Forms and documents
LIC 9029B - Statement Of Facts Preparation Checklist
Form LIC 9029B is a preparation checklist used in the creation of a statement of facts regarding incidents, complaints, or investigations in licensed facilities in California.
LIC 989A - Non-Confidential Records Request Form
Form LIC 989A is used to request non-confidential records from licensed facilities in California. The form is completed by individuals or organizations seeking access to specific records that are not confidential or protected by privacy laws.
LIC 857 - Children's Record Review
Form LIC 857 is used to conduct a review of children's records in licensed facilities in California. The form is completed by authorized personnel, such as licensing agency staff or auditors, and includes a comprehensive evaluation of the records maintained for children in the facility.
LIC 858 - Client/Resident Records Review
Form LIC 858 is used to conduct a review of client or resident records in licensed facilities in California.
LIC 856C - Complaint Determination Notification - Unsubstantiated
Form LIC 856C is used to notify licensed facilities in California when a complaint has been determined to be unsubstantiated.
LIC 856D - Complaint Determination Notification - Unfounded
Form LIC 856D is used to notify licensed facilities in California when a complaint has been determined to be unfounded.
LIC 856B - Complaint Determination Notification - Substantiated
Form LIC 856B is used to notify licensed facilities in California when a complaint has been substantiated.
LIC 856A - Complaint Intake Notification
Form LIC 856A is used to notify licensed facilities in California of the intake of a complaint.
LIC 812 - Detail Supportive Information
Form LIC 812 is used to provide additional detailed information related to specific incidents, complaints, or investigations in licensed facilities in California.
LIC 855 - Declaration
Form LIC 855 is a declaration form used in licensed facilities in California.