Certificate of Need Process Forms

Form Name   Updated Date
CON Rules and Regulations         07/16/2019
CON Fee (Thresholds) 2018 2019 2020 2021 09/24/2020
CON Application Instructions      Word PDF 10/18/2016
CON Application Non-Substantive Review Form for Hospice Word PDF 09/25/2009
CON Application Non-Substantive Hospice Review for Additional Licensed Counties Word PDF 03/18/2010
CON Extension Word PDF 09/11/2013
SHPDA Review Informational Sheet   PDF 06/11/2014
SHPDA Review Order Form (Agency's Monthly Newsletter)   PDF 06/30/2017
SHPDA Review Renewal Form (LAST NOTICE)   PDF 06/30/2017
Equipment Replacement Form Word PDF 09/11/2013
Change of Ownership Form Word PDF    Interactive PDF 10/18/2016
CON Application Advertisement Form (410-1-7-.06) PDF 06/19/2008
Forty-Fifth (45th) day of the Review Period Form (410-1-7-.13) PDF 06/19/2008
Project Modification after Issuance of CON Form (410-1-10-.03 (b)) PDF 06/19/2008
Notice of Proposed Adjustment to Alabama State Health Plan Form PDF 06/19/2008
Home Health Contiguous County Letter ACT 98-339 Sample Letter 06/19/2008
Letter of Non-Reviewability Requirements PDF 10/16/2017
Attorney General Opinion (Hospice) 08-17-09   08/19/2009
Interested Parties Notification Subscription Form PDF 03/08/2019
Change in Designation of Contact of Record for Purposes of Mandatory Reporting PDF 09/23/2016
Change in Electronic Certificate of Need Notification Appointments PDF 08/28/2020
Current CBER Population information for CON Applications   06/17/2019
Document Review & Data Request Form NEW!   07/27/2021

On May 8, 2012, Governor Bentley signed into law Act-294, which contains important amendments to Alabama's Certificate of Need Law.  Public Notice of the changes enacted by this law can be found here.


All Files have been scanned with Norton Anti-Virus Corporate Version 10.1






New Page 1