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Translated Spanish Forms Beginning With Letters A Through L
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Spanish forms beginning with the letters N through Z
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A | B | C | D | E | F | G | H | I | J | K | L
- AAP 1 (6/01) - Request For Adoption Assistance
- AAP 3 (6/01) - Recertification Information Adoption Assistance Program
- AAP 4 (08/99) - Eligibility Certification Adoption Assistance Program (Combines AAP4 And FC 9)
- ABCDM 228 (06/99) - Applicant's Authorization For Release Of Information
- ABCD 239.7A (08/01) - Notice Of Administrative Disqualification California Work Opportunity And Responsibility To Kids (CalWORKs) Program
- ABCD 478A (05/02) - Disqualification Consent Agreement California Work Opportunity and Responsiblilty To Kids (CalWORKs) Program
- AD 1A (8/02) - Consent to Adoption by Parent(s) in California
- AD 1C (3/08) - Consent To Adoption By Parent(s) Outside California
- AD 1F (3/08) - Consent To Adoption By Parent(s) Outside California In Armed Forces
- AD 2 (06/02) - Stepparent Adoption (Consent To Adoption By Parent Retaining Custody)
- AD 2A (06/02) - Stepparent Adoption (Consent To Adoption By Parent In California Giving Custody To Husband Or Wife Or Domestic Partner Of Other Parent)
- AD 2B (3/08) - Stepparent Adoption (Consent To Adoption By Parent Outside California Giving Custody To Husband Or Wife Or Domestic Partner Of Other Parent)
- AD 2D (3/08) - Stepparent Adoption Consent To Adoption By Parent Outside California In Armed Forces Giving Custody To Husband Or Wife Or Domestic Partner Of Other Parent
- AD 9 (11/07) - Independent Adoption Questionnaire
- AD 10 (9/03) - Request for Reference
- AD 20 (3/08) - Refusal To Give Consent To Adoption
- AD 20B (3/08) - Refusal To Give Consent To Adoption - Alleged Natural Father
- AD 22 (7/02) - Health Facility Minor Release Report
- AD 65 (2/02) - Parent's Authorization For Medical And Surgical Care
- AD 67 (2/07) - Information about The Birth Mother
- AD 67A (6/07) - Information About The Birth Father
- AD 100 (2/08) - Authorization For Use And/Or Disclosure of Health Information Independent Adoption Program
- AD 100A (3/08) - Authorization For Use And/Or Disclosure Of Health Information Agency Adoption Program
- AD 165 (08/02) - Presumed Father's Consent To Adoption (In California)
- AD 166 (3/08) - Consent To Adoption By Father Outside California - TO BE USED WHEN PRESUMED FATHER DENIES HE IS THE NATURAL FATHER
- AD 501 ENG/SP (09/03) - Relinquishment In or Out-of-County (Birth Mother/Presumed Father in California)
- AD 501A (3/08) - Relinquishment Out-of-State (Birth Mother/Presumed Father)
- AD 508 (9/03) - Rescission Request/Rescission Of Relinquishment
- AD 512 (3/99) - Psychosocial And Medical History Of Child
- AD 521 (09/03) - Application For Adoption Of A Child
- AD 583 ENG/SP (3/08) - Relinquishment – In Or Out Of County - Presumed Father Denies He Is The Birth Father
- AD 584 ENG/SP (3/08) - Relinquishment – Out of State - Presumed Father Denies He is the Birth Father
- AD 586 (3/08)- Relinquishment In or Out-of-County (Alleged Natural Father In California)
- AD 588 (10/09) - Denial Of Paternity By Alleged Natural Father - (In Or Out Of California)
