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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CDPH510
for the current year.
Form CDPH510 Declaration and Request for Replacement License - California
What Is Form CDPH510?
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.
FAQ
Q: What is Form CDPH510 Declaration and Request for Replacement License?
A: Form CDPH510 is a document used in California to declare the loss or destruction of a license and request a replacement.
Q: What is the purpose of Form CDPH510 Declaration and Request for Replacement License?
A: The purpose of this form is to notify the California Department of Public Health that your license has been lost or destroyed and to request a replacement.
Q: What information is required on Form CDPH510 Declaration and Request for Replacement License?
A: You will need to provide your personal information, details about the lost or destroyed license, and a declaration stating the circumstances of the loss or destruction.
Q: How long does it take to receive a replacement license after submitting Form CDPH510?
A: The processing time may vary, but it typically takes several weeks to receive a replacement license after submitting Form CDPH510.
Form Details:
- Released on June 1, 2014;
- The latest edition provided by the California Department of Public Health;
- 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 CDPH510 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
