Form ISD / CCPEB-143 Change of Ownership Form - California

Form ISD / CCPEB-143 Change of Ownership Form - California

What Is Form ISD/CCPEB-143?

This is a legal form that was released by the California Air Resources Board - 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 ISD/CCPEB-143?
A: Form ISD/CCPEB-143 is the Change of Ownership Form in California.

Q: What is the purpose of Form ISD/CCPEB-143?
A: The purpose of Form ISD/CCPEB-143 is to notify the California Department of Public Health about a change in ownership of a healthcare facility.

Q: Who needs to fill out Form ISD/CCPEB-143?
A: The new owner or the existing owner of a healthcare facility in California needs to fill out Form ISD/CCPEB-143.

Q: What information do I need to provide on Form ISD/CCPEB-143?
A: You need to provide information about the healthcare facility, the new owner, and details about the change in ownership.

Q: Are there any fees associated with Form ISD/CCPEB-143?
A: Yes, there are fees associated with submitting Form ISD/CCPEB-143. The fee amount depends on the type and size of the healthcare facility.

Q: When should I submit Form ISD/CCPEB-143?
A: You should submit Form ISD/CCPEB-143 at least 60 days before the anticipated change in ownership of the healthcare facility.

Q: What happens after I submit Form ISD/CCPEB-143?
A: After you submit Form ISD/CCPEB-143, the California Department of Public Health will review the form and may contact you for additional information.

Q: Is Form ISD/CCPEB-143 mandatory?
A: Yes, submitting Form ISD/CCPEB-143 is mandatory for a change in ownership of a healthcare facility in California.

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Form Details:

  • Released on December 1, 2020;
  • The latest edition provided by the California Air Resources Board;
  • 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 ISD/CCPEB-143 by clicking the link below or browse more documents and templates provided by the California Air Resources Board.

Download Form ISD / CCPEB-143 Change of Ownership Form - California

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