- AD 590 (11/09) - Waiver Of Right To Further Notice Of Adoption Planning (Alleged Natural Father In Or Out Of California)
- AD 590A (3/08) - Waiver Of Right To Further Notice Of Adoption Planning - Presumed Father In Or Out Of California
- AD 590B (12/09) - Waiver Of Right To Further Notice Of Adoption Planning (Presumed Father In Or Out Of California)Indian Child
- AD 591 (3/08) - Relinquishment Out-of-State (Alleged Natural Father)
- AD 594 (3/08) - Alleged Natural Father's Consent To Adoption (In Or Out Of California)
- AD 842 (08/02) - Consent To Adoptive Placement By Alleged Natural Father (Outside California In Armed Forces)
- AD 859 (8/02) - Consent To Adoption Of Indian Child By Parent(s) (In Or Out Of California)
- AD 860 (8/02) - Consent To Adoption Of Indian Child By Presumed Father (In Or Out Of California)
- AD 861 (8/02) - Consent To Adoption Of Indian Child By Alleged Natural Father (In Or Out Of California)
- AD 862 (3/08) - Relinquishment Of An Indian Child Out of State - Alleged Natural Father
- AD 863 (3/08) - Relinquishment Of Indian Child Out of State - Birth Mother/Presumed Father
- AD 864 (3/08) - Relinquishment Of An Indian Child In Or Out-Of-County - Birth Mother/Presumed Father In California
- AD 866 (3/08) - Relinquishment Of An Indian Child In Or Out-of-County - Presumed Father Denies He Is The Birth Father In California
- AD 867 (3/08) - Relinquishment of an Indian Child - Out-of-State - Presumed Father Denies He is the Birth Father
- AD 868 (3/08) - Relinquishment Of Indian Child - In/Out of County - Alleged Natural Father In California
- AD 880 (3/99) - Declaration Of Mother (To Be Completed By All Mothers Not Married To The Father Except When A Relinquishment Or Consent Has Been Obtained From The Father)
- AD 885 (3/08) - Mother Or A Presumed Father Of A Child Who Is Not Detained, A Juvenile Court Dependent In Out-of-home Care, Or The Ward Of A Legal Guardian
- AD 885A (3/08) - Mother or a Presumed Father of a Child Who is Detained, a Juvenile court Dependent in Out-of-home Care, or the Ward of a Legal Guardian
- AD 885C (3/08) - Statement of Understanding Agency Adoptions Program - Alleged Natural Father Of The Child Who Is Not Detained, A Juvenile Court Dependent In Out-Of-Home Care, Or The Ward Of A Legal Guardian
- AD 885D (3/08) - Alleged Natural Father of the Child Who is Detained, a Juvenile Court Dependent in Out-of-Home Care, or the Ward of a Legal Guardian
- AD 887 (3/08) - Statement Of Understanding - Independent Adoptions Program
- AD 887A (3/06) - Statement Of Understanding - Parent Who Did Not Give Physical Custody (Non-Custodial Parent) Of The Child To The Petitioner(s)
- AD 887B (3/06) - Statement of Understanding Alleged Natural Father
- AD 899 (3/08) - Statement of Understanding - Mother or a Presumed Father of the INDIAN Child Who is Not Detained, a Juvenile Court Dependent in Out-of-home Care, or a Ward of a Legal Guardian
- AD 899A (3/08) - Statement of Understanding - Mother or a Presumed Father of an INDIAN Child Who is Detained, a Juvenile Court Dependent in Out-of-home Care, or the Ward of a Legal Guardian
- AD 899C (3/06) - Statement Of Understanding - Alleged Natural Father of the INDIAN Child Who is Not Detained, a Juvenile Court Dependent in Out-of-home Care, or the Ward of a Legal Guardian
