Forms and documents
LIC 9020 - Register Of Facility Clients/Residents
Form LIC 9020 is used to maintain a register of clients or residents in licensed facilities in California.
LIC 300A - Removal Confirmation - Exemption Needed
Form LIC 300A is used to confirm the removal of a child from a licensed facility and request an exemption from further licensing requirements.
LIC 229 - Certificate Of Approval
Form LIC 229 is a certificate of approval issued by the California Department of Social Services (CDSS). This form signifies that a facility or program has met the necessary licensing requirements and has been granted approval to operate.
LIC 602 - Physician's Report For Community Care Facilities
Form LIC 602 is a physician's report used for community care facilities in California. The form is completed by a licensed physician and provides detailed information about the health conditions and medical needs of individuals residing or receiving care in the facility.
LIC 301 - Reference Request
Form LIC 301 is used to request references for individuals seeking employment or volunteer positions in licensed facilities.
PUB 412 - State Hearing Information (Print Letter Size)
This form provides information regarding state hearings conducted by the California Department of Social Services.
PUB 393 - Notification of Parents' Rights - Child Care Center
This form is designed to provide detailed information to parents or legal guardians about their rights in relation to child care centers in California. It outlines the specific rights and responsibilities that parents have when enrolling their child in a licensed child care center.
PUB 394 - Notification of Parents' Rights - Family Child Care Home
Similar to PUB 393, this form specifically addresses parents or legal guardians whose children are enrolled in family child care homes in California.
PUB 400 - Safely Surrendered Baby Campaign Brochure
The PUB 400 form is a brochure that promotes and educates the public about California's Safely Surrendered Baby Program. It provides detailed information about the program, which allows parents to safely surrender their newborns at designated locations without fear of prosecution.
PUB 420 - Supplemental Security Income Information for Transitioning Foster Youth
This form offers information specifically aimed at transitioning foster youth regarding Supplemental Security Income (SSI) in California. It provides details about eligibility criteria, the application process, and the benefits available through the SSI program.