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Get Ca Lic 403 2011-2026

STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSINGBALANCE SHEETAs of (ENTER CURRENT DATE)IMPORTANT Before completing, see reverse.

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How to fill out the CA LIC 403 online

Filling out the CA LIC 403 is a crucial step for users involved in community care licensing in California. This guide will provide clear, step-by-step instructions on how to accurately complete the form online, ensuring compliance with necessary requirements.

Follow the steps to successfully complete the CA LIC 403 online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the current date in the designated field at the top of the form. This date should reflect when you are completing the balance sheet.
  3. Fill in the facility name, entity name, and application/license number in the appropriate sections. This identifies the applicant for the license.
  4. Begin entering current assets. For each line from 1 to 6, provide the relevant monetary amounts for cash on hand, cash in financial institutions, CDs, short-term receivables, stocks and bonds, and other current assets. Sum these amounts at line 7 under 'Total Current Assets'.
  5. Proceed to long-term assets starting from line 8. Input amounts for real property, land, improvements, equipment, furniture and fixtures, and any other long-term assets you're reporting. Total these at line 17 under 'Total Long-Term Assets'.
  6. Add the total from current assets (line 7) to the total from long-term assets (line 17) and enter the sum under 'Total Assets' at line 18.
  7. Next, list your liabilities from lines 19 to 26. Input amounts for credit accounts, salaries, taxes, other payables, mortgages, vehicle loans, equipment loans, and any other notes payable. Sum these for 'Total Liabilities' at line 27.
  8. Calculate equity by subtracting total liabilities (line 27) from total assets (line 18) and record the result at line 28.
  9. In the signature block, print the name of the preparer, and ensure the applicant/licensee signs and dates the form attesting that the information is accurate.
  10. Once completed, save any changes made to the form. You also have the option to download, print, or share it as needed.

Start filling out the CA LIC 403 online today to ensure your compliance with community care licensing!

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CALIFORNIA DEPARTMENT OF SOCIAL SERVICES. PERSONNEL REPORT. INSTRUCTIONS: This form is intended for keeping a current roster of all the facility personnel, other adults and licensees residing in the facility, including backup persons, volunteers and licensee if administrator/director.

The Balance Sheet Supplemental Schedule provides detailed financial information necessary for this Department to assess your financial condition. Compiling this detailed information is necessary in order to be able to complete the Balance Sheet, LIC 403.

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES. PERSONNEL RECORD. (Form to be completed by employee)

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