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Form DHCS5259 County Approver Certification & Vendor Appointment Form - California
What Is Form DHCS5259?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHCS5259 form?
A: The DHCS5259 form is the County Approver Certification & Vendor Appointment form in California.
Q: What is the purpose of the DHCS5259 form?
A: The purpose of the DHCS5259 form is to certify a county approver and appoint a vendor in California.
Q: Who needs to fill out the DHCS5259 form?
A: The DHCS5259 form needs to be filled out by a county approver and the vendor who is being appointed.
Q: Are there any fees associated with the DHCS5259 form?
A: No, there are no fees associated with the DHCS5259 form.
Form Details:
- Released on June 1, 2016;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DHCS5259 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
