LIC 215: Applicant Information

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Understanding CCLD Forms

The LIC 215 – Applicant Information. 

This form is one of the items in the Application package that must be completed and submitted to CCLD as part of the Application process. The form is not a public document, as it contains detailed personal information about the prospective Licensee (i.e. education, work experience, references and financial information).  According to Title 22, CCLD  looks for 'satisfactory evidence that the applicant is of reputable and responsible character'. [Title 22, §87155].

To the best of CARR's understanding this document is retained in CCLD's Confidential File for a specific facility.  

To view:  http://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC215.pdf

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