CON Applications and Forms

The following links provide access to forms that can be downloaded and completed using Microsoft Word 97 or a later version. To save a form to your computer, right-click the form link (Control-click on Macintosh) and choose "Save Target As..." and save to your computer.  The specific command may differ based on your browser and operating system).  You can then open the saved form, fill-in the requested information, print, and submit the form.  Specific requirements regarding submitting the forms can be found on each form.  These requirements must be followed exactly.

COVID-19 Related Forms

Office of Health Planning Applications and Requests Forms - Posted 3/30/20

COVID-19 Code Section 31-6-40 Suspension Request Form - Posted 3/27/20

Certificate of Need Project Forms

Download this doc file.Georgia CON Batching Application Letter of Intent Form  - Updated 5/7/2020

Download this doc file.Georgia CON Application Form  - Updated 5/7/2020

Download this doc file.Additional Information Form  - Updated 5/7/2020

Download this doc file.Amendment Request Form  - Updated 5/7/2020

Download this doc file.Notice of Opposition Form  - Updated 5/7/2020 (Applies to post July 1, 2008 CON Applications)

Download this doc file.CON Performance Extension Request  - Updated 7/2/2020

 CON Project Progress Report Forms

  Download this doc file.General Cancer Hospital CON Application Form - 7/30/2019

Letter of Determination and LNR Request Forms

Download this doc file.CON Request for Determination Form  - Updated 5/7/2020
     (Now includes Exhibit 5 for Therapeutic Cardiac Catheterization   Exemption Requests)

Download this doc file.Equipment Letter of Non-Reviewability Form  - Updated 5/7/2020