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PROVIDER DISPUTE RESOLUTION REQUEST Please complete the below form. Fields with an asterisk (*) are required. Be specific when completing the DESCRIPTION OF DISPUTE and EXPECTED OUTCOME. Provide additional
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Individuals or entities looking to become a CCA (Covered California Certified Application Assister) provider.
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The 20240307 - cca provider is a form used for reporting certain financial and operational information by certified credit assistance (CCA) providers.
All certified credit assistance providers who meet specific threshold criteria are required to file the 20240307 - cca provider form.
To fill out the 20240307 - cca provider, providers must provide their registration details, financial data, and any other required information relevant to their credit assistance activities.
The purpose of the 20240307 - cca provider is to ensure compliance with regulatory requirements and to gather data for assessing the performance and accountability of CCA providers.
Information that must be reported includes the provider's basic contact information, financial statements, numbers of clients served, and any other metrics required by the regulatory authority.
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