Form LIC 216TM. Temporary Manager Appointment Applicant Information - California

Form LIC 216TM is used in California to provide information about the selected applicant who will be appointed as a temporary manager for a facility under a provisional license. Its main purpose is to submit the necessary details regarding the individual who will assume the role of temporary manager.

The form consists of sections where the applicant provides personal information, such as name, contact details, and professional qualifications. It may also include questions about the individual's experience, background checks, and any relevant documentation supporting their suitability for the temporary manager position.

Important fields on this form include accurately documenting the selected applicant's information, providing comprehensive details about their qualifications, and ensuring all required fields are filled out correctly. It is essential to consider the individual's expertise and ability to effectively manage the facility during the specified period.

Application Example: When a provisional license holder in California has selected an applicant to be appointed as a temporary manager, they must complete Form LIC 216TM. By providing accurate information and supporting documentation for the selected candidate, the licensing agency can finalize the appointment and ensure the smooth operation of the facility during the temporary management period.

Related Forms: Form LIC 200TM, Temporary Manager Application for Provisional License, is a related form used when applying for a temporary manager position. Form LIC 216TM specifically focuses on the selected applicant's information and appointment details, while Form LIC 200TM addresses the initial application for a temporary manager position.