2008 Notice Of Forms Changes

08-141
LIC 627B (9/08)  Consent For Emergency Medical Treatment - Children's Residential Facilities

08-140
LIC 627A (9/08)   Consent To A Medical Examination

08-139
LIC 627 (9/08)  Consent For Emergency Medical Treatment - Child Care Centers Or Family Child Care Homes

08-138
BCII 9002 (4/08) Substitute Agency Notification Request

08-137
SOC 815 (11/08)  Approval of Family Caregiver Home 

08-136
LIC 9163B (12/08) Request For Live Scan Services - Long Term Care

08-135
PUB 429 (12/08) ENG/SP -  It's Your Money - Flyer

08-134
PUB 428 (12/08) ENG/SP - It's Your Money Brochure

08-133
SOC 837 (11/08) Supplement To The Rate Questionnaire

08-132
SOC 836 (11/08) Supplement To The Rate Eligibility Form

08-131
SOC 835 (11/08) Supplement To The Dual Agency Rate - Multiple Questionnaire Worksheet

08-130 
TLR 9163A (11/08)  Request for Live Scan Service for TrustLine Registry Applicants

08-129
TLR 9163 (11/08)  Request for Live Scan Service for Subsidized TrustLine Registry Applicants

08-128
TLR 1  (11/08)  TrustLine Registry - The California Registry of In-Home Child Care Providers Subsidized Application

08-127
PUB 422  (10/08)  Supplemental Security Income (SSI) for Foster Youth with Disabilities

08-126
PUB 421  (10/08)  Supplemental Security Income (SSI) for Youth with Disabilities

08-125 
PUB 420 (10/08)  Supplemental Security Income (SSI) Information for Transitioning Foster Youth

08-124
SOC 369 (9/08) Agency-Relative Guardianship Disclosure

08-123
FS 24 (8/08) Food Stamp Program Request For Regulation Interpretation

08-122
TLR 2 (12/08) Trustline Registry - "The California Registry Of In-Home Child Care Providers"

08-121
LIC 995 (9/08)  Child Care Center - Notification of Parents' Rights

08-120
LIC 995C (8/08) Family Child Care Home Addendum to Notification of Parents' Rights (Regarding Reinstatement)

08-119
LIC 701 (8/08)  Physician's Report - Child Care Centers

08-118
LIC 601 (8/08) - Indentification and Emergency Information

08-117
FS 11 (8/08) ENG/SP - Notice To All Food Stamp Recipients - Important - Please Read

08-116
GEN 1365 (3/08) Multilingual - Notice Of Language Services

08-115
LIC 9224 (8/08) Acknowledgement of Receipt of Licensing Reports

08-114
LIC 9221 (8/08) Parent Consent for Administration of Medications and Medication Chart

08-113
LIC 9185 (8/08) Foster Family Agency Certified Home

08-112
LIC 9150 (8/08)  Parent Notification - Additional Children in Care

08-111
LIC 995B  (8/08)  Family Child Care Home - Addendum to Notification of Parents' Rights

08-110
LIC 995A (8/08)  Family Child Care Home - Notification of Parents' Rights

08-109
LIC 702 (8/08)  Child's Preadmission With Prior DSS Approval

08-108
LIC 700 (8/08)  Identification and Emergency Information - Child Care Centers/Family Child Care Homes

08-107
LIC 624B (8/08)  Unusual Incident/Injury Report - Family Child Care Home

08-106
LIC 613A (8/08)  Personal Rights - Child Care Centers

08-105
LIC 282  (8/08)  Affidavit Regarding Liability Insurance for Family Child Care Home

08-104
SOC 414 (8/93)  Level of Care Assessment

08-103
LIC 200 (7/08)  Application For A Community Care Facility or Residential Care Facility For The Elderly

08-102
AD 20B (3/08) Refusal To Give Consent To Adoption - Alleged Natural Father

08-101
AD 501A (3/08) Relinquishment Out-of-State (Birth Mother/Presumed Father)

08-100
AD 586 (3/08) Relinquishment In or Out of County (Alleged Natural Father in California)

08-099
AD 591 (3/08) Relinquishment Out of State (Alleged Natural Father)

08-098
AD 594 (3/08) Alleged Natural Father's Consent To Adoption (In Or Out Of California)

08-097
AD 862 (3/08) Relinquishment Of An Indian Child Out Of State Alleged Natural Father

08-096
AD 864 (3/08) Relinquishment Of An Indian Child In Or Out Of County - Birth Mother/Presumed Father In California

08-095
AD 867 (3/08) Relinquishment Of An Indian Child Out of State - Presumed Father Denies He is the Birth Father

08-094
Ad 868 (3/08) Relinquishment Of Indian Child - In/Out of County - Alleged Natural Father In California

