Get Lic 9188 Printable Form

The Lic 9188 Printable Form, known as the Criminal Record Exemption Transfer Request, is a necessary document for transferring criminal record exemptions between state licensed facilities in California. This guide will walk you through each step to ensure the form is filled out correctly and submitted efficiently.

Follow the steps to complete the Lic 9188 Printable Form online.

1. Click the ‘Get Form’ button to access the Lic 9188 Printable Form and open it in your preferred document editor.
2. Begin by filling in the individual’s information for whom you are requesting the transfer. Include their last name, first name, and middle initial in the designated fields.
3. Enter the California driver’s license number or ID number of the individual, along with their date of birth (DOB). This information is crucial for verifying identity.
4. Provide the Licensing Information System ID number and optional social security number (SSN). The SSN is not required but can assist in the identification process.
5. In the section titled 'From the following facility,' fill in the name, facility number, street address, city, state, and zip code of the facility from which the criminal record exemption is being transferred.
6. Next, complete the 'To the following facility' section, detailing the name, facility number, street address, city, state, and zip code of the new facility where the exemption will be transferred.
7. Indicate the type of transferee association using the provided options, such as facility administrator or employee.
8. Confirm the date of employment at the new facility to provide a timeline for the transfer process.
9. Finally, certify that you have verified the individual’s identity by checking the relevant box and ensuring you have enclosed a copy of their photo ID. Sign the form using your title and position.
10. Review all sections thoroughly for accuracy, then save your changes. You may also download, print, or share the completed form as needed.

Start completing your Lic 9188 Printable Form online today.