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State of CaliforniaHealth and Human Services Agency Department of Health Care Services SANDRA SHERRY Director ARNOLD SCHWARZENEGGER Governor CERTIFICATION OF STATE MATCHING ATTACHMENT 1 FUNDS FOR

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Fill in your personal details accurately, including your name, address, and contact information.

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Provide the relevant details of the state matching program you are applying for certification.

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Who needs certification of state matching?

01

Individuals or businesses participating in state matching programs.

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Organizations or institutions involved in programs that require state matching certification.

03

Individuals or entities seeking financial assistance or funding through state matching programs.

04

Government agencies or departments responsible for administering state matching programs.

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What is certification of state matching?

Certification of state matching is a process where a company verifies that their state tax identification number matches the information on file with the state government.

Who is required to file certification of state matching?

Businesses and individuals who have a state tax identification number are required to file certification of state matching.

How to fill out certification of state matching?

To fill out certification of state matching, one must provide their state tax identification number and verify that it matches the information on file with the state government.

What is the purpose of certification of state matching?

The purpose of certification of state matching is to ensure that the state tax identification number provided by a company or individual is accurate and matches the information on file with the state government.

What information must be reported on certification of state matching?

The information reported on certification of state matching includes the state tax identification number and verification that it matches the state government's records.

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