Get the free LIC 9142A (12/03) - Roster Of Participants - For Vendor Use Only - dss cahwnet
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Notice of form change updating the Department of Social Services County Forms Catalog regarding the Roster of Participants for vendor use in Administrator Certification Program courses.
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How to fill out lic 9142a 1203
How to fill out LIC 9142A (12/03) - Roster Of Participants - For Vendor Use Only
01
Obtain a copy of LIC 9142A (12/03) - Roster Of Participants.
02
Begin with the section titled 'Vendor Use Only.'
03
Fill in the name of the vendor or organization at the top of the form.
04
Provide the contact information, including phone number and email address, for the primary contact person.
05
List the names of all participants in the designated columns, ensuring to include full names.
06
Indicate the roles or titles of each participant next to their names.
07
If applicable, provide participant affiliations or organizations.
08
Review all entries for accuracy and completeness.
09
Sign and date the form as required, if applicable.
10
Submit the completed form per the instructions provided.
Who needs LIC 9142A (12/03) - Roster Of Participants - For Vendor Use Only?
01
Participants of a program or event requiring registration.
02
Vendors or organizations involved in managing or facilitating a specific program.
03
Anyone who is required to document participants for compliance or reporting purposes.
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What is LIC 9142A (12/03) - Roster Of Participants - For Vendor Use Only?
LIC 9142A (12/03) is a form used to document and maintain a roster of individuals participating in a vendor's program or event, which is intended solely for vendor reference.
Who is required to file LIC 9142A (12/03) - Roster Of Participants - For Vendor Use Only?
Vendors who are participating in contractual agreements or programs that require the reporting of participant information are required to file LIC 9142A (12/03).
How to fill out LIC 9142A (12/03) - Roster Of Participants - For Vendor Use Only?
To fill out LIC 9142A, vendors should provide accurate information about each participant, including names, roles, and any relevant identification numbers, following the specified format outlined in the form instructions.
What is the purpose of LIC 9142A (12/03) - Roster Of Participants - For Vendor Use Only?
The purpose of LIC 9142A is to ensure that all participants in a vendor's program are accounted for and to facilitate oversight and compliance with contractual requirements.
What information must be reported on LIC 9142A (12/03) - Roster Of Participants - For Vendor Use Only?
The information that must be reported includes the participant's full name, role in the program, and any identifying numbers as required by the form guidelines.
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