PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form LIC9236
for the current year.
Form LIC9236 Entrance Checklist - Short-Term Residential Therapeutic Program - California
What Is Form LIC9236?
This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is LIC9236?
A: LIC9236 is an entrance checklist for Short-Term Residential Therapeutic Program in California.
Q: What is a Short-Term Residential Therapeutic Program?
A: A Short-Term Residential Therapeutic Program is a program in California that provides 24-hour care and treatment to children with severe emotional and behavioral issues.
Q: Who needs to fill out LIC9236?
A: The Short-Term Residential Therapeutic Program staff needs to fill out LIC9236 when admitting a child into the program.
Q: What information is included in LIC9236?
A: LIC9236 includes information about the child being admitted, such as their name, date of birth, and reason for admission.
Q: Is LIC9236 a legal requirement?
A: Yes, LIC9236 is a legal requirement for admitting a child into a Short-Term Residential Therapeutic Program in California.
Q: Are there any fees associated with LIC9236?
A: No, there are no fees associated with LIC9236.
Q: How long does it take to fill out LIC9236?
A: The time it takes to fill out LIC9236 may vary, but it typically takes around 10-15 minutes.
Form Details:
- Released on July 1, 2020;
- The latest edition provided by the California Department of Social Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form LIC9236 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
