Web1 feb. 2008 · Download Fillable Form Hs215a In Pdf - The Latest Version Applicable For 2024. Fill Out The Applicant Individual Information - California Online And Print It Out For … Web1. Name (as filed with Secretary of State) 2. Administrator 4. Place of incorporation 3. Incorporation date. 5. Please attach (1) a copy of Articles of Incorporation and any …
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WebApplicant Individual Information (HS 215 A) Department of Public Health Home US California Agencies Department of Public Health Applicant Individual Information This … Web1 mei 2024 · INCIDENT ACTION PLAN HAZARD ASSSESSMENT (ICS 215A) 1. Incident Name: 2. Incident No. 3. Date/Time Prepared: 4. Operational Period: Date From: Date … Web7 okt. 2024 · (d) All skilled nursing facilities shall report to the department the name and certification status of the facility’s medical director by submitting an HS 215A form or its successor form, a résumé, and proof of certification or progress toward certification for its medical director no later than June 30, 2024. agrolitpa uab