28 CA ADC § 1004
28 CCR s 1004
Cal. Admin. Code tit. 28, s 1004
CALIFORNIA CODE OF REGULATIONS
TITLE 28. MANAGED HEALTH CARE
DIVISION 1. THE DEPARTMENT OF MANAGED HEALTH CARE
CHAPTER 1. DEPARTMENT ADMINISTRATION
ARTICLE 2. ADMINISTRATION
This database is current through 06/09/06, Register 2006, No. 23.
s 1004. Verification.
(a) Whenever a statute, regulation or the Director requires that a
document filed with the Department be verified, the verification shall be
by declaration under penalty of perjury pursuant to Code of Civil
Procedure section 2015.5.
(b) "Declaration" means a certification in substantially the following
form:
(1) I declare under penalty of perjury under the laws of the State of
California that the foregoing is true and correct. Executed at __________
on (Location)
__________ __________ __________ (Date) (Signature) (Typed or printed
name)
Note: Authority cited: Sections 1344 and 1346, Health and Safety Code.
Reference: Sections 2012-2015.5, Code of Civil Procedure.
HISTORY
1. New section filed 8-12-2002; operative 9-11-2002 (Register 2002, No.
33).
28 CA ADC s 1004
END OF DOCUMENT
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