Forms and documents
LIC 406 - Client/Resident Cash Sheet
Form LIC 406 is used to document and track cash transactions related to clients or residents in licensed facilities in California. The form is completed by facility staff and captures details of cash received, disbursed, or held on behalf of clients or residents.
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.
LIC 405 - Record Of Client's/Resident's Safeguarded Cash Resources
Form LIC 405 is used to maintain a record of safeguarded cash resources belonging to clients or residents in licensed facilities in California.
LIC 403 - Balance Sheet
Form LIC 403 is used by licensed facility operators in California to provide a balance sheet, which presents the financial condition of the facility at a specific point in time.
LIC 403A - Balance Sheet Supplemental Schedule
Form LIC 403A is a supplemental schedule used in conjunction with the Balance Sheet (LIC 403) for licensed facilities in California. The form provides additional details, explanations, or breakdowns of specific balance sheet components, such as assets, liabilities, and equity.
LIC 401A - Supplemental Financial Information
Form LIC 401A is used as supplemental financial information accompanying the Monthly Operating Statement (LIC 401). The form provides additional details, explanations, or clarifications regarding specific financial aspects of the licensed facility's operations.
LIC 402 - Surety Bond
Form LIC 402 is used to obtain a surety bond for licensed facilities in California. The form is completed by the facility operator or licensee and includes information about the bonding company, coverage amount, effective dates, and other relevant details.
LIC 400 - Affidavit Regarding Client/Resident Cash Resources
Form LIC 400 is an affidavit form used to collect information about the cash resources of clients or residents in licensed facilities in California. The form requires disclosure of financial information, including income, assets, and other relevant details related to cash resources.
LIC 313 - Evidence Of Program Consultant
Form LIC 313 is used to provide evidence of a program consultant's qualifications and eligibility to provide consultation services to licensed facilities in California.
LIC 311D - Forms/Records To Keep In Your Family Child Care Home
Form LIC 311D provides a comprehensive list of the forms and records that family child care home providers in California must maintain.