Lic 9214 2012 form-2025

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The document is an application form for obtaining an Administrator Initial Certification from the California Department of Social Services for various types of facilities, including Adult Residential Facilities and Group Homes. It outlines the eligibility requirements, necessary documentation, and fees involved in the application process. Applicants must be at least 21 years old, possess a high school diploma or equivalent, and submit a non-refundable fee along with proof of training and background clearances.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (104 Votes)
2016	4.3 Satisfied (167 Votes)
2016	4.2 Satisfied (55 Votes)
2012	4.3 Satisfied (121 Votes)
2006	4.3 Satisfied (57 Votes)

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