License Application:

Change in Name, Location, and/or Number of Beds/Stations

Click on the appropriate facility type at the bottom of this page to access the license application. 

The application may be completed electronically.  After completion, however, the application must be printed, as original signatures are required. We cannot accept an electronic application submission.  If you have more than one facility, a separate check and a separate application must be submitted for each facility.  Credit card payments are not accepted.  Payment should be made payable to TREASURER, STATE OF WYOMING.  Please send the original signed application and fee to the address listed at the top of the application.

Nursing Home Bed Change Process - Click Here
                                                                                  

We request that the original application and fee be submitted

a minimum of 45 days in advance of the proposed effective date.