2007 Notice Of Form Changes
- 07-088
LIC 283A (12/07) - Foster Family Home Application Instructions - 07-087
LIC 200 (12/07) - Application For A Community Care Facility Or Residential Care Facility For The Elderly License - 07-086
LIC 9188 (12/07) - Criminal record Exemption Transfer Request - 07-085
LIC 9182 (12/07) - Criminal Background Clearance Transfer Request - 07-084
DPA 479 (12/07) - Administrative Disqualification Hearing Waiver - CalWORKs/Food Stamps - 07-083
LIC 508D (12/07) - Out-Of-State Disclosure And Criminal Record Statement - 07-082
LIC 198B (12/07) - Out-Of-State Child Abuse/Neglect Report Request - 07-081
NA 692 (12/07) - Notice of Change - Cash Assistance Program For Immigrants (CAPI) - 07-080
TEMP 1722A (10/07) - CalWORKs/Food Stamp Welfare Intercept System (WIS) Transmittal - 07-079
LIC 195 (10/07) - Notice of Operation in Violation of Law - 07-078
DPS 526 (4/99) - County Response Document - 07-077
IMM 408 (1/01) - Windows for Immunizations - 07-076
LIC 9191 (6/01) - Substitute Employee Registry Certificate of Eligibility - Child Care Center and Family Child Care Home - 07-075
LIC 508D (9/07) - Criminal Record Statement - Foster Family Homes, Small Family Homes, Certified Family Homes - 07-074
PUB 414 (9/07) - Crisis Nurseries Board of Directors Booklet - 07-073
LIC 198A (9/07) - Child Abuse Central Index Check for State Licensed Facilities - 07-072
LIC 701 (9/07) - Physician's Report - Child Care Centers - 07-071
LIC 700 (9/07) - Identification and Emergency Information - Child Care Centers/Family Child Care Homes - 07-070
SAWS 2 (7/07) - Statement Of Facts For Cash Aid, Food Stamps, And Medi-Cal/34-County Medical Services Program (CMSP) - 07-069
SSP 18 (9/07) - Notice of Action and Right to Request a State Hearing on Interim assistance for Payment Pending Cases - 07-068
DPA 481 (4/02) - County Report of Compliance Transmittal - 07-067
LIC 301A (8/07) - Reference Request - Adoption Facilitator - 07-066
LIC 508B (8/07) - Criminal Record Statement - Long-Term Care Ombudsman Program - 07-065
LIC 508A (8/07) - Criminal Record Statement - Adoption Facilitator - 07-064
LIC 301B (8/07) - Reference Request - Long-Term Care Ombudsman Program - 07-063
LIC 198A (8/07) - Child Abuse Central Index Check (State Licensed Facilities) - 07-062
LIC 165 (8/07) - Board of Directors Statement - Crisis Nurseries - 07-061
FS 11 (8/07) English/Spanish - Notice To All Food Stamp Recipients - Important - Please Read - 07-060
PUB 13 (3/07)- Large Print - Your Rights Pamphlet - 07-059
PUB 373 (5/07) English and Spanish - Important Food Stamp Information For Noncitizens - 07-058
AD 590 ENG/SP (6/07) - Waiver Of Right To Further Notice Of Adoption Planning (Alleged Natural Father In Or Out Of California) - 07-057
SAWS 7 (7/02) English and Spanish - Monthly Eligibility Status Report - 07-056
DPA 487 (5/07) - Request for Access to Protected Health Information - 07-055
LIC 396 (4/07) - Foster Youth Rights - 07-054
PUB 395 (4/07) - You Have Rights Too! - 07-053
LIC 908B (9/99) - Facility File Divider Tabs (Child Care) - 07-052E
PUB 337 (1/04) English and Spanish - SFIS Brochure - 07-052
PUB 337 (1/04) English and Spanish - SFIS Brochure - 07-051
LIC 9224 (12/06) English & Spanish - Acknowledgement of Receipt of Licensing Reports - 07-050
LIC 311D (3/07) Spanish - Forms/Records to Keep in Your Family Child Care Home - 07-049
DPA 19 (4/07) SP - Authorized Representative - 07-048
LIC 9223 (3/07) SP - Child Care Advocate Program - 07-047
SAWS 2A QR (1/07) English and Spanish - Rights and Responsibilities and Other Important Information - 07-046
SAWS 1 (12/06) English and Spanish - Application For Cash Aid, Food Stamps, and.or 34-County CMSP - 07-045
