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Lic 9182-2026

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  1. Click ‘Get Form’ to open the lic 9182 in the editor.
  2. Begin by entering the date at the top of the form. This is essential for tracking your request.
  3. In the section labeled 'PLEASE TRANSFER THE CRIMINAL RECORD CLEARANCE FOR THE FOLLOWING INDIVIDUAL', fill in the individual's last name, first name, and middle initial.
  4. Provide the CA Driver’s License or ID number, date of birth, and Licensing Information System ID number in their respective fields.
  5. Next, specify the facility/organization from which you are transferring the clearance by filling in its name, number, and address details.
  6. Then, complete the section for the new facility/organization where you want to transfer the clearance. Include all relevant information such as name and address.
  7. Finally, certify that you have verified the individual’s identity by signing at the bottom of the form and including a copy of their photo ID and LIC 508.

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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.
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.
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.
Transferring clearance between companies can take up to 2 months but normally this is completed within 1 month. I have a candidate who has a criminal record can they gain Security Clearance?
What can disqualify you? You are not a U.S. citizen. You were dishonorably discharged from the military. You are currently involved in illegal drug use. You have been judged as mentally incompetent or mentally incapacitated by a mental health professional. You have had a clearance revoked for security reasons.

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