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STATE USE ONLYCALIFORNIA EMERGENCY MEDICAL SERVICES AUTHORITY PARAMEDIC LICENSURE PROGRAM 10901 Gold Center Drive, Ste. 400, Rancho Cordova, CA 956706073 TELEPHONE (916) 3239875 / FAX (916) 3242875STATE

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To fill out the State of California Initial form, follow these steps: 1. Start by providing your personal information such as your name, address, and contact information. 2. Specify the type of initial you are filing, whether it's for a corporation, limited liability company, or other entity. 3. Include the name of the entity and its unique identification number. 4. Provide details about the entity's principal place of business, including the address and contact information. 5. Fill out the additional sections as required, such as information about the registered agent, director(s), and stockholders. 6. Review the form for accuracy and completeness before submitting it. 7. Attach any necessary supporting documents as specified by the California Secretary of State. 8. Sign and date the form. 9. Submit the completed form along with any required fees to the California Secretary of State.

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