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State of CaliforniaHealth and Human Services AgencyDepartment of Health Care Services TOBY DOUGLAS DIRECTOREDMUND G. BROWN JR. GOVERNORAssisted Living Waiver Change of CCA form I, hereby request to
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How to fill out change of cca form

How to fill out change of cca form
01
Step 1: Obtain a change of cca form from the relevant authority or organization.
02
Step 2: Read through the form carefully to understand the information required and any specific instructions.
03
Step 3: Fill in your personal details such as name, contact information, and identification number.
04
Step 4: Provide details about the current cca that you are involved in, including the name of the organization or institution, the duration of your involvement, and your role or position.
05
Step 5: Indicate the reason for wanting to change your cca and provide any necessary supporting documentation.
06
Step 6: Review the completed form to ensure accuracy and completeness.
07
Step 7: Submit the form to the designated authority or organization either through online submission, mail, or in-person.
08
Step 8: Follow up with the authority or organization to confirm the status of your request and any further actions required.
Who needs change of cca form?
01
Individuals who are currently involved in a cca (co-curricular activity) and wish to switch to a different cca.
02
Students in educational institutions who have a change in interests or priorities and want to explore a new cca.
03
Members of organizations or clubs who want to transfer to a different cca within the same organization.
04
People who have valid reasons for wanting to change their current cca, such as scheduling conflicts or dissatisfaction with the current cca.
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