Form LIC 420 is used in California to provide budget information for licensed facilities or programs. The main purpose of this form is to outline the projected income and expenses for a specific period, typically on an annual basis.
Form LIC 406 is used in California to maintain a record of client's or resident's cash transactions within licensed facilities or programs. The main purpose of this form is to track and document the flow of cash related to the client's or resident's personal funds.
Form LIC 405 is used in California to maintain a record of a client's or resident's safeguarded cash resources within licensed facilities or programs. The main purpose of this form is to track and document any cash resources entrusted to the facility for safekeeping on behalf of the client or resident.
This form, Form LIC 12, is used in California as an Alternative Plan (DAP) for the resource family approval process. Its main purpose is to outline an alternative plan for meeting specific requirements or standards when the standard approval process cannot be followed.
The form consists of sections where the applicant or resource family specifies the areas in which they are unable to meet the standard requirements and proposes an alternative plan to address those areas. It includes details about the alternative plan, the steps to be taken, and the timeline for completion.
Form LIC 404 is used in California to release and verify financial information provided by an individual or organization. The main purpose of this form is to obtain consent from the individual or organization to release their financial information and verify its accuracy.
Form LIC 403A is used in California as a supplemental schedule to the balance sheet for licensed facilities or programs. The main purpose of this form is to provide additional details and breakdowns of specific assets, liabilities, or equity accounts mentioned in the balance sheet.
Form LIC 403 is used in California to provide a balance sheet for licensed facilities or programs. The main purpose of this form is to present a snapshot of the licensee's financial position at a given point in time.
Form LIC 402 is used in California to establish a surety bond for licensed facilities or programs. The main purpose of this form is to provide a guarantee of financial compensation in case the licensee fails to fulfill their obligations.
Form LIC 401A is used in California to provide supplemental financial information for licensed facilities or programs. The main purpose of this form is to gather additional details about the financial status and resources of the licensee.
The form consists of sections where the licensee provides information related to their financial situation. This may include details about their assets, liabilities, income sources, expenses, and other relevant financial data. The form may also request supporting documentation or references to substantiate the financial information provided.
Form LIC 400 is used in California to provide an affidavit regarding client/resident cash resources. The main purpose of this form is to gather information and verify the financial resources of clients or residents in licensed facilities.
