Form LIC 9182, Criminal Background Clearance Transfer Request is a document used to apply for a transfer of an active criminal record from one state licensed facility to another. This is a state-specific form designed and issued by the California Department of Social Services Community Care Licensing Division. The most recent version of the form was released in November 2015. Download the up-to-date LIC 9182 fillable form through the link below.
California state law demands fingerprints of all the community care license applicants. This requirement includes adults who are employees at licensed community care facilities or home care organizations, and home care aide applicants, both independent and affiliated to a home care organization. The initial community care licensing fingerprint clearance or the Community Care Licensing Division (CCLD) fingerprint clearance is provided by the Caregiver Background Check Bureau.
After the clearance was granted, it can be transferred from one facility to another. For this purpose, a license applicant or a licensee must submit an LIC 9182 Form. To avoid delays during the transfer processing, you are not required to be re-fingerprinted if you already have an active clearance. To verify your status, contact your local CCLD office.