- AD 899D (3/06) - Statement Of Understanding - Alleged Natural Father Of The INDIAN Child Who Is Detained, A Juvenile Court Dependent In Out-Of-Home Care, Or The Ward Of A Legal Guardian
- AD 900 (3/06) - Statement Of Understanding Independent Adoptions Program - Parent Who Gave Physical Custody (Custodial Parent) of the INDIAN Child to the Petitioner(s)
- AD 900A (3/06) - Statement of Understanding Independent Adoptions Program - Parent Who Did Not Give Physical Custody (non-custodial) Of The Indian Child To The Petitioner(s)
- AD 900B (3/06) Statement of Understanding - Alleged Natural Father of INDIAN Child
- AD 904 (10/09) - Consent For Contact
- AD 904A (3/08) - Waiver of Rights to Confidentiality For Siblings
- AD 904B (4/08) - Waiver Of Rights To Confidentiality For Siblings - Under The Age Of 18
- AD 907 (08/03) - Adoptive Placement Agreement
- AD 908 (8/08) - Adoptions Information Act Statement
- AD 908A (3/06) - Adoptions Information Act Statement
- AD 918 (11/03) - Family Assessment Questionnaire II
- AD 922 (7/99) - Relinquishment Addendum For Parent Identifying Adopting Parent(s)
- AD 924 (4/08) - Independent Adoption Placement Agreement
- AD 925 (4/08) - Independent Adoption Placement Agreement - INDIAN Child
- AD 926 (10/03) - Statement Of Understanding Independent Adoptions Program - Parent Who Places The Child With The Prospective Adoptive Parent(s)
- AD 927 (9/03) - Statement Of Understanding - Independent Adoptions Program
- AD 928 (7/02) - Revocation Of Consent Independent Adoption Program
- AD 929 (11/09) - Waiver Of Right To Revoke Consent Independent Adoption Program
- AD 4320 (1/09) - Adoption Assistance Program (AAP) Agreement
- AD 4324 (10/03) - Adoption Questionnaire
- AD 4328 (03/06) - Authorization For Release Of Personal Items
- AD 4336 (09/02) - Presumed Father's Consent To Adoption (Outside California In Armed Forces)
- AD 4339 (3/06) - Relinquishment – Out of State (Birth Mother/Presumed Father)
- ADM 36 (6/99) - Medical Report Regarding Child To Be Adopted
- ADSA 1 (6/01) - Assistance Dog Special Allowance Applications
- ADSA 1B (06/01) - Assistance Dog Special Allowance (ADSA) Application For Social Security Disability Insurance (SSDI) Recipients
- CALIFORNIA WORK OPPORTUNITY AND RESPONSIBILITY TO KIDS HANDBOOK
- CCAP (10/99) - Family Child Care Self-Assessment Guide
- CCAP (10/99) - Family Child Care - Guide to Waivers, Exceptions and Exemptions
- CCP 1 (1/08) - Declaration of Exemption from Trustline Registration and Health and Safety Self-Certification
- CCP 4 (1/08) - Health and Safety Self-Certification (for license exempt providers)
- CCP 6 (8/99) - Health And Safety Checklist
- CCP 7 (1/08) - CalWORKs Stage One Child Care Request Form And Payment Rules
- CCP 2145 (5/04) - CalWORKs Child Care Reimbursement Report
- CD 9600 (12/99) - Confidential Application For Child Development Services And Certification Of Eligibility
- CL 1 (4/99) - Cal-Learn Registration Program Information Orientation Appointment
- CL 2 (4/99) - Cal-Learn PROGRAM REQUIREMENTS
- CL 3 (4/99) - Cal-Learn Notice Of A Participation Problem
- CL 4 (4/99) - Cal-Learn Notice To Parent/Legal Guardian Of Cal-Learn Participant
