Transcription of STATE OF CALIFORNIA - HEALTH AND HUMAN …
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STATE OF CALIFORNIA - HEALTH AND HUMAN services AGENCYCALIFORNIA department OF social SERVICESCOMMUNITY CARE LICENSING DIVISIONCRIMINAL background clearance transfer REQUESTA ctive criminal record clearances may be transferred from one STATE licensed facility/organization to another by a licenseapplicant or licensee. The transfer request must be submitted to the department before the individual who is thesubject of the transfer has client contact or the facility/organization will be in violation of the law and subject to a$100 civil license applicant or licensee who is seeking the transfer must provide a LIC 508, and verify the individual s identity andinclude a copy of the person s driver s license, permanent resident card or a valid photo identification issued by theCalifornia department of Motor Vehicles or by another STATE or the United States government if the person is not a Californiaresident.
state of california - health and human services agency california department of social services community care licensing division criminal background clearance transfer request
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