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COUNTYOFLOSANGELES COVID19EmergencyRentalAssistanceHouseholdIncomeSelfCertificationForm INSTRUCTIONS: ThisisawrittenstatementdocumentingtheAnnualIncome, thenumberofbeneficiarymembersin thefamilyorhousehold,
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Obtain a copy of the form from the official LA County Public Health website or visit their office in person.
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LA County Public Health is the department in Los Angeles County responsible for protecting and promoting the health and well-being of the residents.
Certain businesses and organizations in Los Angeles County are required to file with LA County Public Health, depending on the type of activity they conduct.
You can fill out the necessary forms and submit the required information online through the LA County Public Health website.
The purpose of LA County Public Health is to prevent, protect against, and respond to public health issues and emergencies in Los Angeles County.
Information such as business activity, location, number of employees, and compliance with health regulations may need to be reported on LA County Public Health forms.
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