Get La Scr-1 Lic 2011

The LA SCR-1 LIC form is essential for individuals involved in child care facilities licensed by the Louisiana Department of Children and Family Services. This guide provides step-by-step instructions on how to properly complete the form online.

Follow the steps to fill out the LA SCR-1 LIC form accurately.

1. Click the ‘Get Form’ button to obtain the LA SCR-1 LIC and open it in your preferred online document editor.
2. Begin by entering the name of the licensed facility in the designated field. Ensure that the name is printed or typed clearly to avoid any misunderstandings.
3. Next, provide the physical address of the licensed facility. This address should include the street number, street name, city, state, and zip code.
4. In the 'License #' section, input the license number associated with the facility. This is crucial for validating the facility's status.
5. Enter your name or the name of the individual applicant as requested, ensuring clarity in your entry.
6. Fill in your date of birth in the specified format. This is necessary for identification purposes.
7. Input your Social Security number in the designated field to verify your identity.
8. If applicable, provide your maiden name, previous names, or any other names you have used. This information helps in the background check process.
9. Indicate your race in the appropriate section as requested by the form.
10. Specify your sex in the provided field.
11. Include your current street address, along with the city, state, and zip code.
12. If you have moved recently, provide your most recent previous address and the city, state, and zip code where it is located.
13. Enter your current home phone number and current cell phone number, if available.
14. Next, answer whether you are currently recorded as a perpetrator on the State Central Registry by checking 'My name is' or 'is not.'
15. Indicate if you have been determined to have a justified finding of child abuse or neglect since your last Risk Evaluation Panel finding.
16. Finally, confirm that all the information provided is true and complete by signing and dating the form. Ensure that a representative from the licensed facility also signs and dates the form.

Complete your LA SCR-1 LIC form online today to ensure compliance and maintain your eligibility in child care facilities.