CA LIC 9040 1999 free printable template
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841 requires that each child care facility maintain a current roster of children who are provided care in the facility. STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES CHILD CARE FACILITY ROSTER RETAIN FOR 3 YEARS CHILD CARE CENTERS INFANT CARE CENTERS SCHOOL AGE CENTERS AND FAMILY CHILD CARE HOMES FACILITY NAME CHILD S NAME/ BIRTHDATE LIC 9040 ENG/SP 7/99 NOTE Health and Safety Code Section 1596. The roster shall include the child s name address...
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How to fill out CA LIC 9040
01
Obtain the CA LIC 9040 form from the California Department of Insurance website or your local insurance office.
02
Read the instructions carefully provided with the form to understand the requirements.
03
Fill out your personal information in the designated sections, including your name, address, and contact information.
04
Provide details about your insurance license, including the license number and type of insurance.
05
Indicate any relevant employment history, including previous jobs and positions held in the insurance industry.
06
Include educational qualifications if applicable, including any degrees or certifications related to insurance.
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Review the form to ensure all information is accurate and complete before submission.
08
Sign and date the form where required.
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Submit the form to the appropriate authority as per the provided instructions, either online or via mail.
Who needs CA LIC 9040?
01
Individuals seeking to apply for or renew their California insurance license.
02
Insurance professionals looking to demonstrate their qualifications for licensing purposes.
03
Applicants who have previously held an insurance license in California and are reapplying.
Instructions and Help about CA LIC 9040
To print a child care facility roster report under family accounting gutter reports and select report number two under the Family and Child data childcare facility roster here you build the select and the family status the child status to pull all your classrooms or individual classrooms and select your report type once you've sorted through your filters hit submit
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What is CA LIC 9040?
CA LIC 9040 is a form used by the State of California to report information regarding the operation and activity of certain licensed entities.
Who is required to file CA LIC 9040?
Entities that hold specific California licenses are required to file CA LIC 9040 as part of their regulatory compliance.
How to fill out CA LIC 9040?
To fill out CA LIC 9040, follow the instructions provided on the form, ensuring that all required fields are completed accurately and submit it to the designated state agency.
What is the purpose of CA LIC 9040?
The purpose of CA LIC 9040 is to collect data and ensure compliance with state regulations for licensed entities operating in California.
What information must be reported on CA LIC 9040?
CA LIC 9040 requires entities to report various information including but not limited to business operations, financial data, and any regulatory compliance activities.
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