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California Department Public Health Address Change Form

California Department Public Health Address Change Form

Use a California Department Public Health Address Change Form template to make your document workflow more streamlined.

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Video instructions and help with filling out and completing California Department Public Health Address Change Form

Find a suitable template on the Internet. Read all the field labels carefully. Start filling out the blanks according to the instructions:

Instructions and help about California Department Public Health Address Change Form

hi I'm going to guide you through the HS 215 a applicant individual information form the applicant individual information form is used by each individual to capture their involvement now or in the past with any health or community care facility as part of the application package for licensure the provider must identify all individuals involved in their corporation limit liability company LLC or limited partnership LP etc tip this includes owners stockholders officers board members managers members administrator etc the HS 215 a form is a three-page form broken up into seven sections each section is required to be filled out and the information is used to verify compliance with CDP H health and safety code laws during this demonstration I will provide an overview of the information that's required for each section I will use the term facility when referring to a clinic or agency I will also use the term CA B moon' referring to the centralized applications branch

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California Department of Public Health

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