LIC 400 - Affidavit Regarding Client/Resident Cash Resources

Form LIC 400 is an affidavit form used to collect information about the cash resources of clients or residents in licensed facilities in California. The form requires disclosure of financial information, including income, assets, and other relevant details related to cash resources. By utilizing this form, facility operators ensure transparency and compliance with reporting requirements, facilitating accurate assessment of client or resident eligibility for specific programs or benefits.