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Form HS400 Affidavit Regarding Patient Money - California
What Is Form HS400?
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 HS400?
A: Form HS400 is an Affidavit Regarding Patient Money.
Q: What is the purpose of form HS400?
A: The purpose of form HS400 is to account for patient money held by someone who is not a member of the California State Bar.
Q: Who needs to fill out form HS400?
A: Form HS400 needs to be filled out by individuals who hold patient money but are not members of the California State Bar.
Q: Is form HS400 specific to California?
A: Yes, form HS400 is specific to California.
Q: Are there any fees associated with form HS400?
A: No, there are no fees associated with form HS400.
Q: What information is required on form HS400?
A: Form HS400 requires information such as the name of the person holding the patient money, the name of the law firm or organization, and the date the money was received.
Q: Are there any penalties for not filing form HS400?
A: Yes, failure to file form HS400 can result in disciplinary action by the California State Bar.
Form Details:
- Released on February 1, 2008;
- 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 HS400 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
