Form preview

Get the free Application for a Duplicate Fictitious Name Permit. Application for a Duplicate Fict...

Get Form
BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY Department of Consumer Affairs EDMUND G. BROWN JR., Governor MEDICAL BOARD OF CALIFORNIA Licensing Program FOR OFFICE USE ONLY APPLICATION FOR A DUPLICATE
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign application for a duplicate

Edit
Edit your application for a duplicate form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your application for a duplicate form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit application for a duplicate online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to benefit from the PDF editor's expertise:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit application for a duplicate. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
It's easier to work with documents with pdfFiller than you could have believed. You can sign up for an account to see for yourself.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out application for a duplicate

Illustration

How to fill out application for a duplicate:

01
Download the application form for a duplicate from the official website of the relevant authority or obtain it from their office. (Provide specific instructions on where to find the application form and any relevant documents that might be required, such as identification proof or a police report in case of lost documents.)
02
Fill out the application form accurately and completely. Make sure to provide all the necessary information, such as your full name, contact details, identification number, and the reason for requesting a duplicate. (Include specific sections of the form that require information and any additional instructions for filling them out.)
03
Gather any supporting documents that are required to accompany the application. This may include copies of your identification proof, any relevant police reports, or affidavits if the original document was stolen. (List the specific documents that may be required and provide instructions on how to attach or submit them with the application.)
04
Double-check the application form and the attached documents for any errors or missing information. Ensure that all the details provided are accurate and up-to-date. (Provide a reminder to review the application form carefully before submission and suggest seeking assistance from someone else for verification if needed.)
05
Submit the filled-out application form and the required supporting documents as per the instructions provided by the authority. This may involve mailing the application or visiting their office in person. (Elaborate on the submission process, including any deadlines, fees, or specific submission instructions that need to be followed.)
06
Keep a copy of the submitted application form and any other relevant documents for your records. This will serve as proof of your application in case of any future inquiries or follow-ups. (Highlight the importance of retaining copies for personal reference.)

Who needs an application for a duplicate:

01
Individuals who have lost their original document and need a replacement. This could be a driver's license, passport, birth certificate, or any other important identification or legal document.
02
People whose original documents have been stolen and require a duplicate for legal or administrative purposes.
03
Individuals who have damaged or misplaced their original documents and need a replacement to continue their activities, such as traveling, opening a bank account, or accessing certain services.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.7
Satisfied
44 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Add pdfFiller Google Chrome Extension to your web browser to start editing application for a duplicate and other documents directly from a Google search page. The service allows you to make changes in your documents when viewing them in Chrome. Create fillable documents and edit existing PDFs from any internet-connected device with pdfFiller.
Use the pdfFiller mobile app to create, edit, and share application for a duplicate from your iOS device. Install it from the Apple Store in seconds. You can benefit from a free trial and choose a subscription that suits your needs.
On Android, use the pdfFiller mobile app to finish your application for a duplicate. Adding, editing, deleting text, signing, annotating, and more are all available with the app. All you need is a smartphone and internet.
Application for a duplicate is a form used to request a replacement or duplicate of a certain document or item.
The individual or entity who has lost or damaged the original document or item is required to file application for a duplicate.
The purpose of application for a duplicate is to obtain a replacement or duplicate of a lost or damaged document or item.
The information required on application for a duplicate may vary depending on the document or item being duplicated, but typically includes personal identification details and a description of the original document or item.
Fill out your application for a duplicate online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.