LIC 00A - Conversion - Resource Family Application

LIC 00A - Conversion - Resource Family Application

Form LIC 00A is an application form used during the process of converting a foster care home or licensed facility into a resource family.

IHSS-E 003 - In-Home Supportive Services Program Notice To Recipient For Discontinuance Of Exemption From Workweek Limitations For Extraordinary Circumstances

IHSS-E 003 - In-Home Supportive Services Program Notice To Recipient For Discontinuance Of Exemption From Workweek Limitations For Extraordinary Circumstances

Form IHSS-E-003 is a Program Notice to Recipient for Discontinuance of Exemption from Workweek Limitations for Extraordinary Circumstances under the In-Home Supportive Services (IHSS) program.

ICPC 100B Interstate Compact On The Placement Of Children Report On Child’s Placement Status

ICPC 100B  Interstate Compact On The Placement Of Children Report On Child’s Placement Status

Form ICPC-100B, called the "Interstate Compact Report On Child's Placement Status," is a crucial document within the ICPC framework. It is completed by the receiving agency responsible for overseeing the care and well-being of a child who has been placed in their state through the ICPC process.

LIC 508B - Criminal Record Statement - Long-Term Care Ombudsman Program

LIC 508B - Criminal Record Statement - Long-Term Care Ombudsman Program

Form LIC 508B is a criminal record statement used by participants in the Long-Term Care Ombudsman Program in California. The form is completed by the program participant and includes questions regarding criminal history, convictions, and any pertinent legal matters.

LIC 602A - Physician's Report For Residential Care Facilities For The Elderly

LIC 602A - Physician's Report For Residential Care Facilities For The Elderly

Form LIC 602A is a physician's report used specifically for Residential Care Facilities for the Elderly (RCFE) in California.

LIC 603 - Preplacement Appraisal Information

LIC 603 - Preplacement Appraisal Information

Form LIC 603 is used to gather preplacement appraisal information for individuals considering placement in a licensed facility in California.

LIC 603A - Resident Appraisal

LIC 603A - Resident Appraisal

Form LIC 603A is an appraisal form used to evaluate residents in licensed facilities in California.

LIC 605A - Release Of Client/Resident Medical Information

LIC 605A - Release Of Client/Resident Medical Information

Form LIC 605A is a release form used to obtain consent for the release of client or resident medical information in licensed facilities in California.

LIC 604 - Admission Agreement Guide For Residential Facilities

LIC 604 - Admission Agreement Guide For Residential Facilities

Form LIC 604 is an admission agreement guide designed for residential facilities in California.

ICPC 100B Instructions Instructions For Completing Form ICPC 100B Interstate Compact Report On Child’s Placement Status

ICPC 100B Instructions  Instructions For Completing Form ICPC 100B Interstate Compact Report On Child’s Placement Status

The instructions accompanying Form ICPC-100B provide detailed guidance on completing the report known as "Interstate Compact Report On Child's Placement Status." This report is part of the Interstate Compact on the Placement of Children (ICPC) process and is used to provide updates and informatio