Form LIC 198. Child Abuse Central Index Check For County Licensed Facilities - California

Form LIC 198 is used in California to conduct a Child Abuse Central Index (CACI) check for county licensed facilities. Its main purpose is to determine if there are any documented reports of child abuse or neglect involving the applicant or individuals associated with the facility.

The form consists of sections where the applicant provides personal information, such as name, date of birth, and Social Security number, to initiate the background check process. The licensing agency uses this information to access the CACI database and retrieve relevant records.

Important fields on this form include accurate and complete personal information of the applicant and any associated individuals. It is essential to ensure that all required fields are filled out correctly to facilitate an accurate search of the Child Abuse Central Index.

Application Example: When applying for a license for a county licensed facility in California, the applicant may be required to submit Form LIC 198 to authorize a Child Abuse Central Index check. By providing the necessary personal information, the licensing agency can perform the background check to ensure the safety and well-being of children in the facility.

Related Forms: Form LIC 9163, Authorization for Release of Information, is a related form used to obtain consent from the applicant for accessing background information. Form LIC 198 specifically focuses on conducting a Child Abuse Central Index check for county licensed facilities, while Form LIC 9163 covers the broader authorization for information release.