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