CA Form 13A-64 2018 - Fill and Sign Printable Template-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out Section 1. Enter your Business Name as it appears on CSLB records, followed by your License Number.
  3. Provide your Business Mailing Address, including City, State, and ZIP Code. Ensure accuracy for effective communication.
  4. Next, input your Business Street Address (no P.O. Box), along with the corresponding City, State, and ZIP Code.
  5. Fill in your Business Phone Number and Fax Number if applicable. Include a valid Business E-Mail Address for correspondence.
  6. In Section 2, ensure that a member of personnel listed on CSLB records certifies the application by signing and dating it.
  7. Review all entries for completeness and accuracy before submitting the form to avoid delays in processing.

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Versions Form popularity Fillable & printable
2022 4.3 Satisfied (45 Votes)
2017 4.7 Satisfied (52 Votes)
2011 4.7 Satisfied (64 Votes)
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