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CA VS 113-A 2016 free printable template

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INSTRUCTIONS Mail the following items to CIPHER: 1) Completed Application for Certified Copy of Marriage Record (VS 113A). 2) Notarized sworn applicable).statementVital Records maintains a permanent record
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How to fill out CA VS 113-A

01
Obtain the CA VS 113-A form from the California Department of Public Health's website or local office.
02
Read the instructions carefully to understand what information is required.
03
Fill in the top section with the name of the individual or entity submitting the form.
04
Provide accurate contact information including address, phone number, and email.
05
Enter the details of the reportable disease or condition including the specific type and date of diagnosis.
06
Include relevant patient information while ensuring compliance with privacy laws.
07
If applicable, document the treatment provided and the healthcare provider's details.
08
Review the form for any errors or omissions before submission.
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Submit the completed form to the designated health department or agency as instructed.

Who needs CA VS 113-A?

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Healthcare providers and facilities who diagnose or treat reportable diseases.
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Laboratories that conduct testing for diseases that are mandated by state law.
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Public health officials needing to track and manage outbreak responses.
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People Also Ask about

If you were married in the U.S., contact the vital records office in the state where you were married. They will tell you the cost, what information you need to supply, and if you can get a copy online, by mail, or in person.
If you need proof of marriage, you can order a certified copy of your marriage certificate online from our website. Marriage license records may be searched using our online search feature. The fee is $. 50 for a plain copy or $6.50 for a certified copy.
Certified copies are only available at the county clerk in the county where the marriage occurred (see RESOURCES in the right-hand column and click on List of County Clerks). The Division of Vital Records can verify the facts of a marriage that has taken place from 1962 through the current index date available.
In Person Visit one of our office locations. You will be asked to complete an application. To obtain authorized copies, you must present a valid government-issued photo ID.​​ Allow 20 minutes from receipt of completed application and payment to receive your certificate(s).​
If you need proof of marriage, you can order a certified copy of your marriage certificate online from our website. Marriage license records may be searched using our online search feature. The fee is $.50 for a plain copy or $6.50 for a certified copy.
If you need certified copies of your certificate, complete the request form and provide payment (check, cashier's check, or money order) and mail in request. If you need certified copies immediately, please call the Recording Office at 564-397-2208 to make arrangements.

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CA VS 113-A is a form used in California for reporting specific vehicle transactions, including the transfer of ownership for certain types of vehicles.
Individuals or businesses that are involved in the transfer of ownership of vehicles that require a title transfer in California must file CA VS 113-A.
To fill out CA VS 113-A, you need to provide details such as the vehicle identification number (VIN), the names and addresses of the buyer and seller, and the date of the transaction, along with any other required information.
The purpose of CA VS 113-A is to document the transfer of ownership of a vehicle and ensure that all relevant parties are informed about the transaction for legal and regulatory purposes.
Information that must be reported on CA VS 113-A includes the vehicle's make, model, year, VIN, odometer reading, the names and addresses of both the buyer and seller, and the date of the transaction.
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