Form LIC 301B. Reference Request - Long-Term Care Ombudsman Program - California
Form LIC 301B is used in California for reference requests related to the Long-Term Care Ombudsman Program. Its main purpose is to collect information and feedback from references regarding the suitability and qualifications of individuals applying for roles in the program.
Form LIC 301E. Reference Request - Exemption - California
Form LIC 301E is used in California for reference requests related to requesting an exemption from certain requirements or regulations. Its main purpose is to gather information and feedback from references who can provide insights into the applicant's eligibility for an exemption.
Form LIC 306. Reporting Requirements By Licensees To The State Department Of Social Services - California
Form LIC 306 is used in California by licensees to fulfill reporting requirements mandated by the State Department of Social Services. Its main purpose is to ensure that licensees provide accurate and timely information to the department regarding various aspects of their facility or program.
Form LIC 311C. Records To Be Maintained At The Facility - Adult Residential - California
Form LIC 311C. Records To Be Maintained At The Facility - Adult Residential - California:
Form LIC 311F. Records To Be Maintained At The Facility - Residential Care Facility For The Elderly - California
Form LIC 311F is used in California by residential care facilities for the elderly to fulfill the requirement of maintaining specific records at their facility.
Form LIC 313. Evidence Of Program Consultant - California
Form LIC 313 is used in California to provide evidence of program consultant services. The main purpose of this form is to document the engagement of a program consultant who provides expertise, guidance, and oversight to licensed facilities or programs.
Form LIC 400. Affidavit Regarding Client/Resident Cash Resources - California
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.
Form LIC 401A. Supplemental Financial Information - California
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.
Form LIC 403. Balance Sheet - California
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 403A. Balance Sheet Supplemental Schedule - California
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.