Licensure/Registration Index Page

Housing with Services Establishments/Assisted Living Designation/Uniform Consumer Information Guide

This page contains information and forms required to register as a "Housing with Services Establishment (HWS)" in the State of Minnesota. These forms are intended for use as reference. They can be downloaded and completed by individuals and organizations seeking to acquire an initial registration. Required forms for initial registration that must be submitted are: HWS Registration and Assisted Living Designation Form, Uniform Consumer Information Guide, and Addendum to HWS Registration Form.

Notification of Updates and Changes
To receive notification of changes to this site please subscribe to the Compliance Monitoring Division Information Bulletin Index.

Please do not use these forms to renew a current registration. Currently registered establishments will receive separate notification and instructions for renewal from the Department of Health. If you are unsure this is the correct registration for your business or have questions, please contact the Licensing and Certification Program by telephone or email for additional clarification.


HWS Registration and Assisted Living Designation Form - 11/2010 (PDF:53KB/12 pages)

Uniform Consumer Information Guide (UCIG) - 1/2014

Addendum to HWS Registration Form - 11/2010 (PDF:18KB/1 page)
This does not apply to a HWS establishment serving long term homeless.

Related Housing with Services/Assisted Living/UCIG Statutes
Minnesota Statutes: | 144D | 144G | 325F.72 |

Information Bulletins
See the Information Bulletin web site for bulletins coded "HWS" and "All Providers". Scroll down to "Information Bulletins by Year" and then click on the list for each year to find the appropriate bulletins. To receive notification of new Information Bulletins posted, "Subscribe" to the Information Bulletin Index and you will receive notification by email when there is a new Information bulletin posted.

Contact Information
If you are unsure this is the correct registration for your business or have questions, please contact the Licensing and Certification Program by telephone or email for additional clarification.

Telephone: 651-201-4101
Email: health.fpc-licensing@state.mn.us

Friday, 02-May-2014 10:07:54 CDT