Get Lic 613b. Preplacement Appraisal Information - Cdss Ca

The LIC 613B form, known as Preplacement Appraisal Information, is essential for ensuring that children admitted to residential facilities are informed of their personal rights. This guide provides a step-by-step approach to help users fill out the form correctly and efficiently online.

Follow the steps to successfully complete the LIC 613B form online.

1. Click the ‘Get Form’ button to obtain the LIC 613B document and open it in your preferred editor.
2. Carefully read through the personal rights outlined on the form. Ensure you understand each right afforded to the child admitted to the facility.
3. Fill in the name of the home or facility where the child is being admitted. This information should be printed clearly in the designated space.
4. Enter the address of the home or facility in the specified section to ensure accurate identification.
5. Provide the full name of the child being admitted in the appropriate field, ensuring correct spelling.
6. The child, if appropriate, should sign the form where indicated, confirming they have been informed of their rights.
7. If there is an authorized representative, they should sign in the designated area, along with their title, to acknowledge the admission rights.
8. Enter the respective dates next to each signature to document when the acknowledgment took place.
9. Fill in the licensing agency’s contact information for complaints, ensuring it is up to date and accurate.
10. After completing all required fields, review the form for accuracy. Save any changes made, and then download, print, or share the completed document as necessary.

Complete your LIC 613B form online today to ensure both adherence to regulations and the protection of individual rights.