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SENIOR CENTER FACILITY APPLICATION Cuba City Parks & Recreation Department SENIOR CENTER 777 Ainsley Ave. Cuba City, CA 95991 5308224608 Date Requested for Event: ___, 20___ Name of Event: ___ Event
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01
Visit the California State website or contact the California Department of Aging.
02
Fill out the required personal information such as name, date of birth, address, and contact details.
03
Provide information about any medical conditions or disabilities that may require special assistance or accommodations.
04
Include any preferences or requests for senior housing, healthcare services, or other resources.
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Submit the completed form online, by mail, or in person as instructed.

Who needs california state list senior?

01
Seniors residing in California who require assistance, support, or resources for their daily living needs.
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The California State list senior is a mandatory form that must be filled out by residents of California who are seniors aged 65 and older.
Seniors aged 65 and older who are residents of California are required to file the California State list senior form.
The California State list senior form can be filled out online on the official state website or by requesting a physical form to be mailed to you.
The purpose of the California State list senior is to provide the state with accurate data on the senior population in order to better allocate resources and services.
The California State list senior requires information such as name, address, date of birth, and current living situation of the senior.
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