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Ca form 5050-2026
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- Click ‘Get Form’ to open the CA Form 5050 in the editor.
- Begin by entering the 'Facility Name' at the top of the form. Ensure this is accurate as it identifies your facility.
- In the 'Employee Information' section, list each staff member's name, title, and scheduled hours per week. For volunteers, place a 'V' after their names.
- Complete the certification details for each employee. Indicate if they are registered, certified, or licensed by selecting 'Yes', 'No', or 'N/A'.
- Fill in the dates for CPR and First Aid training under each staff member’s information. This is crucial for compliance with licensing requirements.
- For counselors, provide their certification/registration number along with effective and expiration dates of their licensure or registration.
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form 5050
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