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Get the free MC 374 Application for Coverage of Coronavirus ... - DHCS

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COVID-19 Required Registration Information SSN: Name: DOB: Gender: Race: Ethnicity: Street Address: State:City:Telephone #:Zip Code: Email:Health Insurance Subscriber: SelfSpouseDependent Child(age
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The mc 374 application is for requesting a permit for a special event or activity.
Any individual or organization planning a special event or activity that requires a permit.
The mc 374 application can be filled out online or submitted in person at the appropriate government office.
The purpose of the mc 374 application is to ensure that special events or activities are conducted safely and in compliance with local regulations.
The mc 374 application typically requires information about the event or activity, its location, date and time, expected attendance, safety measures, and any required permits or licenses.
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