Form LIC 282, Affidavit Regarding Liability Insurance For Family Child Care Home, is a questionnaire developed by the California Department of Social Services (CDSS). This form is supposed to be filled out by the parents or guardians of a child who is enrolling in a child care facility.
The purpose of the form is to provide family child care providers with signed confirmation from the parents or guardians of a child on the subject of liability insurance in the facility.
This form was last revised on August 1, 2008. A printable copy of the LIC 282 Child Care Form is available for download below.
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