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

COVID-19 Certificate of Need Suspension Request Form - Posted 07/28/21

COVID-19 Certificate of Need Suspension Request Final Report Form - Updated 07/28/21

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

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 pdf file. CON Request for Determination Form  - Updated 8/9/2021
     (Now includes Exhibit 5 for Therapeutic Cardiac Catheterization Exemption Requests)

Download this pdf file. Equipment Determination Form (formerly, Equipment Letter of Non-Reviewability)  – Updated 10/07/2021