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Get H1049 Self Employment Form

State of California Health and Human Services Agency California Department of Public Health SELF-EMPLOYMENT FORM INSURANCE ASSISTANCE SECTION This form is to be completed by self-employed applicants.

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  1. Click on the orange Get Form option to begin editing.
  2. Switch on the Wizard mode in the top toolbar to have more recommendations.
  3. Fill out each fillable area.
  4. Ensure the information you fill in H1049 Self Employment Form is up-to-date and correct.
  5. Add the date to the document with the Date feature.
  6. Click the Sign tool and make a digital signature. There are 3 available alternatives; typing, drawing, or capturing one.
  7. Make certain every field has been filled in correctly.
  8. Click Done in the top right corne to export the record. There are several ways for receiving the doc. An attachment in an email or through the mail as a hard copy, as an instant download.

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