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 DHCS5999?
A: Form DHCS5999 is a request form for license and/or certification extension in California.
Q: How can I use form DHCS5999?
A: You can use form DHCS5999 to request an extension for your license and/or certification in California.
Q: Can I request an extension for my license and/or certification using form DHCS5999?
A: Yes, form DHCS5999 is specifically designed for requesting an extension of a license and/or certification in California.
Q: Is form DHCS5999 only applicable in California?
A: Yes, form DHCS5999 is only applicable for requesting license and/or certification extensions in California.
Form Details:
Download a fillable version of Form DHCS5999 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.