Get Certification Of Non-operation - Hcd Ca

This guide provides a step-by-step approach to filling out the Certification of Non-Operation form for employee housing in California. Following these instructions will help ensure that you submit the form accurately and efficiently via an online platform.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to retrieve the Certification of Non-Operation form and open it for editing.
2. Fill in the calendar year for which you are certifying non-operation in the designated field.
3. Enter the Employee Housing Facility ID number in the relevant section.
4. Provide the full name of the Employee Housing Facility.
5. Input the facility's complete address, including street, city, state, and zip code.
6. Enter your name as the operator of the facility.
7. Fill in your address, ensuring all details are accurate.
8. Provide your telephone number for any potential follow-up.
9. Complete the property owner's name and address in the specified fields.
10. Select the reason for discontinuation of operation by checking the corresponding box, and fill in any additional details as needed.
11. For the certification section, print your name and title in the designated fields.
12. Sign the form and include the date of signing.
13. Once all fields are accurately completed, save your changes. You may then download, print, or share the completed form as needed.

Complete your Certification of Non-Operation online today to ensure compliance with the Health and Safety Code.