2007 Notice Of Form Changes
07-088
LIC 283A (12/07) - Foster Family Home Application Instructions
07-087
LIC 200 (12/07) - Application For A Community Care Facility Or Residential Care Facility For The Elderly License
07-086
LIC 9188 (12/07) - Criminal record Exemption Transfer Request
07-085
LIC 9182 (12/07) - Criminal Background Clearance Transfer Request
07-084
DPA 479 (12/07) - Administrative Disqualification Hearing Waiver - CalWORKs/Food Stamps
07-083
LIC 508D (12/07) - Out-Of-State Disclosure And Criminal Record Statement
07-082
LIC 198B (12/07) - Out-Of-State Child Abuse/Neglect Report Request
07-081
NA 692 (12/07) - Notice of Change - Cash Assistance Program For Immigrants (CAPI)
07-080
TEMP 1722A (10/07) - CalWORKs/Food Stamp Welfare Intercept System (WIS) Transmittal
07-079
LIC 195 (10/07) - Notice of Operation in Violation of Law
07-078
DPS 526 (4/99) - County Response Document
07-077
IMM 408 (1/01) - Windows for Immunizations
07-076
LIC 9191 (6/01) - Substitute Employee Registry Certificate of Eligibility - Child Care Center and Family Child Care Home
07-075
LIC 508D (9/07) - Criminal Record Statement - Foster Family Homes, Small Family Homes, Certified Family Homes
07-074
PUB 414 (9/07) - Crisis Nurseries Board of Directors Booklet
07-073
LIC 198A (9/07) - Child Abuse Central Index Check for State Licensed Facilities
07-072
LIC 701 (9/07) - Physician's Report - Child Care Centers
07-071
LIC 700 (9/07) - Identification and Emergency Information - Child Care Centers/Family Child Care Homes
07-070
SAWS 2 (7/07) - Statement Of Facts For Cash Aid, Food Stamps, And Medi-Cal/34-County Medical Services Program (CMSP)
07-069
SSP 18 (9/07) - Notice of Action and Right to Request a State Hearing on Interim assistance for Payment Pending Cases
07-068
DPA 481 (4/02) - County Report of Compliance Transmittal
07-067
LIC 301A (8/07) - Reference Request - Adoption Facilitator
07-066
LIC 508B (8/07) - Criminal Record Statement - Long-Term Care Ombudsman Program
07-065
LIC 508A (8/07) - Criminal Record Statement - Adoption Facilitator
07-064
LIC 301B (8/07) - Reference Request - Long-Term Care Ombudsman Program
07-063
LIC 198A (8/07) - Child Abuse Central Index Check (State Licensed Facilities)
07-062
LIC 165 (8/07) - Board of Directors Statement - Crisis Nurseries
07-061
FS 11 (8/07) English/Spanish - Notice To All Food Stamp Recipients - Important - Please Read
07-060
PUB 13 (3/07)- Large Print - Your Rights Pamphlet
07-059
PUB 373 (5/07) English and Spanish - Important Food Stamp Information For Noncitizens
07-058
AD 590 ENG/SP (6/07) - Waiver Of Right To Further Notice Of Adoption Planning (Alleged Natural Father In Or Out Of California)
07-057
SAWS 7 (7/02) English and Spanish - Monthly Eligibility Status Report
07-056
DPA 487 (5/07) - Request for Access to Protected Health Information
07-055
LIC 396 (4/07) - Foster Youth Rights
07-054
PUB 395 (4/07) - You Have Rights Too!
