Get Fictitiou

Filling out the Fictitious Name Permit online is a crucial step for businesses seeking to update their shareholder information with the Medical Board of California. This guide provides clear instructions to ensure you successfully complete the form and meet all required standards.

Follow the steps to accurately complete the Fictitious Name Permit.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred digital editor.
2. Fill in the 'Fictitious Name' field with the registered name of your business as it appears on official documents.
3. Enter the 'FNP #' field with your specific Fictitious Name Permit number for identification purposes.
4. Provide the 'Current Physical Practice Address' ensuring no PO Box is included, but rather the exact street address of your business.
5. In the 'Phone #' section, list a current contact number where you can be reached for any inquiries related to your application.
6. Select the business type from the options provided; in this case, ensure you mark it as 'CORPORATION.'
7. If adding or deleting shareholders, complete the table by providing the required details such as Doctor's Name, License Number, Association Date, and Disassociation Date.
8. Each shareholder involved in the transaction must provide a signature in the designated area to validate the changes.
9. Finally, certify the form by signing and dating the certification statement confirming the accuracy of the information provided.
10. After completing the form, you can save your changes, download a copy, print the form for your records, or share it as needed.

Complete your Fictitious Name Permit online today for a smooth business operation.