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 koog tsev kawm ntawv yuav tsum xa daim ntawv PM 100, Daim Ntawv Qhia Txog Kev Ntsuas Kev Hnov Lus Txhua Xyoo txawm tias tau thov kom zam rau qib 10 thiab/lossis qib 11 los xij.
- Cov ntawv PM 100 yuav tsum xa tuaj rau lub Rau Hli 30th ntawm txhua xyoo.
- Thov muab koj lub tsev kawm ntawv tus lej CDC tso rau ntawm PM 100.
- If you are uncertain as to what your CDS Code Number is, please visit the Department of Education’s California School Directory .
- Thov siv daim ntawv State of California HCP PM 100 (pdf) uas tau muab los xwb.
- Adobe Acrobat Reader is required to complete the form. The latest version of Acrobat Reader is available free for downloading at Adobe’s Website .
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 .
- Txuag daim ntawv PM 100 (pdf) rau hauv koj lub computer.
- Sim daim foos kom paub tseeb tias koj cov ntaub ntawv tau khaws cia rau hauv PM 100 uas 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 dua kom paub tseeb tias koj cov ntaub ntawv thiab/lossis cov kev hloov pauv tau raug cawm dim lawm
- Txuas ntxiv sau koj cov ntaub ntawv rau ntawm daim foos.
- Kaw daim ntawv thiab txuag cov kev hloov pauv.
- Qhib koj daim foos kom paub tseeb tias koj cov ntaub ntawv tau raug cawm dim lawm
- Koj xa tau koj daim ntawv los ntawm email, fax, lossis xa mus rau HCP. Thov saib cov lus qhia xa ntawv 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 cov ntawv PM 100 thiab/lossis PM 359 thiaj li xa tau email, faxed lossis xa ntawv xwb. Tag nrho lwm daim ntawv yuav tsum tau kos npe thawj thiab/lossis muaj cov ntaub ntawv zais cia thiab yuav tsum xa mus rau HCP ntawm qhov chaw nyob hauv qab no.
- Email: PM 100 thiab/lossis PM 359 Tsuas yog daim ntawv xwb: hearingconservationprogram@dhcs.ca.gov
- Fax: PM 100 thiab/lossis PM 359 Tsuas yog daim ntawv xwb: (916) 440-5316
- Xa ntawv: Txhua Daim Ntawv:
- Qhov Kev Pabcuam Tiv Thaiv Hnov
- Kev Pab Kho Mob Rau Menyuam Yaus
- Department of Health Care Services
- PO Box 997413, MS 8102
- Sacramento, CA 95899-7413
- Cov Lus Nug: Thov xa email rau koj cov lus nug rau HCP ntawm: hearingconservationprogram@dhcs.ca.gov