07-053
LIC 908B (9/99) - Facility File Divider Tabs (Child Care)
07-052E
PUB 337 (1/04) English and Spanish - SFIS Brochure
07-052
PUB 337 (1/04) English and Spanish - SFIS Brochure
07-051
LIC 9224 (12/06) English & Spanish - Acknowledgement of Receipt of Licensing Reports
07-050
LIC 311D (3/07) Spanish - Forms/Records to Keep in Your Family Child Care Home
07-049
DPA 19 (4/07) SP - Authorized Representative
07-048
LIC 9223 (3/07) SP - Child Care Advocate Program
07-047
SAWS 2A QR (1/07) English and Spanish - Rights and Responsibilities and Other Important Information
07-046
SAWS 1 (12/06) English and Spanish - Application For Cash Aid, Food Stamps, and.or 34-County CMSP
07-045
CW 2166 (11/06) Multingual - Work Really pays! Here's How - work Pays Notice
07-044
DPA 19 (4/07) - Authorized Representative
07-043
TEMP 2229 (3/07) English and Spanish - Important Notice - KinGAP Informing Notice
07-042
DFA 285B (4/07) - Food Stamp Budget Worksheet/Change Reporting Household
07-041
SAWS 2 (1/07) English and Spanish - Statement of Facts For Cash, Food Stamps and Medi-Cal 34-County Medical Services
07-040
QR 22 (12/06) English and Spanish - Sponsored Noncitizens Applying For Or Receiving Cash Aid and/or Food Stamps
07-039
AD 904A (3/07) - Waiver Of Rights To Confidentiality For Siblings
07-038
AD 67A (2/07) - Information About The Birth Father
07-037
AD 904A (3/07) - Waiver Of Rights To Confidentiality For Siblings - Under The Age Of 18
07-036
QR 72 (12/06) English and Spanish - Sponsor's Quarterly Income And Resources Report
07-035
NA 845 (12/06) - English and Spanish - Notice Of Action Welfare To Work
07-034
NA 817 (12/06) - English and Spanish - Notice Of Action - Cash Aid
07-033
AD 67 (2/07) - Information About Birth Mother
07-032
AD 29 (3/07) - Employment Verification
07-031
LIC 311D (3/07) - Forms/Records To Keep In Your Family Child Care Home
07-030
LIC 279A (1/07)- English and Spanish - License Application and Instructions for Family Child Care Homes
07-029
NA 840 (12/06) English and Spanish - Notice of Action - Welfare to Work
07-028
PUB 394 (12/06) - Family Child Care Home - Notification of Parents' Rights Poster
07-027
PUB 393 (12/06) - Child Care Center - Notification of Parents' Rights
07-026
DFA 285-A1 (1/07) - Application For Food Stamp Benefits
07-025
NA 816 (12/06) English and Spanish - Notice Of Action - Lowering Cash Aid
07-024
LIC 9223 (3/07) - Child Care Advocate Program
07-023
LIC 311A (3/07) - Records To Be Maintained At The Facility - Child Care Centers
07-022
SOC 341 (12/06) - Report Of Suspected Dependent Adult/Elder Abuse
07-021
FC 1633D (2/07) - SSI Assessment Tool
07-020
FC 1633C (2/07) - SSI Screening Guide Section C - Application Information
07-019
FC 1633B (2/07) - SSI Screening Guide Section B - Financial Screening
07-018
FC 1633A (2/07)- SSI Screening Guide Section A - Disability Screening
07-017
SOC 828 (1/07) - Conlan II County Verification
07-016
NA 841 (10/06) - Notice Of Action - Welfare To Work
07-015
NA 818 (10/06) - Notice Of Action - Cash aid Grant Amount
07-014
FS 22 QR (12/06) English and Spanish - Applying For Food Stamp Benefits
07-013
DFA 285-A1 (1/07) English and Spanish - Application For Food Stamp Benefits
07-012
SSP 18 (12/06) English and Spanish - Notice of Action and Right To Request A State Hearing On Interim Assistance For Payment Pending Cases
07-011
LIC 281A (1/07) - License Application And Instructions For Family Child Care Centers
07-010
LIC 279A (1/07) - License Application Instructions For Family Child Care Homes
07-009
PUB 13 (12/06) - Your Rights Pamphlet
07-008
LIC 9212 (10/05) English and Spanish - Consumer Awareness Information - Family Child Care
07-007
PUB 72 (4/03) English And Spanish - What Are Parent's Responsibilities
07-006
SOC 827 (12/06) - IHSS Program Individual Emergency Back-Up Plan
07-005
PUB 104 (12/06) ENG/SP - IHSS Individual Provider Benefits And Services Information
07-004
PUB 56 (12/06) ENG/SP - The In-Home Supportive Services Program
07-003
SOC 824 (1/07) - In-Home Supportive Services QA/QI, PCSP, IPW and IHSS-R Programs
07-002
CW 42 (11/06) ENG/SP - Statement Of Facts - Homeless Assistance
07-001
ILP 1 (1/07) - Independent Living Program Annual Report And Plan Federal Fiscal Year (FFY) 2006