Daim Ntawv Qhia Txhua Xyoo ntawm Kev Xeem Hnov PM 100 Daim Ntawv
- Daim Ntawv Qhia Txhua Xyoo Txog Kev Ntsuas Kev Hnov Lus PM 100 (pdf). Thov xa ib daim ntawv nrog cov txiaj ntsig ua ke rau txhua lub koog tsev kawm ntawv. Thov nco ntsoov: Daim ntawv no tuaj yeem xa email, faxed lossis xa mus rau Hearing Conservation Program (HCP). Thov ua raws li cov lus qhia hauv qab no.
- Lus Cim: Thov rub tawm daim foos ua ntej sau daim ntawv no. Yog sau tiav hauv online, qhov kev taw qhia / kev xaiv "Tab" yuav tsis raws li qhov kev txiav txim.
Thov nco ntsoov
- Txhua lub hauv paus tsev kawm ntawv yuav tsum xa daim PM 100, Daim Ntawv Qhia Txhua Xyoo ntawm Daim Ntawv Xeem Kev Sib Hais Tsis hais seb puas tau thov zam rau qib 10 thiab/lossis 11th.
- PM 100 Daim Ntawv Thov yuav tsum tau ua ua ntej Lub Rau Hli 30th ntawm txhua xyoo.
- Thov sau koj lub tsev kawm ntawv CDC Code ntawm PM 100.
- Yog tias koj tsis paub meej tias koj tus lej CDS yog dab tsi, thov mus saib Department of Education's California School Directory (Tsis yog DHCS).
- Thov tsuas yog siv Lub Xeev California HCP PM 100 Daim Ntawv Foos (pdf) uas tau muab.
- Yuav tsum muaj Adobe Acrobat Reader los ua kom tiav daim ntawv no. Qhov version tshiab kawg ntawm Acrobat Reader muaj pub dawb rau rub tawm ntawm Adobe lub Website (Tsis yog DHCS).
Txuag thiab/lossis Email koj daim ntawv
Yog tias koj npaj yuav txuag thiab / lossis email koj daim ntawv, thov ua raws li cov lus qhia hauv qab no
- Adobe Acrobat is required to save HCP PDF forms. If you do not have Adobe Acrobat Reader, the latest version of Acrobat Reader is available free for downloading at Adobe’s Website (Not DHCS).
- Txuag daim ntawv PM 100 (pdf) rau koj lub computer.
- Ntsuam xyuas daim ntawv kom paub tseeb tias koj cov ntaub ntawv raug khaws cia rau PM 100 koj tau khaws cia rau hauv koj lub computer los ntawm:
- Sau koj lub npe hauv cheeb tsam rau hauv daim ntawv
- Kaw daim ntawv thiab txuag cov kev hloov pauv
- Rov qhib daim foos kom paub meej tias koj cov ntaub ntawv thiab / lossis kev hloov pauv tau raug cawm
- Txuas ntxiv sau koj cov ntaub ntawv mus rau hauv daim ntawv.
- Kaw daim ntawv thiab txuag cov kev hloov pauv.
- Qhib koj daim ntawv kom paub meej tias koj cov ntaub ntawv tau raug cawm
- Koj tuaj yeem xa email, fax lossis xa koj daim foos mus rau HCP. Thov xa mus rau cov lus qhia hauv qab no.
- Thov siv daim ntawv PM 100 (pdf) uas HCP tau muab los xwb.
Cov lus qhia xa ntawv
- Thov nco ntsoov: Tsuas yog PM 100 thiab/lossis PM 359 Daim Ntawv Thov tuaj yeem xa email, fax lossis xa ntawv. Tag nrho lwm daim ntawv yuav tsum tau kos npe thawj zaug thiab / lossis muaj cov ntaub ntawv tsis pub lwm tus paub thiab yuav tsum xa mus rau HCP ntawm qhov chaw nyob hauv qab no.
- Email: PM 100 thiab/lossis PM 359 Cov Ntawv nkaus xwb: hearingconservationprogram@dhcs.ca.gov
- Fax: PM 100 and/or PM 359 Forms only: (916) 440-5316
- Xa ntawv: Txhua Daim Ntawv:
- Qhov Kev Pabcuam Tiv Thaiv Hnov
- Children’s Medical Services
- Department of Health Care Services
- PO Box 997413, MS 8102
- Sacramento, CA 95899-7413
- Cov Lus Nug: Thov xa koj cov lus nug rau HCP ntawm: hearingconservationprogram@dhcs.ca.gov