- CL 8 (3/99) - Cal-Learn Notice Of Report Card Submittal Schedule
- CL 9 (3/99) - Cal-Learn Notice Of Good Cause Determination
- CL 10 (4/99) - Cal-Learn Notice Of Exemption/Deferral
- CL 11 (4/99) - Cal-Learn Notice Of Incomplete Grades
- CW 2.1 (3/00) - Notice And Agreement For Child, Spousal And Medical Support
- CW 2.1 N A (8/04) - Notice And Agreement For Child, Spousal And Medical Support
- CW 2.1Q (7/01) - Support Questionnaire
- CW 4 (06/02) - Immediate Need Payment Request
- CW 5 (07/01) - Veterans Benefits Verification and Referral
- CW 8 (07/01) - Statement of Facts For An Additional Person
- CW 8A (3/00) - Statement Of Facts To Add A Child Under Age 16
- CW 10 (7/01) - Notice of Withdrawn Application
- CW 13 (9/02) - Caretaker Relative Agreement
- CW 23 (3/00) - Senior Parent - Statement Of Facts
- CW 25 (7/01) - Supplemental Statement Of Facts - Minor Parent
- CW 31 (5/04) - Receipt For Documents
- CW 40 (3/00) - CalWORKs - Reduced Income Supplemental Payment Request
- CW 42 (11/06) - Statement of Facts - Homeless Assistance
- CW 43 (3/00) - CalWORKs Applicant Choice Form Immediate Need Payment/Expedited Grant
- CW 51 (11/04) - Child Support - Good Cause Claim For Noncooperation
- CW 60 (5/01) - Release Of Information - Financial Institution
- CW 61 (07/01) - Authorization to Release Medical Information
- CW 61A (06/01) - Physical Capacities
- CW 61B (06/01) - Mental Capacities
- CW 63 (04/01) - Income And Eligibility Verification Form
- CW 71 (3/00) - Statement Of Cash Aid Mother And Unrelated Adult Male (UAM)
- CW 81 (07/01) - Lien Agreement
- CW 82 (3/00) - Important Information About This Agreement
- CW 86 (3/00) - Agreement - Restricted Account - California Work Opportunity And Responsibility To Kids (Calworks) Program
- CW 87 (6/02) - Reinforming Letter/Add a Person(s) Program
- CW 88 (5/00) - You May Be Eligible For Diversion Services
- CW 88 Coversheet (05/00) - You May Be Eligible For Diversion Services
- CW 89 (2/03) - Application Withdrawl Request
- CW 103 (11/09) - Multilingual - Transitional Medi-Cal
- CW 2102 (8/00) - The Maximum Family Grant (MFG) Rule for Recipients of Cash Aid
- CW 2166 (11/06) Multilingual - Work Pays Notice
- CW 2184 (11/02) - CalWORKS 60-month Time Limit
- CW 2186A (12/05) - CalWORKs Time Limit and Welfare to Work Participation Exemption Request Form
- CW2186B (6/04) - CalWORKs and Welfare to Work Time Limit Exemption Determination
- CW 2187 (6/02) - Your CalWORKs 60-Month Time Limit
- CW 2188 (4/02) - Verification Of Aid For The Temporary Assistance For Needy Families (TANF) Program
- CW 2189 (6/02) - Notice of Your CalWORKs Time Limit - 54th Month On Aid
- CW2190A (6/04) - CalWORKs 60-Month Time Limit Extender Request Form
- CW2190B (6/04) - CalWORKs 60-Month Time Limit Extender Request Form
- CW 2200 (3/09) - Request For Verification Form
- CW 2201 (6/09) - Unemployment Insurance Benefits Referral Form
- CW 2203 (11/09) - Request For Supplemental Payment By Check Or Direct Deposit
- DFA 285-A1 (4/09) - Application For Food Stamp Benefits
- DFA 285-A2 (8/06) - Statement Of Facts
- DFA 285-A3 QR (5/06) - Food Stamp Benefits Your Rights And Responsibilities
- DFA 285C (4/99) - Food Stamp Supplemental Application For Special Medical Deductions
