Form LIC 01C. Resource Family Application-Confidential - California

This form, Form LIC 01C, is a confidential resource family application used in California. Its main purpose is to collect personal and sensitive information about the applicant and their household members for the evaluation and approval process.

The form consists of sections where the applicant provides personal details such as name, address, contact information, and date of birth. It also includes sections to document the background and criminal history information of all adult household members.

It is crucial for the applicant to fill out this form accurately and truthfully, as the information provided will be used to assess the suitability and safety of the resource family. Confidentiality is important to ensure the privacy and protection of the applicant and their household members.

Application Example: An individual or couple interested in becoming a resource family in California would need to complete Form LIC 01C. By filling out this confidential application, they provide personal and sensitive information required for the evaluation and approval process.

Related Forms: Form LIC 01A, the Resource Family Application, is a related form that collects similar information but is not designated as confidential. Both forms serve the purpose of initiating the resource family application process, but Form LIC 01C focuses specifically on maintaining confidentiality.