Get Cdss Lic9182 Form 2020-2025

The Cdss Lic9182 form is an essential document for transferring criminal background clearances between licensed facilities in California. This guide provides step-by-step instructions to help you fill out the form accurately and efficiently online.

Follow the steps to complete the online Cdss Lic9182 form.

1. Click the ‘Get Form’ button to obtain the Cdss Lic9182 form and open it in your preferred editing tool.
2. Enter the date at the top of the form in the designated field.
3. Type or print legibly the name of the individual for whom the clearance is requested. Provide the last name, first name, and middle initial in the appropriate sections.
4. Input the individual's California driver’s license or ID number, or permanent resident ID number (I-551) in the specified field. Enter the date of birth (DOB) accurately.
5. Provide the Licensing Information System ID number of the individual, if available. Note that entering the social security number is optional.
6. Fill in the details of the facility or organization from which the clearance is being transferred. This includes the facility name, organization number, street address, city, state, and ZIP code.
7. Next, complete the information for the facility or organization to which the clearance is being transferred. Again, include the name, facility/organization number, street address, city, state, and ZIP code.
8. Indicate the association type of the individual being transferred by checking the appropriate box, such as 'Facility Administrator' or 'Employee'.
9. Sign the form in the designated area to certify you have verified the individual’s identity and included the necessary documentation.
10. Finally, review the completed form for accuracy, save any changes made, and proceed to download, print, or share the document as required.

Start filling out your Cdss Lic9182 form online today for a seamless transfer process.