- DFA 303 (3/05) - Replacement Affidavit/Authorization
- DFA 377.1 (11/01) - Notice of Approval
- DFA 377.1A (03/02) - Notice Of Denial Or Pending Status
- DFA 377.2 (11/03) - Food Stamp Notice of Expiration Of Certification For Change Reporting Household
- DFA 377.4A (07/03) - Food Stamp Notice of Change
- DFA 377.4QR (1/04) - Food Stamp Notice Of Change For Reporting Household
- DFA 377.5 (8/06) - Food Stamp Household Change Report
- DFA 377.7A (7/99)- Notice of Administrative Disqualification
- DFA 377.7B (12/03) - Food Stamp Repayment Notice For Inadvertent Household Errors Only
- DFA 377.7B1 (10/00)- Food Stamp Repayment Notice for Inadvertent Household Errors Only, Final Notice
- DFA 377.7C (5/02)- Food Stamp Repayment Notice for Inadvertent Household Errors Only
- DFA 377.7D (6/01)- Food Stamp Repayment Notice for Administrative Errors Only
- DFA 377.7D1 (6/01)- Food Stamp Repayment Notice for Administrative Errors Only
- DFA 377.7D2 (10/00)- Food Stamp Repayment Notice for Administrative Errors Only, Final Notice
- DFA 377.7D3 (12/03) - Food Stamp Repayment Notice For Administrative Errors Only
- DFA 377.7E (7/04) - Food Stamp Repayment Agreement For Administrative Errors Only
- DFA 377.7E1 (5/02)- Food Stamp Repayment Notice for Administrative Errors Only
- DFA 377.7F (08/01) - Food Stamp Repayment Notice For An Intentional Program Violation (IPV) Or Status Change From Inadvertent Household Error (IHE) To An IVP
- DFA 377.7F1 (10/00) - Food Stamp Repayment Notice for an Intentional Program Violation (IPV)Only, Final Notice
- DFA 377.7G (5/02)- Food Stamp Repayment Notice for an Intentional Program Violation (IPV) Only
- DFA 377.9 (8/01) - Notice of Back Food Stamp Benefits
- DFA 377.10 (06/04) - Food Stamp Notice Of Discontinuance
- DFA 377.11 (9/04) - Food Stamp Notice Of Discontinuance - Failure To Meet The ABAWDs Work Rule
- DFA 377.11A (9/04)- Food Stamp Notice of Discontinuance, 1st
- DFA 377.11B (11/00)- Food Stamp Notice Of Discontinuance, 2nd or Subsequent
- DFA 385 (5/99) - Application For Emergency Food Stamp Assistance
- DFA 386 (3/08) - Notice of Missed Interview
- DFA 387 (3/02) - Request For Information
- DFA 478 (08/01) - Disqualification Consent Agreement Food Stamp Program
- DPA 13 (7/99) - Request For State Hearing Before The State Department Of Social Services
- DPA 19 (4/07) - Authorized Representative
- DPA 315 (7/99) - Withdrawal/Conditional Withdrawals Of Request For Hearing
- DPA 353 (4/00) - Notice Of Aid To Families With Dependent Children (AFDC) And/Or Food Stamp Administrative Disqualification Hearing
- DPA 421 (7/99) - Notification Of Open Record And Waiver Of Time
- DPA 435 (2/02) - County Allegation Of Intentional Program Violation/Statement Of Position (Request For An Administrative Disqualification hearing)
- DPA 479 (12/07) - Administrative Disqualification Hearing Waiver - CalWORKs/Food Stamps
- EFA 7 (3/99) - EFAP Certification Of Eligibility And Receipt For USDA Commodities
- EFA 7A (11/99) - Emergency Food Assistance Program (EFAP) Certification Of Eligibility
- FC 2 (11/04) - Statement of Facts Supporting Eligibility For AFDC-Foster Care (FC)
- FC 4 (5/00) - AFDC Program Choice Indicator
- FCCH - Pre-Orientation Registration Information: Wait!