08-093
AD 866 (3/08) Relinquishment Of An Indian Child In Or Out of County - Presumed Father Denies He Is The Birth Father In California

08-092
PUB 69 (7/08) 2008/2009 County Forms Catalog

08-091
NA 840 (5/08) Notice Of Action - Welfare To Work Plan

08-090
NA 1242 (6/08) Notice Of Action - Sanctions Budget

08-089
NA 817 (5/08) Notice Of Action - Sanction Of Participant After Failed Compliance Plan

08-088
NA 816 (5/08) Notice Of Action - Sanction Of Other Parent After Failed Compliance Plan

08-087
NA 845 (5/08) Notice Of Action - Sanction And Removal Of The other Parent's Needs

08-086
FS 29 (5/08) Food Stamp Recertification Appointment Letter

08-085
QR 377.2 (5/08) Food Stamp Notice Of Expiration Of Certification

08-084
FS 13 ENG/SP (9/99) Notice To All Food Stamp Household Members Who Must Pay Child Support Important Please Read

08-083
PUB 438 (6/08) Changes To The Trustline Registration  Requirements
PUB 439 (6/08) License Exempt Provider Pamphlet - Trustline Registration Requirements

08-082
AD 2B (3/08) Consent To Adoption By Parent Outside California Giving Custody To Husband Or Wife Or Domestic Patner Of Other Paent

08-081
AD 166 (3/08) Consent To Adoption By Father Outside California - To Be Used When Presume Father Denies He Is The Natural Father

08-080
AD 863 (3/08) Relinquishment Of An Indian  Child Out Of State - Birth Mother/Presumed Father

08-079
AD 590 (3/08) Waiver Of Right To Further Notice Of Adoption Planning - Alleged Natural Father In Or Out Of California

08-078
AD 584 (3/08) Relinquishment Out Of State - Presume Father Denies He Is The Birth Father

08-077
AD 588 (3/08) Denial Of Paternity By Alleged Natural Father (In Or Out Of California)

08-076
AD 590A (3/08) Waiver Of  Right To Further Notice Of Adoption Planning - Presumed Father In Or Out Of California

08-075
AD 20 (3/08) Refusal To Give Consent To Adoption

08-074
AD 583 (3/08) Relinquishment In Or Out Of County - Presumed Father Denies He Is The Birth Father In California

08-073
AD 2D (3/08) Stepparent Adoption Consent To Adoption By Parent Outside California In Armed Forces Giving Custody To Husband Or Wife Or Domestic Partner Of Other Parent

08-072
AD 1F (3/08) Consent To Adoption By Parent(s) Outside California In Armed Forces

08-071
AD 1C (3/08) Consent By Parent(s) Outside California

08-070
LIC 200A (6/08)  Application For A Child Care Center License

08-069
DFA 386 (3/08) Notice Of Missed Interview

08-068
SSP 14 (3/08) Authorization For Reimbursement Of Interim Assistance Initial Payment Or Initial Posteligibility Payment

08-067
SSP 18 (3/08) Notice Of Action And Right To Request A State Hearing On Interim Assistance

08-065
SOC 834 (6/08)  Request for Grievance Hearing

08-064
LIC 279 (5/08)  Application For A Family Child Care Home License

08-063
SOC 832 (5/08)  Notice of Child Abuse Central Index Listing

08-062
SOC 454 (4/99) Cash Assistance Program For Immigrants (CAPI) Sponsor To Alien Deeming Worksheet

08-061
SOC 369 (4/08) Agency-Relative Guardianship Disclosure

08-060
DFA 285D (8/07) Food Stamp Budget Worksheet - Special Medical/Shelter Deductions

08-059
SOC 834 SP  (3/08)  Request for Grievance Hearing

08-058
SOC 833 SP  (3/08)  Child Abuse Central Index Listing Grievance Procedures

08-057
SOC 832 SP (3/08)  Notice of Child Abuse Central Index Listing

08-056
TEMP 2232  SP (4/08)  Notice of Possible Listing on the Child Abuse Central Index

08-055
LIC 9163 (4/08)  Request for Live Scan Service - Community Care Licensing

08-054
PUB 422 (4/08)  Supplemental Security Income (SSI) for Foster Youth with Disabilities

08-053
PUB 421 (4/08)  Helping Your Child Receive Supplemental Security Income (SSI) for Youth with Disabilities

08-052
PUB 420 (4/08)  Supplemental Security Income (SSI) Information for Transitioning Foster Youth

08-051
TEMP 2232 (4/08) Notice of Possible Listing on the Child Abuse Central Index

08-050
WTW 13 (7/99) Welfare To Work/Cal-Learn Supportive Services Overpayment Final Notice

