Applications will be processed at Consumer Affairs Division Monday through Friday between the hours of 8:00am - 3:00PM by appointment only NO EXCEPTIONS. The process to obtain an appointment is found here.

The Company Approved Signature Form must be received by Consumer Affairs before we can accept affidavits from the Caregiver Company/License Holder or applicant. The notarized and signed affidavit will be accepted from the applicant along with their completed Caregiver ID Badge Application and required picture ID.

Home Caregiver Application Adobe PDF Document

Home Caregiver Company Affidavit Adobe PDF DocumentThe Affidavit may be provided to Consumer Affairs by the applicant when they apply for the Caregiver ID badge. The Caregiver Company/License Holder is no longer required to submit the affidavit to our office prior to receiving the Caregiver application.

Home Caregiver Brochure Adobe PDF Document

Home Caregiver Company/License Holder forms.

Home Caregiver Company Approved Signature Form Adobe PDF Document

Home Caregiver Company Update Form Adobe PDF Document

Applications will be processed at Consumer Affairs Division Monday through Friday between the hours of 8:00AM - 4:00PM by appointment only NO EXCEPTIONS. You may make an appointment on our website here.

The Company Approved Signature Form must be received by Consumer Affairs before we can accept affidavits from the Caregiver Company/License Holder or applicant. The notarized and signed affidavit will be accepted from the applicant along with their completed Caregiver ID Badge Application and required picture ID.

The Affidavit may be provided to Consumer Affairs by the applicant when they apply for the Caregiver ID badge. The Caregiver Company/License Holder is no longer required to submit the affidavit to our office prior to receiving the Caregiver application.

 

Adobe PDF DocumentHome Caregiver Application​Applicants to complete this form when applying for a Caregiver Badge.

​Home Caregiver Company Endorsement - Multiple Applicants

Adobe PDF DocumentHome Caregiver Affidavit – Multiple Applicants

Agency Affiliated Caregivers Only: This form is to be signed by the agency, to document multiple Caregiver applicants affiliated with an agency.

Home Caregiver Company Endorsement -  Single Applicant

Adobe PDF DocumentHome Caregiver Affidavit – Single Applicant

Agency Affiliated Caregivers Only: This form is to be signed by the agency, to document a singular Caregiver applicant affiliated with an agency.
Adobe PDF Document Home Caregiver Company Approved Signature FormThis form is to be used by the agency to document persons authorized to sign affidavits.
Adobe PDF Document Home Caregiver Company Update Form This form is to be used by the agency to inform the Division of Consumer Affairs of persons no longer affiliated with the agency.
Adobe PDF Document Home Caregiver BrochureThis is a brochure outlining how to become licensed, applicable exemptions, and other information on the licensing program.

   
Application Submission:                                            Fingerprinting Session:
 Licensing Window.jpgFingerprinting.jpg

                                         Photo I.D. Session:
                                          Photo ID.png

Contact Us

50 South Military Trail
Suite 201
West Palm Beach, FL 33415
West Palm Beach Area:
 Phone561-712-6600
Boca/ Delray/ Glades:
Toll Free 888-852-7362
         Fax:  561-712-6610         

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