Get Lic 9188 2020-2026

The Lic 9188 form is essential for transferring criminal record exemptions between state-licensed facilities in California. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out the Lic 9188 form accurately.

1. Click 'Get Form' button to obtain the Lic 9188 form and access it in your preferred online format.
2. Begin by entering the date at the top of the form. Ensure that it is accurate and in the proper format.
3. Provide the full name of the individual for whom the exemption is being transferred. Fill in the last name, first name, and middle initial as required.
4. Enter the California driver's license number or identification number for the individual, along with their date of birth.
5. Include the licensing information system ID number. If not applicable, you may leave this field blank.
6. Optionally, provide the individual’s Social Security number, although this is not mandatory.
7. Fill in the details of the facility from which the transfer is occurring. Include the name, facility number, and full address including street, city, state, and zip code.
8. Provide the details of the facility to which the exemption is being transferred, including the name, facility number, date of employment, and full address.
9. Certify that you have verified the individual's identity by signing the appropriate section and including your title. Remember to check the relevant box that describes your association with the facility.
10. Finally, review all sections of the form for completeness and accuracy. Save your changes, then download or print the form for submission.

Complete your Lic 9188 form online today for a smooth transfer process.