Loading
Get Ca Lic 9106 2003-2026
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the CA LIC 9106 online
This guide offers a step-by-step approach to filling out the California LIC 9106 form online. Intended for users of all experience levels, it provides clear instructions for each section, ensuring that you complete the form accurately and efficiently.
Follow the steps to complete the CA LIC 9106 form online with ease.
- Click ‘Get Form’ button to access the CA LIC 9106 form and open it in your chosen editing tool.
- Begin by filling out Part I: Program Identification. Provide details such as the applicant/licensee's name, program name, mailing address, and contact person's information.
- Complete the relevant sections regarding the agency's operations. Indicate if the organization operates other activities aside from group home programs, and specify the types of activities if applicable.
- Check the appropriate boxes in the 'Reason Group Home Program Statement Submitted' sections for both Community Care Licensing and AFDC-FC Rate Setting. Select all applicable reasons for submission.
- Fill out the facility location information, including the name, license number, address, licensed capacity, and requested capacity for each facility.
- Proceed to Part II: Program Population, Services, and Capabilities. Provide detailed descriptions of the program offerings, target population, and staff qualifications.
- In Part III: Program Narrative, elaborate on the program's purpose, methods, and goals. Attach any required documentation, such as certifications.
- After completing all sections, review your entries for accuracy. Ensure that all required fields are filled in and any attachments are included.
- Save changes to the document, then download or print the completed form as needed. If necessary, share the form with relevant parties.
Complete your CA LIC 9106 form online today for efficient submissions.
Related links form
The term 'license LIC' generally pertains to the licenses required for various types of facilities and services in California. It encompasses various license numbers, including those for residential care and group homes. Applying for the appropriate license ensures compliance and proper operation. Understanding resources like CA LIC 9106 can greatly assist you in navigating the licensing landscape.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.