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200, Rancho Cordova, CA

200, Rancho Cordova, CA 2025

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The document is an application form for the renewal of a paramedic license issued by the California Emergency Medical Services Authority. It includes sections for personal information, employer details, a questionnaire regarding criminal history, and a statement of continuing education requirements. The application requires a non-refundable fee of $250 and outlines instructions for submission, including necessary documentation and payment methods.

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Click ‘Get Form’ to open the 200, Rancho Cordova, CA application in the editor.
Begin by entering your personal information. Fill in your last name, first name, middle initial, date of birth, and the last four digits of your Social Security number or TIN. Ensure all fields are completed clearly.
Next, provide your residential address including city, state, and zip code. If your mailing address differs from your residential address, complete the mailing address section as well.
In the employer information section, input your employer's name and contact details accurately.
Answer the questionnaire honestly. If you answer 'YES' to any questions regarding criminal history or license status, attach a detailed statement as instructed.
Finally, review all entered information for accuracy before signing and dating the application. Attach any required documents and payment details.

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