STATE OF CALIFORNIA DEPARTMENT OF FINANCIAL PROTECTION AND INNOVATION
PACE PROGRAM ADMINISTRATOR APPLICATION Request for Information
NAME OF APPLICANT ______________________________
Applicants for a PACE program administrator license must answer the following questions.
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The training program in question 6 shall be submitted to the Commissioner and received in confidence in accordance with Government Code section 6254, subdivision (d)(4).
A program administrator may use a training program containing the elements required by statute and regulation. If the Commissioner determines that the program fails to contain the elements required by statute and regulation, the Commissioner shall disapprove the continued use of the training program. The disapproval of a training program shall not affect the enrollment status of a PACE solicitor agent who has already completed the training program, but the Commissioner may require revised training materials be provided to PACE solicitor agents for any segment of training determined to be materially deficient because it fails to comply with the law, is misleading, or is inaccurate.
The above-named applicant has authorized the undersigned to sign on its behalf.
I, the undersigned, have read this Request for Information and understand the contents of the Request for Information, and certify that the statements in the Request for Information are true and correct.
Executed at (City and State) ______________________________, on this ___ day of ____________________, 20___.
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Signature
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Name of Signatory
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Title
Cal. Code Regs. Tit. 10, § 1422.5.1
Note: Authority cited: Section 22150, Financial Code. Reference: Sections 22100.5, 22101, 22680 and 22681, Financial Code.