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Form CDPH512 License Renewal Affidavit for Nursing Home Administrators - California
What Is Form CDPH512?
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 the CDPH512 license renewal affidavit?
A: The CDPH512 license renewal affidavit is a form that must be completed by Nursing Home Administrators in California to renew their license.
Q: Who needs to fill out the CDPH512 license renewal affidavit?
A: Nursing Home Administrators in California need to fill out the CDPH512 license renewal affidavit to renew their license.
Q: What information is required on the CDPH512 license renewal affidavit?
A: The CDPH512 license renewal affidavit requires basic information such as name, license number, contact information, and a statement confirming compliance with continuing education requirements.
Form Details:
- Released on January 1, 2020;
- 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 CDPH512 by clicking the link below or browse more documents and templates provided by the California Department of Public Health.
