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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING ADMISSION AGREEMENT GUIDE FOR RESIDENTIAL FACILITIES NOTE: THIS IS A GUIDE ONLY
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How to fill out lic 604 form

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How to Fill Out LIC 604:

01
Start by completing the top section of the form, which includes the applicant's name, address, and contact information. Make sure to provide accurate and up-to-date information.
02
In the "License Application Type" section, indicate the type of license you are applying for by checking the appropriate box. This could include a new license, renewal, replacement, or change in license type. Choose the applicable option based on your situation.
03
Provide the necessary information about your current employment in the "Employment Information" section. This includes the name and address of your employer, the type of facility or organization, and your job title or position. Be sure to fill in this section accurately and completely.
04
Indicate your qualifications and training in the "Qualifications and Training Attained" section. List any relevant licenses, certifications, or qualifications that you hold, along with the date of attainment. This information helps assess your eligibility for the license you are applying for.
05
Include any additional information or comments in the "Additional Information" section, if required. This may include details about any criminal convictions, disciplinary actions, or other relevant information that may affect your application. Be honest and transparent in providing this information.
06
Finally, review the completed form for any errors or missing information. Ensure that all sections are filled out accurately and completely. Sign and date the form to certify that the information provided is correct to the best of your knowledge.

Who Needs LIC 604:

01
Individuals who are seeking a license to practice a specific profession or operate certain types of facilities may need to fill out LIC 604. This includes professions such as nurses, doctors, therapists, and other healthcare professionals.
02
Those who are renewing their existing license or making changes to their current license also need to complete LIC 604. This ensures that the licensing authority has updated and accurate information about the individual.
03
Any individual who is applying for a new license or undergoing a change in license type may be required to fill out LIC 604. This allows the licensing authority to review the qualifications, training, and other necessary information to determine eligibility for the license.
Remember, the specific requirements and regulations may vary depending on the profession and the licensing authority. It is always advisable to refer to the official instructions and guidelines provided by the licensing authority to ensure accurate and complete completion of LIC 604.
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Lic 604 is a form used to report information on income received by a non-resident individual or entity in the Philippines.
Any individual or entity who has received income from the Philippines and is considered a non-resident for tax purposes is required to file lic 604.
Lic 604 can be filled out online through the BIR eFPS system or manually by downloading the form from the BIR website and submitting it to the nearest BIR office.
The purpose of lic 604 is to report income received from the Philippines by non-resident individuals or entities for tax compliance purposes.
Information such as the amount of income received, the source of the income, and any applicable deductions or exemptions must be reported on lic 604.
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