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STATE OF CALIFORNIAHEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISIONCHILD CARE CENTER NOTIFICATION OF PARENTS RIGHTS As a Parent/Authorized
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How to fill out form lic 995 child

01
To fill out form LIC 995 Child, follow these steps:
02
Provide your personal information including name, address, phone number, and email.
03
Enter the child's information such as name, date of birth, and relationship to you.
04
Indicate the type of child care services you are providing by selecting the appropriate checkboxes.
05
Fill out the required information related to your child care facility, including address and license number.
06
Provide details about your qualifications, experience, and training related to child care.
07
Answer the questions regarding the child care facility's capacity, operation hours, and special services.
08
Sign and date the form to certify the accuracy of the information provided.
09
Keep a copy of the filled-out form for your records.
10
Submit the completed form LIC 995 Child to the appropriate licensing agency.

Who needs form lic 995 child?

01
Form LIC 995 Child is needed by individuals or entities who are applying to become licensed child care providers.
02
This form is required in order to provide necessary information about the applicant, the child care facility,
03
and the type of child care services being offered. It helps the licensing agency determine the eligibility
04
and suitability of the applicant to operate a child care facility and ensure compliance with regulations and standards.
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Form LIC 995 Child is a form used to report information about a child for insurance purposes.
Parents or legal guardians of the child are required to file form LIC 995 Child.
Form LIC 995 Child can be filled out by providing the child's personal information, insurance details, and other relevant details as requested on the form.
The purpose of form LIC 995 Child is to ensure that the child is properly covered by insurance and to provide necessary information for insurance companies.
Information such as the child's name, date of birth, insurance policy details, and any other relevant information related to the child's insurance coverage must be reported on form LIC 995 Child.
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