Get Lic 9188

The Lic 9188 form is essential for requesting the transfer of a criminal background exemption within licensed facilities in California. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and efficiently online.

Follow the steps to successfully complete the Lic 9188 form.

1. Click the ‘Get Form’ button to access the Lic 9188 form and open it in your preferred editing platform.
2. Enter the date at the top of the form where prompted.
3. Fill in the full name of the individual whose exemption you wish to transfer. Include their last name, first name, and middle initial as required.
4. Provide the individual’s California driver's license number or permanent resident identification number, along with their date of birth.
5. Input the identification number from the licensing information system, if applicable.
6. Optionally, include the individual’s Social Security number in the designated field.
7. Specify the name, identification number, and address of the current establishment or organization from which the exemption is being transferred.
8. Detail the name, identification number, and address of the new establishment or organization where the exemption will be transferred.
9. Indicate the employment date at the new establishment or organization.
10. Certify the identity of the individual by selecting the appropriate title from the list provided and include your signature.
11. For district office use only, leave the last section blank as it is completed by the departmental staff.
12. Once all fields are accurately filled, save your changes, and proceed to download, print, or share the form as required.

Complete the Lic 9188 form online today to ensure a smooth transfer of your exemption.