Form LIC 995A, Family Child Care Home Notification Of Parents' Rights, is a childcare-related form issued and distributed by the Community Care Licensing Division, a component of the California Department of Social Services (CDSS). The latest edition of the form was released by the CDSS on August 1, 2008.
An up-to-date fillable LIC 995A form is available for download and digital filing below. Other CDSS forms can be found through the link to our CDSS forms and brochures database. The file below requires a desktop Acrobat Reader or a browser extension to view and file. An LIC 995A Spanish version is also available by clicking this download link.
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