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Will this person replace an Exemptee licensed by the California Department of Public Health No Attach copy Name of Exemptee being replaced Exemptee Number 11. 00 New Never licensed as Exemptee with FDB Exemptee License Fee 195. 00 Annual Renewal LICENSE FEES ARE NON-REFUNDABLE AND NON-TRANSFERABLE TO OTHER LOCATIONS OR ENTITIES MAKE CHECKS PAYABLE TO MAIL APPLICATION AND CHECK TO Regular Mail California Department of Public Health MS 7602 P. O. Box 997435 Sacramento CA 95899-7435 Overnight...
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Gather all necessary information such as your full name, phone number, and email address.
02
Start by writing your complete street address, including the house or building number, street name, and apartment number if applicable.
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Next, specify the city or town where you reside.
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Provide the name of the state or province you live in.
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Include the ZIP or postal code associated with your location.
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If you reside in a different country, mention the country name as well.
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Submit the filled-out residence address form to the appropriate recipient.

Who needs residence address?

01
Individuals applying for a job usually need to provide a residence address to employers.
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Applicants for various official documents like driver's licenses, passports, or ID cards are required to supply their residence addresses.
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Anyone relocating to a new home or apartment needs to update their residence address with relevant authorities, utility companies, and service providers.
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People involved in legal matters or court proceedings may need to share their residence address for official communication purposes.
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In certain cases, banking institutions, credit card issuers, or other financial institutions may require customers to provide their residence addresses.
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Residence address is the physical address where a person resides or lives.
Everyone who has a permanent place of residence is required to file their residence address.
You can fill out your residence address by providing your full physical address including house number, street name, city, state, and zip code.
The purpose of residence address is to establish where an individual lives for various legal, tax, and administrative purposes.
The information reported on residence address typically includes the full physical address where the individual resides.
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