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Home care aide registration 2026
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- Click ‘Get Form’ to open the home care aide registration application in the editor.
- Begin by entering your full legal name in the designated fields. Ensure you do not use nicknames, and it’s advisable to match the name on your ID.
- List all other names you have ever used, including any aliases. This ensures clarity and accuracy in your application.
- Fill in your complete residence address. Remember to spell out city names fully, as abbreviations will not be accepted.
- If your mailing address differs from your residence, provide that information next. It’s crucial for future correspondence.
- Enter your email address if you wish; this is voluntary but can facilitate communication regarding your application.
- Input your date of birth in MM/DD/YY format. Ensure you are at least 18 years old to qualify for registration.
- Indicate your sex by entering 'M' for male or 'F' for female.
- Provide your Social Security Number. While this is voluntary, omitting it may delay processing.
- Enter a valid ID number from one of the accepted forms: California Driver’s License, ID card, Alien Registration Card, or another state-issued picture ID.
- Finally, list both daytime and evening telephone numbers for contact purposes and ensure you sign and date the application before submission.
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