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Business Location » CA » Los Angeles » Chatsworth » Health License » Surety Bond Verification [Form HS402] »

Health License:

Surety Bond Verification [Form HS402]

The following must be submitted along with the application: ( Additional Form ) By Mail
The following special signature/seal are required: ( Seal )

The cost of the form & instructions is $19.99

Submit Online ($49.99) Not available on this form The application needs a seal.
	Online submission is fast & easy Upload any attachments Sign your forms online Click a button to submit

Print and Mail
	Print your forms Sign them Mail to provided authority

Used For:

Additional Documents:

Family Child Care Home Licensing Regulation Highlights

Records To Be Maintained At The Facilityâ€” Residential Care Facility For The Elderly

Tips on How to Submit a Complete Medi-Cal Provider Application

Medi-Cal Provider Enrollment , Frequently Asked Questions

Additional Docs (Add $19.99)

May include important information to help you fill out the form. See list of available documents to your right.

TOTAL:

$19.99

How is this Calculated?

The pricing schedule is as follows:
Form and instructions	$19.99
Associated documents, such as schedules, ordinances, statutes, etc	$19.99
Electroning Filing	$49.99

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