Get Lic 198b

The Lic 198b form is essential for individuals applying for roles in Foster Family Homes, Small Family Homes, and Certified Family Homes in California. This guide will provide you with a step-by-step approach to successfully complete this online form, ensuring that you understand each section and its requirements.

Follow the steps to complete the Lic 198b form effectively.

1. Click the ‘Get Form’ button to access the Lic 198b form online and open it in the appropriate editor.
2. Begin with the Out-of-State Disclosure section. Indicate whether you have lived in a state other than California within the last five years. If you answer 'YES', list each state and be prepared to complete an additional Lic 198b for each state.
3. Proceed to the Criminal Record Statement section. You will need to declare if you have ever been convicted of a crime in California. If 'YES', provide details on the required line or an additional sheet as necessary.
4. Answer whether you have ever been convicted of a crime in another state, federal court, military, or outside of the U.S. If applicable, provide specific details regarding your conviction.
5. For Foster Family and Certified Family Homes only: Indicate if you have ever been arrested for a crime against a child or for spousal/cohabitant abuse. Ensure to provide details on the reverse side if applicable.
6. Fill in your personal details in the sections provided, including your Facility Number, Facility or Caregiver Name, Your Name, Address, Social Security Number, Driver’s License Number/State, Date of Birth, and Signature.
7. Review your entries for accuracy and completeness while ensuring you have understood the consequences of failing to disclose criminal history as mentioned in the notes.
8. Once you have finalized your form, save the changes, download it, print a copy for your records, or share it if needed.

Complete the Lic 198b form online today to ensure a smooth licensing process.