inspection of a home for foster care or adoption
- Annual inspection of a licensed or registered daycare facility
- Annual inspection of a Group/MHMR home
- Annual inspection of a healthcare clinic, lab, therapy office, spa, adult/trade school, K thru 12 school or similar type facility
- Annual inspection of a hospital, nursing home, or similar type facility