
State of California DEPARTMENT OF COMMUNITY SERVICES AND DEVELOPMENT CSD 321 (Rev. 11/10/08) CLIENT EDUCATION CONFIRMATION OF RECEIPT Name of Occupant Age of Dwelling Address of Dwelling Confirmation.
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How to fill out the Client Education Form - Sbcounty online
Filling out the Client Education Form - Sbcounty online is an essential step for individuals and households to receive important safety and education materials regarding lead hazards, energy consumption, mold prevention, and budgeting. This guide will help you navigate the process clearly and efficiently.
Follow the steps to complete the Client Education Form - Sbcounty online.
- Click the ‘Get Form’ button to access the form, and open it in your editor of choice.
- In the designated field, enter the name of the occupant. This should be the full name of the person receiving the information.
- Provide the age of the dwelling. This refers to how long the residence has existed since its construction.
- Fill in the address of the dwelling. Ensure that the complete address including street name, city, and zip code is correctly entered.
- Acknowledge the receipt of the information provided, including sections on lead-safe education, energy education, mold and moisture education, and budget counseling. You can mark the box for each educational material received.
- The recipient must sign where indicated to confirm receipt of the information. Ensure that the date is also filled in correctly.
- If delivery attempts were made without obtaining a signature, select the appropriate self-certification options, providing reasons such as refusal to sign or unavailability for signature. Include attempted delivery dates and times.
- If mailing options are relevant, certify that you have mailed the information and attach a copy of the Certificate of Mailing for lead-safe education.
- At the end of the process, save any changes to your form. You may also download, print, or share the completed form as needed.
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