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.
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.
Form Details:
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.