LIC 404 - Financial Information Release And Verification

Form LIC 404 is used to obtain the release and verification of financial information from individuals or entities associated with licensed facilities in California. The form is completed by the facility operator or licensee and includes authorization for the release of financial records, verification of income, assets, and other relevant financial details. By utilizing this form, facility operators gather necessary information to assess eligibility, determine financial resources, and ensure compliance with applicable regulations.