- FS 11 ENG/SP (8/09) - Notice To All Food Stamp Recipients
- FS 11B ENG/SP (4/09) - Notice To All Food Stamp Recipients - Important Please Read - Things You Need To Know
- FS 17 (9/99) ENG/SP - Notice To All Food Stamp Recipients - Important Information For Legal Immigrants
- FS 22 QR (12/06) - Applying For Food Stamp Benefits
- FS 23 QR (3/05) - Food Stamp Benefits How To Report Household Changes
- FS 26 (8/09) -Food Stamp Program Qualifying Drug Felon Addendum
- FS 27 (7/08) - Non-Assistance Food Stamps (NAFS) Household Recertification Form
- FS 28 Coversheet (10/08) - Food Stamp Program Restricted Account Coversheet - Important To Know
- FS 28A (10/08) - Food Stamp Program Restricted Account Agreement Part A
- FS 28B (10/08) - Food Stamp Program Restricted Account Agreement Part B
- FS 29 (5/08) - Food Stamp Recertification Appointment Letter
- FS 31 ENG/SP (2/09) - Notice To All Food Stamp Recipients - Important-Please Read - Things You Need To Know
- KG 1 (08/02) - Kin-GAP Mutual Agreement For 18 Year Olds
- KG 2 (08/02) - Statement Of Facts Supporting Eligibility For Kinship Guardianship Assistance Payment (KinGAP) Program
- KG 2A (03/01) - Rights, Responsibilities And Other Important Information for the KinGAP Program
- LIC 192 (7/03) - Notiification Of Initial Application Denial
- LIC 198 (2/01) - Child Abuse Central Index Check For County Licensed Facilities
- LIC 198A (9/07) - Child Abuse Central Index Check For State Licensed Facilities
- LIC 198B (12/07) - Out-Of-State Child Abuse/Neglect Report Request
- LIC 200 (7/08) - Application For A Community Care Facility or Residential Care Facility For The Elderly License
- LIC 200A (6/08) - Application For A Child Care Center License
- LIC 215 (7/04) - Applicant Information - Facility License
- LIC 279 (2/09) - Application For A Family Child Care Home License
- LIC 279A (1/07) - License Application And Instructions For Family Child Care Homes
- LIC 279B (10/05) - Current Children In Your Home - Application For A Family Child Care Home License
- LIC 281A (1/07) - License Application And Instructions For Child Care Centers
- LIC 282 (8/08) - Affidavit Regarding Liability Insurance For Family Child Care Home
- LIC 283 (1/03) - Foster Family Home Application
- LIC 283A (12/07) - Foster Family Home Application Instructions
- LIC 301E (7/03) - Reference Request - Exemption
- LIC 308 (11/02) - Designation of Facility Responsibility
- LIC 309 (06/01) - Administrative Organization
- LIC 311D (3/07) - Forms/Records To Keep In Your Family Child Care Home
- LIC 400 (1/99) - Affidavit Regarding Client/Resident Cash Resources
- LIC 401 (3/01) - Monthly Operating Statement
- LIC 401A (3/99) - Supplemental Financial Information
- LIC 402 (8/04) - Surety Bond
- LIC 403 (11/02) - Balance General
- LIC 403A (12/02) - Balance Sheet Supplemental Schedule
- LIC 404 (7/99) - Financial Information Release And Verification
- LIC 405 (8/01) - Record Of Client's/Resident's Safeguarded Cash Resources
- LIC 420 (4/99) - Budget Information
- LIC 500 (11/03) - Personnel Report
- LIC 501 (3/99) - CCL/Personnel Record
- LIC 503 (3/99) - Health Screening Report - Facility Personnel
- LIC 508 (10/09) - Criminal Record Statement
- LIC 508A (10/09) - Criminal Record Statement - Adoption Facilitator
- LIC 508B (10/09) - Criminal Record Statement - Long-Term Ombudsman Program
- LIC 508D (10/09) - Out-Of-State Disclosure And Criminal Record Statement
- LIC 601 (8/08) - Identification And Emergency Information
- LIC 610 (10/03) - Emergency Disaster Plan For Child Care Centers
- LIC 610A (6/05)- Emergency Disaster Plan For Family Child Care Homes
- LIC 610B (6/02)- Emergency Plan For Foster Family Homes
- LIC 610C (10/03) - Emergency Disaster Plan For Children's Residential Facilities (Except Foster Family Homes)
