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State of California Health and Human Services Agency Department of Health Services APPLICATION FOR CERTIFIED COPY OF BIRTH RECORD DO NOT Complete This Application Before Reading the Instructions on
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How to fill out California requests only:

01
Start by obtaining the correct form for California requests. You can usually find these forms on the official website of the California state government or at local government offices.
02
Read the instructions carefully before filling out the form. This will ensure that you provide accurate and complete information.
03
Begin by entering your personal details, such as your name, address, and contact information. Make sure to double-check the accuracy of this information.
04
Follow the specific instructions for each section of the form. This may include providing specific details about the nature of the request or any supporting documentation that may be required.
05
If applicable, provide any additional information or attachments that may be necessary to support your request. For example, if you are requesting a change of address, you may need to provide proof of residence in California.
06
Review the completed form and ensure that all information is accurate and legible. Make any necessary corrections before submitting it.
07
Submit the completed form as instructed. This may involve mailing it to a specific address or submitting it electronically through an online portal.
08
Keep a copy of the completed form for your records. It's important to have a record of your request in case there are any follow-up inquiries or issues.

Who needs California requests only?

01
Individuals residing in California who require specific services or assistance may need to submit California requests. This could include requests for government benefits, legal documents, permits, licenses, or other services provided by California state agencies.
02
Businesses operating in California may also need to submit requests that are specific to the state. This could involve requesting permits, certifications, licenses, or compliance documentation related to operating in California.
03
Nonprofit organizations or community groups that operate in California may have specific requests related to funding, grants, or support from California state agencies.
04
Students or educational institutions located in California may need to submit requests for educational resources, scholarships, grants, or other assistance offered by the California state government or educational bodies.
05
Researchers, scholars, or professionals in specific fields may require resources, access to data, information, or other requests that relate to California-specific research or projects.
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For California requests only refers to forms or documents that are specifically needed for requests made within the state of California.
Any individual or business entity that is making a request within the state of California may be required to file for California requests only.
To fill out for California requests only, you may need to provide specific information or follow guidelines that are relevant to the state of California.
The purpose of for California requests only is to ensure that requests made within the state of California comply with state regulations or requirements.
The information that must be reported on for California requests only may vary depending on the specific request or form being filed.
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