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California Department of Human Resources Oral Bilingual Proficiency Examination Request Form Bilingual Services Program BSP CalHR-810-BE Rev. 05/2014 EXAM REQUEST 1 LAST NAME FIRST NAME CONFIRM EXAM DATE TIME TO EMPLOYEE BY E-Mail Address or Fax Number MAILING ADDRESS for Exam Results Address City State Zip Code SUPERVISOR S CONTACT INFORMATION NAME LANGUAGE EXAM TITLE and SIGNATURE Department CONTACT NUMBER Ext. ALTERNATE NUMBER WORK PHONE NUMBER Ext. REASONABLE ACCOMMODATIONS Please Specify...
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The California Department of Human Services provides social services and assistance programs to support individuals and families in need.
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