Get Ca Lic 400 1999-2026
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How to fill out the CA LIC 400 online
The CA LIC 400 form is a crucial document for Community Care Facilities, ensuring compliance with bonding requirements as outlined in California Health and Safety Code. This guide provides step-by-step instructions to help users accurately complete the form online.
Follow the steps to complete the CA LIC 400 form online effectively.
- Click ‘Get Form’ button to obtain the form and open it in your online editor.
- In the first section, fill in the name(s) of the applicant(s) or licensee(s) as required. Ensure that the names entered are accurate and match official documentation.
- Next, specify the name of the facility you are representing. This field must reflect the officially registered name of the community care facility.
- Provide the street address of the facility. Make sure that the address is complete, including street number and name.
- Indicate the city and county in which the facility is located. This information helps to confirm the facility's operational area.
- Certify the type of care provided by selecting the appropriate checkbox for children, adults, or elderly residents.
- Choose one option regarding the management of cash resources, either specifying the maximum amount handled at one time or stating that no cash resources are managed.
- If applicable, indicate the amount of the bond required based on the cash resources handled, referring to the provided guidelines and chart.
- Review the final certification statements carefully. Ensure that you understand the obligations and responsibilities outlined in this section.
- Sign the form digitally and include the date. If there are multiple applicants or licensees, ensure all required signatures are included.
- Upon completion, save any changes made to the form. You can also download, print, or share the form as needed.
Complete the CA LIC 400 form online today to ensure compliance and proper management of client and resident cash resources.
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