Get Lic 184 (5/00) - Notification Of Incomplete Application - California ...

Filling out the LIC 184 (5/00) form is an essential step in addressing any incomplete application for facility licensing in California. This guide provides clear instructions on how to complete the form effectively, ensuring all necessary components are accurately filled.

Follow the steps to fill out your LIC 184 form successfully.

1. Click the 'Get Form' button to access the LIC 184 form and open it for editing.
2. Begin with the date field at the top of the form. Enter today's date or the date you intend to submit this notification.
3. In the 'Facility Name' section, provide the exact name of the facility that is associated with the incomplete application.
4. Enter the 'Facility File Number'. This number is critical as it links the notification to the specific application.
5. Carefully review the items listed in Section A and B. These are the licensing forms and supportive documents that must be submitted. Ensure you check off each item you are including with your response.
6. In the area requesting a reply within 30 days, fill in the date of your face-to-face interview if applicable. This informs the reader of your timeline for providing additional documentation.
7. Finally, ensure all information provided is complete and accurate before saving your changes. After completing the form, you can proceed to download, print, or share the document as necessary.

Complete your LIC 184 form online to ensure your application remains active and moves forward.