Forms and documents
LIC 9140 - Request For Course Approval - Administrator Certification Program
Form LIC 9140 is utilized by individuals or organizations seeking approval for new courses within the Administrator Certification Program in California.
LIC 9140A - Request to Add or Replace Instructor
Form LIC 9140A is used to request the addition or replacement of an instructor within the Administrator Certification Program in California. This form allows course providers to submit relevant details about the instructor, such as qualifications, experience, and expertise in the subject matter.
LIC 9141 - Vendor Application/Renewal - Administrator Certification Program
Form LIC 9141 is utilized by vendors who provide goods and services related to the Administrator Certification Program in California. This form allows vendors to apply for initial registration or renew their existing registration.
LIC 9142A - Roster of Participants
Form LIC 9142A is used to maintain a roster of participants in training courses within the Administrator Certification Program in California. Course providers complete this form to document participant information, including names, contact details, course dates, and other relevant data.
LIC 9151 - Property Owner/Landlord Notification Family Child Care Home
Form LIC 9151 is used to notify property owners or landlords about the operation of a family child care home in California.
LIC 9158 - Telecommunications Device Notification
Form LIC 9158 is used by care facilities in California to notify the Department of Social Services about the presence of a telecommunications device within the facility.
LIC 9163 - Request Live Scan Service - Community Care Licensing
Form LIC 9163 is used to request Live Scan services for individuals seeking employment or volunteer positions in community care licensing programs in California.
LIC 9163B - Request Live Scan Service - Long Term Care OMBUDSMAN
Form LIC 9163B is used to request Live Scan services for individuals involved in Long Term Care Ombudsman programs in California. This form is completed by the applicant and submitted to authorized Live Scan service providers, who capture the applicant's fingerprints electronically.
LIC 9165 - Board Of Director Statement
Form LIC 9165 is used by care facilities in California to provide a statement detailing the members of their board of directors. This form includes information such as the names, addresses, and contact details of each board member.
LIC 9182 - Criminal Background Clearance Transfer Request
Form LIC 9182 is used to request the transfer of a criminal background clearance for individuals who have previously been cleared for employment or volunteer positions in care facilities in California.