Form DHCS1736 County-Owned and Operated Certification Application - California

Form DHCS1736 County-Owned and Operated Certification Application - California

What Is Form DHCS1736?

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 the DHCS1736 County-Owned and Operated Certification Application?
A: The DHCS1736 County-Owned and Operated Certification Application is a form used in California to apply for certification as a county-owned and operated facility.

Q: Who needs to fill out the DHCS1736 County-Owned and Operated Certification Application?
A: County-owned and operated facilities in California need to fill out the DHCS1736 County-Owned and Operated Certification Application.

Q: What is the purpose of the DHCS1736 County-Owned and Operated Certification?
A: The purpose of the DHCS1736 County-Owned and Operated Certification is to certify that a facility is owned and operated by a California county.

Q: Are there any fees associated with the DHCS1736 County-Owned and Operated Certification Application?
A: There may be fees associated with the DHCS1736 County-Owned and Operated Certification Application. Please refer to the application form or contact the California Department of Health Care Services for more information.

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Form Details:

  • Released on September 1, 2014;
  • 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 DHCS1736 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form DHCS1736 County-Owned and Operated Certification Application - California

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