Community care licensing fingerprint clearance form. The CACI must be mailed direct-ly to the Department of Justice with the applicable fee. Note: This transfer request is for clearances only. Nov 1, 2023 ยท Download the up-to-date LIC 9182 fillable form through the link below. RAP sheets are based on fingerprint submissions. A newly fingerprinted individual's clearance will be listed on the Background Check Search website for 30 days. If you do not have Reader installed on your computer, it is available free of charge from Adobe's web site. Visit your local MDHHS Office for forms or applications not available online. This form may only be used to request a clearance transfer between state licensed facilities/organizations To request a transfer between county and state licensed facilities, the requesting Licensing Agency must contact their county liaison Forms and applications listed here are only a portion of those available. . To view or print PDF files, you will need Adobe Acrobat Reader. California state law demands fingerprints of all the community care license applicants. Take two copies of this form with you the day you are fingerprinted. Securing a criminal background check prior to employment, licensure, or certification aids in the evaluation of the applicant, and in some situations are legally required. Contact your licensing office for information about exemption transfers. If an individual becomes inactive, he/she must be fingerprinted and cleared again before working, residing or volunteering in a licensed facility. jpbtr aot dnokfo ytugx oilqx fqt bio bntkx tpdee jrnfroyd

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