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Form DHCS5082 A-2 - Administrator / Director Information - California
What Is Form DHCS5082?
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 DHCS5082 A-2?
A: DHCS5082 A-2 is a form used in California for Administrator/Director Information.
Q: Who should fill out DHCS5082 A-2?
A: The Administrator or Director of a facility in California should fill out DHCS5082 A-2.
Q: What information is needed for DHCS5082 A-2 form?
A: DHCS5082 A-2 form requires information such as the Administrator/Director's name, contact information, and qualifications.
Q: Is DHCS5082 A-2 form required for all facilities in California?
A: Yes, DHCS5082 A-2 form is required for all facilities in California with an Administrator or Director.
Q: When should DHCS5082 A-2 form be submitted?
A: DHCS5082 A-2 form should be submitted upon initial appointment or employment of the Administrator/Director, and then every two years thereafter.
Q: Are there any fees associated with DHCS5082 A-2 form?
A: No, there are no fees associated with DHCS5082 A-2 form.
Form Details:
- Released on January 1, 2015;
- 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 DHCS5082 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
