.03 Application for a License.

A. The applicant shall file an application for a license to operate a home health agency on forms provided by the Department.

B. The application for licensure shall contain the name and address of each officer and director of the home health agency. Those corporations having more than 100 owners shall name those having an interest of 2 percent or more. Persons related by marriage or blood to the third degree of consanguinity shall each be named if the sum of their separate holdings exceeds 2 percent.