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Payment to Agency Report Public Document1. Agency Repayment TO AGENCY REPORT California Format StampDepartment of Health Care Services801For Official Use OnlyDivision, Department, or Region (if applicable)Administration
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Payment to agency dhcs-fppc-801-4-29-16 is a form required for reporting payments made to the Fair Political Practices Commission (FPPC) by state agencies or departments.
State agencies or departments in California are required to file payment to agency dhcs-fppc-801-4-29-16.
Payment to agency dhcs-fppc-801-4-29-16 can be filled out online on the FPPC website or by submitting a physical form to the FPPC.
The purpose of payment to agency dhcs-fppc-801-4-29-16 is to disclose payments made by state agencies or departments to the FPPC.
Information such as the name of the state agency or department, the amount of payment, and the purpose of the payment must be reported on payment to agency dhcs-fppc-801-4-29-16.
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