Get Lic 402

Filling out the Lic 402 Form is essential for applicants and licensees seeking to operate under California's Community Care Licensing framework. 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 402 with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the applicant/licensee name in the designated field. Ensure that the name is spelled correctly and reflects the legal name of the entity or individual applying for the bond.
3. Next, provide the complete address of the applicant/licensee. This address will be used for service of notices and other important documents, so accuracy is crucial.
4. Enter the name of the bonding company responsible for the surety bond. This should reflect the full legal name of the company providing the bond.
5. Input the telephone number of the bonding company for any necessary communications related to the bond.
6. Complete the address section for the bonding company in the same manner as you did for the applicant/licensee, ensuring all details are accurate.
7. List the local agent's name, which is typically the contact person for the bonding company.
8. In the section that specifies the bond amount, enter the numerical value to represent the coverage provided by the surety bond.
9. Check the appropriate boxes to indicate the types of facilities or programs for which the licensee is applying and detail how client/resident funds are handled.
10. Fill in the facility name and address where the bond will be applicable. It's important to provide a license number if the facility is currently licensed.
11. If there are additional facilities covered by this bond, attach a separate page detailing each facility's name, address, license number, and the bond amount.
12. Finally, ensure that the bonding company signs and dates the form. This signature certifies that all information provided is true and correct under penalty of perjury.
13. After completing and reviewing the form for accuracy, save any changes, download the document, and prepare it for printing or sharing as required.

Complete your Lic 402 online today to ensure compliance and facilitate your application process.