CW 2166 (11/06) Multingual - Work Really pays! Here's How - work Pays Notice - 07-044
DPA 19 (4/07) - Authorized Representative - 07-043
TEMP 2229 (3/07) English and Spanish - Important Notice - KinGAP Informing Notice - 07-042
DFA 285B (4/07) - Food Stamp Budget Worksheet/Change Reporting Household - 07-041
SAWS 2 (1/07) English and Spanish - Statement of Facts For Cash, Food Stamps and Medi-Cal 34-County Medical Services - 07-040
QR 22 (12/06) English and Spanish - Sponsored Noncitizens Applying For Or Receiving Cash Aid and/or Food Stamps - 07-039
AD 904A (3/07) - Waiver Of Rights To Confidentiality For Siblings - 07-038
AD 67A (2/07) - Information About The Birth Father - 07-037
AD 904A (3/07) - Waiver Of Rights To Confidentiality For Siblings - Under The Age Of 18 - 07-036
QR 72 (12/06) English and Spanish - Sponsor's Quarterly Income And Resources Report - 07-035
NA 845 (12/06) - English and Spanish - Notice Of Action Welfare To Work - 07-034
NA 817 (12/06) - English and Spanish - Notice Of Action - Cash Aid - 07-033
AD 67 (2/07) - Information About Birth Mother - 07-032
AD 29 (3/07) - Employment Verification - 07-031
LIC 311D (3/07) - Forms/Records To Keep In Your Family Child Care Home - 07-030
LIC 279A (1/07)- English and Spanish - License Application and Instructions for Family Child Care Homes - 07-029
NA 840 (12/06) English and Spanish - Notice of Action - Welfare to Work - 07-028
PUB 394 (12/06) - Family Child Care Home - Notification of Parents' Rights Poster - 07-027
PUB 393 (12/06) - Child Care Center - Notification of Parents' Rights - 07-026
DFA 285-A1 (1/07) - Application For Food Stamp Benefits - 07-025
NA 816 (12/06) English and Spanish - Notice Of Action - Lowering Cash Aid - 07-024
LIC 9223 (3/07) - Child Care Advocate Program - 07-023
LIC 311A (3/07) - Records To Be Maintained At The Facility - Child Care Centers - 07-022
SOC 341 (12/06) - Report Of Suspected Dependent Adult/Elder Abuse - 07-021
FC 1633D (2/07) - SSI Assessment Tool - 07-020
FC 1633C (2/07) - SSI Screening Guide Section C - Application Information - 07-019
FC 1633B (2/07) - SSI Screening Guide Section B - Financial Screening - 07-018
FC 1633A (2/07)- SSI Screening Guide Section A - Disability Screening - 07-017
SOC 828 (1/07) - Conlan II County Verification - 07-016
NA 841 (10/06) - Notice Of Action - Welfare To Work - 07-015
NA 818 (10/06) - Notice Of Action - Cash aid Grant Amount - 07-014
FS 22 QR (12/06) English and Spanish - Applying For Food Stamp Benefits - 07-013
DFA 285-A1 (1/07) English and Spanish - Application For Food Stamp Benefits - 07-012
SSP 18 (12/06) English and Spanish - Notice of Action and Right To Request A State Hearing On Interim Assistance For Payment Pending Cases - 07-011
LIC 281A (1/07) - License Application And Instructions For Family Child Care Centers - 07-010
LIC 279A (1/07) - License Application Instructions For Family Child Care Homes - 07-009
PUB 13 (12/06) - Your Rights Pamphlet - 07-008
LIC 9212 (10/05) English and Spanish - Consumer Awareness Information - Family Child Care - 07-007
PUB 72 (4/03) English And Spanish - What Are Parent's Responsibilities - 07-006
SOC 827 (12/06) - IHSS Program Individual Emergency Back-Up Plan
- 07-005
PUB 104 (12/06) ENG/SP - IHSS Individual Provider Benefits And Services Information - 07-004
PUB 56 (12/06) ENG/SP - The In-Home Supportive Services Program - 07-003
SOC 824 (1/07) - In-Home Supportive Services QA/QI, PCSP, IPW and IHSS-R Programs - 07-002
CW 42 (11/06) ENG/SP - Statement Of Facts - Homeless Assistance - 07-001
ILP 1 (1/07) - Independent Living Program Annual Report And Plan Federal Fiscal Year (FFY) 2006
