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Personal
Emergency Response System (PERS) Providers
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Click on the links below to print or read the applications/forms.
Registration Application/Renewal Form
License Application/Renewal Form
Insurance Certificate Form
Branch Office License Application/Renewal Form
To access documents in Adobe Acrobat format, you must download the Acrobat Reader software. Please see the DSHS file viewing page for more information and a link to the Adobe website.
Last Updated Febrauary 5, 2007
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