Forms and documents
LIC 9060 - Resident Theft And Loss Record
Form LIC 9060 is used to document incidents of theft or loss involving residents' personal property in licensed facilities in California.
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 403A - English and Spanish - We Accept EBT - Farmers' Market Poster
Similar to PUB 403, this form specifically targets farmers' markets in California. It provides posters in both English and Spanish that display the message "We Accept EBT" along with appropriate graphics and instructions.
PUB 421 - Supplemental Security Income for Youth with Disabilities
Form PUB 421 is a detailed information booklet that provides comprehensive guidance on accessing Supplemental Security Income (SSI) benefits specifically tailored to youth with disabilities in California.
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.
PUB 422 - Supplemental Security Income for Foster Youth with Disabilities
Similar to PUB 421, Form PUB 422 provides detailed instructions and information on accessing Supplemental Security Income (SSI) benefits specifically designed for foster youth with disabilities in California.