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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES NOTICE OF FORM CHANGE NO. 04-091 DATE 03/08/2004 TO: FROM: County Welfare Director Supply Clerk / Forms

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What is lic 809?

Lic 809 is a form that must be filed with the appropriate government agency.

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Certain entities or individuals may be required to file lic 809, depending on their specific circumstances and applicable laws.

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To fill out lic 809, you will need to provide the necessary information as indicated on the form. Follow the instructions carefully to ensure accurate completion.

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The purpose of lic 809 is to report specific information to the relevant government agency, typically for regulatory or compliance purposes.

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The specific information that must be reported on lic 809 can vary depending on the applicable laws or regulations. It may include details about the entity or individual filing the form, financial information, or other relevant information.

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