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Lic 9182

Lic 9182-2026

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The document outlines the process for transferring active criminal background clearances between state licensed facilities in California. It specifies the requirements for submitting a transfer request, including necessary forms and identification verification. Additionally, it highlights the legal implications of failing to submit a transfer request before client contact and provides privacy information regarding the handling of personal data.

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Click ‘Get Form’ to open the lic 9182 in the editor.
Begin by entering the date at the top of the form. This is essential for tracking your request.
Fill in the individual's details, including last name, first name, middle initial, CA driver’s license or ID number, date of birth, and licensing information system ID number.
Provide the facility/organization details from which you are transferring the clearance. Include the name, organization number, street address, city, state, and zip code.
Next, enter the details of the new facility/organization where the transfer is requested. Ensure all fields are completed accurately.
Indicate your association type with checkboxes provided and sign at the bottom to certify that you have verified the individual’s identity.

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