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E ALL items checked ( ) DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING CAREGIVER BACKGROUND CHECK BUREAU 744 P ST., MS 19-62 SACRAMENTO, CA 95814 NOTE: Include $15.00 for each Child Abuse Central Index Check. (There is no exemption from this fee) Make check or money order payable to the Department of Justice. APPLICANT/LICENSEE MUST SEND THIS FORM DIRECTLY TO DEPARTMENT OF JUSTICE, P.O. BOX 903417, SACRAMENTO, CA 94203-4170. We are required by law to check the Child Abuse Central.

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How to fill out the Lic 198a online

Filling out the Lic 198a form online is a straightforward process that ensures your application for a child abuse central index check is properly submitted. This guide provides clear steps to accurately complete each section of the form online.

Follow the steps to complete the Lic 198a form online.

  1. To begin, click the ‘Get Form’ button to obtain the Lic 198a form and open it in your preferred online editor.
  2. Fill in your personal information at the top of the form. Provide your full name, including last name, first name, and middle name. Make sure to accurately enter your social security number and date of birth.
  3. List any other names you have used, including your maiden name and any aliases. Each name should be entered in a separate field as specified.
  4. Enter your current address, including the street, city, state, and zip code. This is crucial for correspondence and processing your application.
  5. Provide the facility telephone number, driver's license number, and facility number, if applicable. Ensure all fields are filled accurately.
  6. Select your personnel type from the options provided, which include facility administrator/director, employee, and more. Mark the appropriate boxes for your specific role.
  7. Once all required sections are complete, review your form for accuracy. Ensure you have included the $15.00 fee for the child abuse central index check, as required.
  8. Finally, save your changes, download the completed form, and print it if necessary. Ensure you send the form directly to the Department of Justice at the specified address with the appropriate payment.

Complete your Lic 198a form online today to ensure a smooth application process.

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OH ODT IT/SD 2210 Long 2021 OR Publication OR-40-EXT 2017 OR Form OR-EF 2017 Florida State University VA-2 2013

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The Child Abuse Central Index (CACI) name check is an additional check required for individuals who will be associated to any facility that cares for children. The Department of Justice administers the CACI, which is a statewide database used by law enforcement and agencies that provide children's services.

LIC 198 Child Abuse Central Index Check for County Licensed Facilities.

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