235709
This form is used for establishing the administrative organization of public agencies, partnerships, sole proprietorships, and other associations in California.
This form is used for creating a weekly schedule of activities in California. It helps individuals or organizations to plan and track their activities throughout the week.
This form is used for preserving personal rights in substance use disorder treatment facilities in California. It ensures that individuals receiving treatment have their rights respected and protected.
This form is used for designating administrative responsibility in the state of California.
This form is used for disclosing information to the California Department of Health Care Services (DHCS).
This document is a supplemental application form used in California to request additional services from the Department of Health Care Services.
This form is used for applying to become an initial treatment provider in California.
This Form is used for notifying individuals about the eligibility rules for Medi-Cal in California.
This Form is used for cancelling or making changes to a Medi-Cal authorized representative appointment in California.
This Form is used for organizations in California to establish a standard agreement with an authorized representative.
This form is used for individuals to appoint a representative to act on their behalf in California.
This Form is used for reporting and paying certain excise taxes as mandated by Chapter 43 of the Internal Revenue Code. It provides instructions on how to accurately file the IRS Form 8928 and fulfill your tax obligations.
This Form is used for reporting and paying the generation-skipping transfer tax when there is a termination of a trust.
This form is used for reporting and paying certain excise taxes under Chapter 43 of the Internal Revenue Code.
This document is a checklist for applying to the Tax Counseling for the Elderly (TCE) program. It includes a contact sheet for additional information.
This Form is used for adding, changing, or deleting health and nutrition services entity data in the state of Arizona.
This document provides instructions for feeding infants in the state of Arizona. It covers topics such as breastfeeding, formula feeding, and introduction of solid foods.
This document is used for emergency preparedness and contains important information and immunization records for residents of Arizona.
This type of document is an agreement specific to computer software in the state of Arizona. It outlines the terms and conditions for the use of software and protects the rights of both parties involved.
This document is used for submitting a claim to the Center Sponsor in Arizona for reimbursement or compensation.
This document is used for filing a claim for a center site in Arizona. It helps in organizing and documenting the necessary information for the claim process.