Get the free LIC 9163 (11/15) - Request for Live Scan Service - Community Care Licensing
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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESNOTICE OF FORM CHANGE NO. 15270DATE5/9/2016 TO:FROM:County Welfare Director Supply Clerk / Forms Coordinator
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What is lic 9163 1115?
Lic 9163 1115 is a form used for reporting certain information to the relevant authorities.
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Individuals or entities specified by the authorities are required to file lic 9163 1115.
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The purpose of lic 9163 1115 is to gather specific information from individuals or entities for regulatory compliance.
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