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Change of Address Form Name Telephone Number Lead ID Number Other Valid ID Number Instructions If your home address and mailing address are the same, please fill out the home address section only
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How to fill out cdph change of address

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How to fill out cdph change of address:

01
Obtain the cdph change of address form from the California Department of Public Health (CDPH) website or local office.
02
Fill in your personal information, including your full name, current address, and contact information.
03
Provide your new address details, including the street, city, state, and zip code.
04
Include any additional information requested on the form, such as your previous address or reason for the change of address.
05
Sign and date the form to certify the accuracy of the information provided.
06
Submit the completed form to the CDPH by mail or in person, following the instructions provided.

Who needs cdph change of address:

01
Individuals who have recently changed their residential address within the state of California.
02
Individuals who want to update their address information with the California Department of Public Health.
03
People who need to ensure that their address is accurate and up-to-date for official government records and correspondence.
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CDPH change of address refers to the process of notifying the California Department of Public Health (CDPH) about a change in residential address.
Any individual who has changed their residential address within California is required to file a cdph change of address.
To fill out the cdph change of address, you need to complete the official Change of Address form provided by CDPH. The form requires you to provide personal information such as your name, previous address, new address, contact information, and the effective date of the address change.
The purpose of cdph change of address is to ensure accurate and up-to-date records of individuals' residential addresses for various purposes such as public health monitoring, communication, and emergency response.
The information that must be reported on cdph change of address includes your name, previous address, new address, contact information, and the effective date of the address change.
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