(a) The vendor shall submit the following information to the regional center on the Form DS2 (7/91), entitled Transportation Cost Statement: (2) Business telephone number;(3) Vendor identification number;(4) Service code and subcode;(5) Business and mailing addresses;(6) Name of management organization, if any;(7) Name and telephone number of the contact person;(8) Name of the vendoring and contracting regional center;(9) Proposed effective date of service; and(10) Signature of the vendor or designee and the date signed.Cal. Code Regs. Tit. 17, § 58551
1. New section filed 9-26-91; operative 9-26-91 pursuant to Government Code section 11346.2(d) (Register 92, No. 10). Note: Authority cited: Sections 4405, 4631 and 4690.1, Welfare and Institutions Code; and Section 11152, Government Code. Reference: Sections 4631 and 4690.1, Welfare and Institutions Code.
1. New section filed 9-26-91; operative 9-26-91 pursuant to Government Code section 11346.2(d) (Register 92, No. 10).