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STATE OF CALIFORNIA-DEPARTMENT OF FINANCE PAYEE DATA RECORD Required when receiving payment from the State of California in lieu of IRS W-9 STD 204 (Rev. 12-2013) 1 INSTRUCTIONS: Complete all information
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What is state of californiadepartment of?
The California Department of Public Health (CDPH) is responsible for protecting and promoting the health of Californians.
Who is required to file state of californiadepartment of?
Healthcare facilities, laboratories, and other entities regulated by CDPH are required to file state of californiadepartment of.
How to fill out state of californiadepartment of?
The state of californiadepartment of can be filled out online through the CDPH website or submitted by mail.
What is the purpose of state of californiadepartment of?
The purpose of the state of californiadepartment of is to monitor and track public health data, enforce regulations, and ensure the safety of the population.
What information must be reported on state of californiadepartment of?
Information such as patient demographics, medical conditions, lab results, and disease outbreaks must be reported on the state of californiadepartment of.
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