Documents
2954
Form LIC 602 Physician's Report for Community Care Facilities - California
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(4.4 / 5) 69 votes Size: 109 KB
3
pages
File this form if you are the physician of the applicant for admission to a Community Care Facility and have a thorough knowledge of the patient's medical issues. The goal of this document is to check if the patient can continue their residential treatment at the facility.
Form LIC 500 Personnel Report - California
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(4.4 / 5) 52 votes Size: 194 KB
2
pages
This is form issued by the California Department of Social Services (CDSS). It is filed to keep a current list of the staff (including backup persons, volunteers, etc.) employed and residing on the facility.
Form LIC 622a Medication Administration Record (MAR) - California
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(4.7 / 5) 33 votes Size: 180 KB
4
pages
Use this form if you are health care professional to keep track of non-psychotropic medications prescribed to a child. This four-page record sheet is often referred to as a drug chart.
Form LIC 9182 Criminal Background Clearance Transfer Request - California
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(4.3 / 5) 59 votes Size: 41 KB
2
pages
File this document if you are an employee of a licensed community care facility or home care organization, and wish to apply for a transfer of your active criminal record from one state licensed facility to another.
Form LIC 602A Physician's Report for Residential Care Facilities for the Elderly (Rcfe) - California
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(4.3 / 5) 42 votes Size: 174 KB
6
pages
Download this document to inform your residential care facility of care needs, diagnosis, and mental condition of an elderly person.
Form PIU 3 Complaint About Peace Officers/ Law Enforcement Agency - California
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(4.6 / 5) 76 votes Size: 1 MB
3
pages
Form TILP 1 Transitional Independent Living Plan & Agreement - California
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(4.4 / 5) 81 votes Size: 1 MB
3
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Form DBO-3 Confidential Resume Submitted to the Commissioner of Business Oversight, State of California - California
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(4.3 / 5) 39 votes Size: 1 MB
3
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Form EFT-1 Authorization Agreement for Electronic Funds Transfer - California
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(4.5 / 5) 49 votes Size: 276 KB
2
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Form OFG-5 Federal-Aid Projects of Division Interest - California
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(4.5 / 5) 25 votes Size: 61 KB
3
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Form OFG-2 Local Agency and Oversight Resident Engineer Preconstruction Conference Checklist - California
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(4.6 / 5) 16 votes Size: 111 KB
5
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Form OFG-6 Final Acceptance Checklist for Caltrans Oversight Projects - California
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(4.8 / 5) 84 votes Size: 54 KB
5
pages
Form OFG-3 Local Agency Resident Engineer Contract Provisions Checklist - California
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(4.6 / 5) 27 votes Size: 43 KB
2
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Form LIC DE 1 Admitted Company Data Extract Order Form - California
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(4.7 / 5) 70 votes Size: 1 MB
1
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Form LIC DE 3 Producer Licensing Bureau Ce Expiration Data Extract Order Form - California
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(4.6 / 5) 67 votes Size: 1 MB
1
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Form LIC DE 4 Qualification Data Extract Order Form - California
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(4.5 / 5) 34 votes Size: 340 KB
1
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Form LIC DE 2 License Bureau Appointments Data Extract Order Form - California
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(4.8 / 5) 88 votes Size: 1 MB
1
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Form S-1 Group Master Application for Certificate of Consent to Self-insure as a Group Self-insurer - California
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(4.4 / 5) 50 votes Size: 1 MB
6
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Form A-2 Application for Certificate of Consent to Self-insure as a Public Agency Employer Self-insurer - California
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(4.8 / 5) 68 votes Size: 3 MB
5
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Form A-1 Application for Certificate of Consent to Self-insure as a Private Employer Self-insurer - California
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(4.5 / 5) 46 votes Size: 1 MB
6
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Form S-6 Agreement and Undertaking for Security Deposit - California
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(4.3 / 5) 42 votes Size: 1 MB
1
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Form A-4 Guaranty of Workers' Compensation Liabilities - California
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(4.7 / 5) 41 votes Size: 332 KB
4
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Form A-6 Agreement and Undertaking for Security Deposit - California
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(4.6 / 5) 53 votes Size: 266 KB
1
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Form S-4 Indemnity Agreement and Power of Attorney - California
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(4.3 / 5) 68 votes Size: 1 MB
2
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Form ADSA 1 Assistance Dog Special Allowance (Adsa) Application - California
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(4.3 / 5) 87 votes Size: 35 KB
2
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Form CCP 1 Declaration of Exemption From Trustline Registration and Health and Safety Self-certification - California
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(4.3 / 5) 67 votes Size: 42 KB
1
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Form S-5 Agreement of Assumption and Guarantee of Workers' Compensation Liabilities for Group and Affiliate Members - California
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(4.6 / 5) 46 votes Size: 1 MB
2
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Form CW 8 Statement of Facts for an Additional Person - California
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(4.5 / 5) 53 votes Size: 238 KB
6
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Form CCP 7 Calworks Child Care Request Form and Reimbursement Rules - California
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(4.8 / 5) 40 votes Size: 41 KB
1
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Form KG 5 Kinship Guardianship Assistance Payment (Kin-Gap) Program Nonrecurring Legal Guardianship Expenses Form - California
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(4.4 / 5) 30 votes Size: 55 KB
1
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Form KG 4 Kinship Guardianship Assistance Payment (Kin-Gap) Program Nonrecurring Legal Guardianship Expenses Agreement - California
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(4.7 / 5) 44 votes Size: 37 KB
1
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Form AR 2 Reporting Changes for Calworks and Calfresh - California
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(4.4 / 5) 55 votes Size: 33 KB
1
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