Form DHCS5999 Request for License and / or Certification Extension - California

Form DHCS5999 Request for License and / or Certification Extension - California

What Is Form DHCS5999?

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 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.

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Form Details:

  • Released on March 1, 2020;
  • 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 DHCS5999 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS5999 Request for License and / or Certification Extension - California

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