Forms and documents
LIC 508 - Criminal Record Statement & Out-Of-State Disclosure
Form LIC 508 is a combined form used for both criminal record statements and out-of-state disclosures in licensed facilities in California. The form is completed by individuals seeking employment or serving in positions where background checks are required.
LIC 05A - Resource Family Approval Certificate
Form LIC 05A is a certificate issued to individuals or families upon their approval as resource families.
LIC 12 - Resource Family Approval Document Alternative Plan
Form LIC 12 is used in the context of resource family approval. It serves as an alternative plan document that outlines specific arrangements or modifications to be implemented in the resource family home to meet the requirements for approval.
LIC 507 - Facilities Staff Work Schedule
Form LIC 507 is a work schedule form that records the staffing schedule for facilities in California. The form includes details such as staff names, assigned shifts, days off, and any additional notes or adjustments to the schedule.
LIC 125 - Entrance Checklist - Child Care Centers
Form LIC 125 is an entrance checklist specifically designed for child care centers. It is used during the licensing process and assists licensing personnel in conducting comprehensive inspections of child care center facilities.
LIC 165 - Board Of Directors Statement
Form LIC 165 is a board of directors statement that may be required for certain organizations or entities involved in child welfare services. It is typically utilized by agencies or programs seeking licensure or certification from the California Department of Social Services (CDSS).
LIC 126 - Entrance Checklist - Family Child Care Homes
Form LIC 126 is an entrance checklist utilized for family child care homes. It is employed by licensing personnel to assess the compliance of family child care homes with licensing requirements and standards.
LIC 184B - Notification Of Incomplete Application - Family Child Care Home
Form LIC 184B is a notification form used by the California Department of Social Services (CDSS) to inform applicants for family child care home licenses about incomplete application submissions.
LIC 184C - Notification Of Incomplete Application Child Care Centers -В Pre-30-Day NOIA
Form LIC 184C is a notification form utilized by the California Department of Social Services (CDSS) to notify child care center applicants about incomplete application submissions prior to issuing a 30-day Notice of Intent to Deny (NOIA).
LIC 184D - Notification Of Incomplete Application Child Care Centers - 30-Day NOIA
Form LIC 184D is a notification form used by the California Department of Social Services (CDSS) to provide a 30-day Notice of Intent to Deny (NOIA) for incomplete application submissions from child care center applicants.