08-049
WTW 11 (7/99) Welfare To Work/Cal-Learn Supportive Services Overpayment/Underpayment Notice

08-048
WTW 12 (7/99) Welfare To Work/Cal-Learn Supportive Service Repayment Agreement

08-047
RS 36 (3/08) Employment And Training Requirements For Refugee Cash Assistance (RCA)

08-046
RS 1 (3/08) Refugee Resettlement Program Services Application And Assessment Information

08-045
SOC 831 (3/08) Provider Direct Deposit Outreach Letter

08-044
SOC 829 (3/08) IHSS Provider Direct Deposit Enrollment/Change/Cancellation Form

08-043
SOC 834 (3/08) - Request for Grievance Hearing

08-042
SOC 832 (3/08) - Notice of Child Abuse Central Index Listing

08-041
SOC 826 (3/08) - Child Fatality/Near Fatality - County Statement of Findings and Information

08-040
SOC 833 (3/08) - Child Abuse Central Index Listing Grievance Procedures

08-039
LIC 627B  SP (1/08)  - Consent for Emergency Medical Treatment - Children's Residential Facilities

08-038
LIC 627A  SP (1/08)  - Consent to a Medical Examination

08-037
LIC 200 SP (12/07) - Application For A Community Care Facility or Residential Care Facility for the Elderly License

08-036
SOC 830  SP (1/08)  Request for Conditional CAPI After Naturalization Pending SSI/SSP Eligibility Determination

08-035
LIC 627 SP (1/08)  Consent for Emergency Medical Treatment - Child Care Centers or Family Child Care Centers

08-034
LIC 283A SP (12/07)  Foster Family Home application Instructions

08-033
ICPC 100A (10/03)  Interstate Compact Placement Request

08-032
LIC 9224 (1/08)  Acknowledgement of Receipt of Licensing Reports

08-031
LIC 9221 (1/08)  Parent Consent for Administration of Medications and Medication Chart

08-030
LIC 9150 (1/08)  Parent Notification - Addditional Children in Care

08-029
LIC 9185 (1/08)  Foster Family Agency Certified Home

08-028
LIC 995C (1/08)  Family Child Care Home Addendum to Notification of Parents' Rights (Regarding Reinstatement)

08-027
LIC 995B (1/08)  Family Child Care Home Addendum to Notification of Parents' Rights (Regarding Removal/Exclusion)

08-026
LIC 995A (1/08)  Family Child Care Home - Notification of Parents' Rights

08-025
LIC 995 (1/08)  Child Care Center - Notification of Parents' Rights 

08-024
LIC 702 (1/08)  Child's Preadmission Health History - Parent's Report

08-023
LIC 701 (1/08)  Physician's Report - Child Care Centers

08-022
LIC 282 (1/08) Affidavit Regarding Liability Insurance For Family Child Care Home

08-021
LIC 9211 (1/08)  Request for Inactive Child Care License Status

08-020
LIC 700 (1/08)  Identification and Emergency Information - Child Care Centers/Family Child Care Homes

08-019
LIC 627B (1/08)  Consent for Emergency Medical Treatment - Children's Residential Facilities

08-018
LIC  627A (1/08)  Consent to a Medical Examination

08-017
LIC 627 (1/08)  Consent for Emergency Medical Treatment - Child Care Centers or Family Child Care Homes

08-016
LIC 624B (1/08)  Unusual Incident/Injury Report - Family Child Care Home

08-015
LIC 613A (1/08)  Personal Rights - Child Care Centers

08-014
LIC 601 (1/08)  Identification and Emergency Information

08-013
LIC 122 (1/08)  Release of Information

08-012
LIC 9029A (1/08) Statement of Facts Summary Sheet

08-011
LIC 184A (1/08) Notification of Incomplete Foster Family Home Application

08-010
NA 834 (1/08) Notice Of Action - Child Care Denial

08-009
NA 833 (1/08) Notice Of Action - Child Care Change

08-008
NA 832 (1/08) Notice Of Action - Child Care Approval

08-007
CCP 7 (1/08) CalWORKs Stage One Child Care Request Form And payment Rules

08-006
CCP 4 (1/08) Health And Safety Self-Certification (For License-Exempt Providers)

08-005
CCP 1 (1/08) Declaration Of Exemption From Trustline Registration And Health And Safety Self-Certification

08-004
SOC 830 (1/08) Request for Conditional CAPI After Naturalization Pending SSI/SSP Eligibility Determination

08-003
NA 835 (1/08) Notice Of Action - Child Care Discontinuance

08-002
TEMP 2230 (9/07) English and Spanish - Important Notice To Food Stamp Households

08-001
PUB 275 (4/07) English and Spanish - Family Planning - Making The Commitment For A Healthy Future