This version of the form is not currently in use and is provided for reference only. Download this version of Form DHCS5262 for the current year.
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.
Q: What is Form DHCS5262?
A: Form DHCS5262 is the Dcr County Approver Certification and Vendor Appointment Form in California.
Q: What is the purpose of Form DHCS5262?
A: The purpose of Form DHCS5262 is to certify the county approver and vendor appointment in California.
Q: Why do I need to fill out Form DHCS5262?
A: You need to fill out Form DHCS5262 to certify the county approver and vendor appointment in California.
Q: Are there any fees associated with Form DHCS5262?
A: There are no fees associated with Form DHCS5262.
Form Details:
Download a fillable version of Form DHCS5262 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.