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Get the free Check here if you are requesting RECIPROCITY FROM ANOTHER STATE (complete sections I...

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MAIL OR FAX APPLICATION TO:State of California Health and Human Services Agency California Department of Public Health (CDP) Licensing and Certification Program (L&C) Aide and Technician Certification
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To fill out a check, follow these steps:
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Check here if you is a form that taxpayers need to fill out and submit to the tax authorities.
Individuals or entities with certain tax obligations are required to file check here if you.
To fill out check here if you, taxpayers need to provide relevant information requested on the form and ensure accuracy.
The purpose of check here if you is to report specific information to the tax authorities for compliance and enforcement purposes.
Taxpayers must report income, deductions, credits, and other relevant financial information on check here if you.
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