- LIC 610D (10/03) - Emergency Disaster Plan For Adult Day Programs, Adult Residential Facilities, Residential Care Facilities For The Chronically Ill And Social Rehabilitation Facilities
- LIC 610E (10/03) - Emergency Disaster Plan For Residential Care Facilities For The Elderly
- LIC 613 (12/02) - Personal Rights Adult Residentail Care Facilities
- LIC 613A (8/08) - Personal Rights - Child Care Centers
- LIC 613B (1/03) - Personal Rights - Children's Residential Facilities
- LIC 613C (7/05) - Personal Rights Residential Care Facilities for The Elderly
- LIC 621 (4/99) - Client/Resident Personal Property And Valuables
- LIC 622 (3/99) - Centrally Stored Medication and Destruction Record
- LIC 623 (5/01) - Group Planned Activities
- LIC 624 (4/99) - Unusual Incident/Injury Report
- LIC 624B (8/08) - Unusual Incident/Injury Report - Family Child Care Home
- LIC 625 (8/99) - Appraisal/Needs and Services Plan
- LIC 627 (9/08) - Consent for Medical Treatment - Child Care Centers Or Family Child Care Homes
- LIC 627A (9/08) - Consent To A Medical Examination
- LIC 627B (9/08) - Consent For Emergency Medical Treatment - Children's Residential Facilities
- LIC 627C (4/00) - Consent For Emergency Medical Treatment - Adult And Elderly Residential Facilities
- LIC 700 (8/08) - Identification and Emergency Information - Child Care Centers/Family Child Care Homes
- LIC 701 (8/08) - Physician's Report - Child Care Centers
- LIC 702 (8/08) - Child's Preadmission Health History - Parent's Report
- LIC 855 (9/00) - Declaration
- LIC 860C (12/02) - Facility Review Index Foster Family Homes
- LIC 861 (1/03) - Prelicensing In-Home Interview
- LIC 995 (9/08) - Child Care Center - Notification Of Parents' Rights
- LIC 995A (8/08) - Family Child Care Home - Notification Of Parents' Rights
- LIC 995B (8/08) - Family Child Care Home Addendum To Notification Of Parents' Rights (Regarding Removal/Exclusion)
- LIC 995C (8/08) - Family Child Care Home Addendum To Notification Of Parents' Rights (Regarding Reinstatement)
- LIC 995D (5/03) - Family Child Care Home Explanation Of Exclusions And Reinstatement
- LIC 995E (10/09) - Caregiver Background Check Process
- LIC 995F (10/09) - Caregiver Background Check Information
- LIC 999 (3/99) - Facility Sketch Floor Plan/Yard Plan
- LIC 999A (2/05) - Facility Sketch (Floor Plan) - Family Child Care Home
- LIC 9040 (10/05) - Child Care Facility Roster
- LIC 9052 (3/03) -Notice Employee Rights
- LIC 9054 (3/99) - Local Fire Inspection Authority Information
- LIC 9058 (8/05) - Applicant/Licensee Rights
- LIC 9108 (3/05) - Statement Acknowledging Requirement To Report Suspected Child Abuse
- LIC 9148 (9/00) - Earthquake Preparedness Checklist (EPC)
- LIC 9149 (2/05) - Property Owner/Landlord Consent
- LIC 9150 (8/08) - Parent Notification - Additional Children In Care
- LIC 9151 (3/05) - Family Child Care Home Property Owner/Landlord Notification
- LIC 9163 (4/08) - Request for Livescan Service - Community Care Licensing
- LIC 9166 (2/01) - Consent/Verification for Nebulizer Care
- LIC 9194 (9/04) - Live Scan Instructions For State Licensed Facilities
- LIC 9212 (10/05) - Consumer Awareness Information - Family Child Care
- LIC 9213 (1/04) - Notice Of Site Visit By A Child Care Licensing Office Representative
- LIC 9217 (3/05) - Pre-Licensing Readiness Guide - Family Child Care Home
- LIC 9219 (10/06) - Crisis Nursery Monthly Report
- LIC 9219A (10/06) - Crisis Day Care Sign-In
- LIC 9221 (8/08) - Parent Consent For Administration Of Medications And Medication Chart
- LIC 9222 (9/05) - Blood Glucose Testing Consent/Verification Child Care Facilities
- LIC 9223 (3/07) - Child Care Advocate Program
- LIC 9224 (8/08) - Acknowledgement Of Receipt Of Licensing Reports