LIC 301E - Reference Request - Exemption

Form LIC 301E is a reference request form used for requesting references related to exemption applications in California. The form is completed by the California Department of Social Services (CDSS) or the facility operator to collect references that support an exemption application. It gathers information about the individual or entity seeking an exemption from specific licensing requirements and their suitability for receiving such an exemption. By utilizing this form, the CDSS or the facility operator obtains references to assess the eligibility and qualification for granting an exemption.