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STATE OF CALIFORNIA CIA 8016 (orig. 4/2001; rev. 01/2011)DEPARTMENT OF JUSTICESAMPLE FOR ADMINISTRATOR, ADULT DAY HEALTH CARE, AND DIRECT CARE STAFF OICEDDDICONDNICEDDH FACILITYREQUEST FOR LIVE SCAN
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Orig 4 Rev 01 is a specific form or document used for regulatory or administrative purposes, often related to financial disclosures or compliance reporting.
Entities or individuals who fall under certain regulatory requirements or thresholds are obligated to file orig 4 rev 01.
To fill out orig 4 rev 01, one must provide accurate and complete information as outlined in the form's instructions, ensuring all sections are properly completed.
The purpose of orig 4 rev 01 is to gather essential information for compliance, regulatory oversight, or statistical analysis by the governing authority.
Essential information typically includes identification details, financial data, and any other specific disclosures required by the regulatory body.
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