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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES NOTICE OF FORM CHANGE NO. 03-200 DATE March 12, 2004, TO: FROM: County Welfare Director Supply Clerk /
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Begin by entering the date, which is March 12 in this case, in the specified format (MM-DD). Make sure to use a hyphen to separate the month and day.
02
Fill in the relevant information in the designated sections of the form. This may include personal details, such as name, address, and contact information.
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Remember to sign and date the form, if required. Some forms may require a signature and a date to validate the information provided.
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Individuals who are required to complete specific forms, such as government agencies or institutions, may need to fill out the 03-200 form.
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