Get Project Cancellation/withdrawl Notice. Project Cancellation/withdrawl - Oshpd Ca

This comprehensive guide will assist you in filling out the Project Cancellation/Withdrawal Notice form required by the Office of Statewide Health Planning and Development. Whether you are canceling or withdrawing a project, this guide offers clear instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Project Cancellation/Withdrawal Notice.

1. Begin by pressing the ‘Get Form’ button to access the Project Cancellation/Withdrawal Notice form. This will open the form in your online editor, allowing you to fill it out digitally.
2. In the 'Facility' section, input the OSHPD project number, facility identification number, facility name as specified on the facility license, and the OSHPD building number and name where work is intended. Also, indicate the type of facility by selecting the relevant checkbox.
3. Proceed to the 'Record Detail' section. Here, enter the record or project name and provide a detailed description of the work to be performed on this project.
4. In the 'Application Specific Information' section, carefully read the statements regarding cancellation and initial both lines to confirm your understanding. Select the status of your project - whether it is prior to the start of plan review, after the start of plan review but prior to construction, or if construction has already begun.
5. If applicable, check the box indicating this Notice serves as a written request for a refund, per CAC Section 7-134(a)1.
6. Identify the applicant type by indicating whether the form is being submitted by the Administrator, Authorized Agent (make sure to attach authorization), or the Legal Owner. Make sure to clearly print their name, add their signature, and include the date of submission.
7. Once all sections are complete and reviewed for accuracy, you can choose to save your changes, download the form, print it, or share it as needed.

Complete your Project Cancellation/Withdrawal Notice online today to ensure proper documentation and compliance.