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STATE OF CALIFORNIA — HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES NOTICE OF FORM CHANGE NO. 05-024 DATE 02-01-2005 TO: FROM: County Welfare Director Supply Clerk /
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What is 05024 date 02012005 to?
The date 05024 date 02012005 refers to the specific date of January 2, 2005.
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Any individual or entity who is requested to do so by the relevant authority.
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The form should be completed with accurate information and submitted to the designated recipient before the deadline.
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