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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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Remember that passing a background check isnt just about criminal history. Many employment background checks include verifications of education, work history, and professional licenses. While resume lies are common, they are also easy for employers to find.
What is a DCF clearance?
SUMMARY. By law, DCF maintains a confidential central registry of substantiated perpetrators of child abuse and neglect. DCF uses the registry to perform background checks for prospective employers, licensing authorities, and other public agencies permitted by law to request such checks.
What is lic 503?
The LIC 503 is required by the California Department of Social Services as part of the application process to work in a Community Care facility. It is used during the hiring process to verify the health of the applicant. It requires completion and signature by a physician.
What is lic 9182?
To request a clearance transfer between state licensed facilities, a licensee or license applicant must submit an LIC 9182, Criminal Record Clearance Transfer Request form, to the local CCLD office. Transfers to more than one facility may be requested on one form.
What is passing a criminal background check?
Security clearance portability refers to the ability to transfer your existing clearance from one employer or agency to another without starting the entire background investigation process over. This is also known as reciprocitywhen a new agency or employer accepts the clearance you already hold.
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criminal record exemption. If you have any questions about this form, please contact your local licensing regional office. LIC 9182 (11/15). PAGE 2 OF 2.
Active criminal record clearances may be transferred from one state licensed facility to another by a license applicant or licensee. Clearances cannot be
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