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Alta California Regional Center Death ReportPlease check the appropriate box below:Report submitted by: Service Coordinator Vendor Longer Health Care FacilityReport Submitted by: Title: Phone #: Agency
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What is Alta California Regional Center Death Report Form?

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Alta California Regional Center is a nonprofit organization that provides services and support for individuals with developmental disabilities in California.
Service providers and vendors who work with individuals served by Alta California Regional Center may be required to file.
To fill out Alta California Regional Center forms, you will need to provide information about the services or supports you are providing to individuals served.
The purpose of Alta California Regional Center is to ensure that individuals with developmental disabilities receive the services and support they need to live fulfilling lives.
Information such as the type of services provided, the cost of services, and any outcomes or progress made by individuals served may need to be reported.
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