Get Ca Cdph 9042 2018-2025

The CA CDPH 9042 form is essential for individuals applying for or renewing their medical marijuana identification card in California. This guide will help you navigate through the steps needed to complete this form online accurately.

Follow the steps to fill out the CA CDPH 9042 online effectively.

1. Press the ‘Get Form’ button to access the form and open it in your chosen online editor.
2. In Section 1, provide your name, date of birth, mailing address, telephone number, county of residence, and any additional contact information. If the applicant is under 18, ensure to answer the question regarding age status and provide necessary details.
3. If the applicant is a minor, complete Section 2 by entering the parent or guardian's details, including their name, telephone number, and mailing address. Specify the relationship to the applicant.
4. In Section 3, determine the applicant's capacity to make medical decisions. If they are unable, fill in the details of the legal representative acting on their behalf, indicating the representative's legal authority.
5. For primary caregivers, proceed to Section 4. Enter the caregiver’s name, date of birth, mailing address, and contact number. Also, describe how you manage the applicant’s housing, health, or safety.
6. In Section 5, identify the attending physician by providing their name, medical license number, mailing address, and contact information. Ensure that the physician is correctly identified and licensed.
7. Review all sections for accuracy and completeness. Once everything is filled out, save the changes, and download or print your form for submission to your county health department.

Complete your CA CDPH 9042 application online today to ensure prompt processing.