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State of California Health and Human Services Agency Department of Managed Health Care ELECTRONIC FILING SIGNATURE VERIFICATION DMC 100066 Rev: 01/14 ELECTRONIC FILING SIGNATURE VERIFICATION Original
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How to fill out electronic filing signature verification:

01
Begin by accessing the electronic filing system and navigating to the appropriate section for signature verification.
02
Provide the necessary personal information such as your name, address, and contact details.
03
Verify the document or form that requires the signature. Ensure it is the correct document and that all information is accurate.
04
Review the signature requirements, such as whether it needs to be a physical signature or an electronic signature.
05
If it is a physical signature, print out the document and sign it using a pen or other writing instrument.
06
If it is an electronic signature, follow the instructions provided by the electronic filing system. This may involve clicking a designated box, using a digital signature software, or uploading a scanned signature image.
07
Double-check all the information entered and the signature to ensure accuracy and completeness.
08
Submit the form or document, following any additional instructions provided by the electronic filing system.

Who needs electronic filing signature verification?

01
Individuals or companies who are required to submit documents or forms electronically.
02
Anyone using an electronic filing system that mandates signature verification.
03
Government agencies or organizations that process electronic filings and require signature verification to validate the authenticity of the documents.
Overall, electronic filing signature verification is necessary for those using electronic filing systems to ensure the integrity and authenticity of submitted documents.
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Electronic filing signature verification is the process of confirming the authenticity of digital signatures on electronic documents.
Individuals or entities who submit electronic documents that require a signature are required to file electronic filing signature verification.
To fill out electronic filing signature verification, one must provide information verifying the identity of the signer and confirming the validity of the digital signature.
The purpose of electronic filing signature verification is to ensure the integrity and authenticity of electronically signed documents.
The information reported on electronic filing signature verification typically includes the name of the signer, date of signing, and a statement confirming the authenticity of the signature.
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Relevant keywords

California HCSP DMHC eFile 9th 933DBA hardcopy hereinafter certifies undersigned SIGNATORY ATTN Licensing applicable thereto certification pursuant electronically modification VERIFICATION therein thereof attachment Sacramento typed

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