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Get the free DPH-11-004 Pre-kindergarten and School Immunization Requirements

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State of CaliforniaHealth and Human Services Agency California Department of Public Health KAREN L. SMITH, MD, MPH Director and State Public Health OfficerEDMUND G. BROWN JR. GovernorNOTICE OF PROPOSED
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To fill out form DPH-11-004 for pre-kindergarten and school, follow these steps:
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Download the DPH-11-004 form from the official website of the Department of Public Health.
03
Read the instructions carefully to understand the purpose and requirements of the form.
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Gather all the necessary information and documents required to complete the form.
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Start filling out the form by providing your personal information, such as name, address, and contact details.
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Follow the specified format and instructions to provide information about the pre-kindergarten or school.
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The DPH-11-004 pre-kindergarten and school form is needed by individuals who are applying for pre-kindergarten or school enrollment.
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Parents or legal guardians of children enrolling in pre-kindergarten or school are usually responsible for filling out this form.
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The DPH-11-004 form is a document used to collect information on pre-kindergarten and school programs.
All pre-kindergarten and school programs are required to file the DPH-11-004 form.
The DPH-11-004 form can be filled out online or submitted in paper form with the required information.
The purpose of the DPH-11-004 form is to gather data on pre-kindergarten and school programs for regulatory and monitoring purposes.
The DPH-11-004 form requires information such as program name, location, staff qualifications, enrollment numbers, and program activities.
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