Form LIC 9238. Entrance Checklist Transitional Housing Placement Program - California

Form LIC 9238 is used in California by transitional housing placement programs to document and track the process of admitting a resident into their program. This form is completed by program personnel when welcoming a new resident to the transitional housing placement program.

The form consists of sections that require information about the resident being admitted, including personal details, background information, needs assessment, and any special accommodations required. Important fields include the resident's name, date of birth, previous living situation, current support needs, and emergency contact information. Accurate completion of this form ensures that relevant information is gathered to support the resident's successful transition into the program.

An application example of this form would involve a transitional housing placement program using Form LIC 9238 when admitting a new resident into their program. Program personnel would gather the necessary information about the resident, conduct a needs assessment, and identify any specific services or support required. By completing this form, transitional housing placement programs can maintain accurate records and tailor their services to meet the individual needs of each resident.

Related forms: A related form is Form LIC 9221, Resident Agreement - Transitional Housing Placement Program. While Form LIC 9238 focuses on entrance information for transitional housing placement programs, Form LIC 9221 is used to document the agreement between the program and the resident upon admission. The main difference lies in the purpose and content of each form, with Form LIC 9238 focusing on gathering essential resident information and Form LIC 9221 addressing legal and contractual aspects of the admission process.