This version of the form is not currently in use and is provided for reference only. Download this version of Form CDPH8442 for the current year.
This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form CDPH8442?
A: Form CDPH8442 is the Provider Verification of Identity form.
Q: What is the purpose of form CDPH8442?
A: The purpose of form CDPH8442 is to verify the identity of a healthcare provider in California.
Q: Who needs to fill out form CDPH8442?
A: Healthcare providers in California who need their identity verified need to fill out form CDPH8442.
Q: Is form CDPH8442 specific to California?
A: Yes, form CDPH8442 is specific to healthcare providers in California.
Form Details:
Download a fillable version of Form CDPH8442 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.