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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.
Start using our platform today to easily complete your CA Form 5050 online for free!
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