Surety Bond Verification {HS 402}

HS 402, SURETY BOND VERIFICATION, California Health and Safety Code, Section 1318, Chapter 2, Division 2, requires that licensed health facilities that handle money in excess of $25 per patient or over $500 for all patients in any month, be bonded for not less than $1,000. This is to serve as a guarantee for the faithful and honest handling of the money of such patients. This form is to be completed by the bonding agency. In addition, attach an original copy of the bond. In the event of cancellation of the bond, please send notice to the above licensing office. www.FormsWorkflow.com