Lic 700 Form - All facilities [except child care center/family child care home completes lic 700] 1. Receive, from the licensee, the caregiver background check process form. C alifornia state law provides that the licensee may deny access to the child care center to a Receive, from the licensee, the caregiver background check process form. Responsible person or placement agency. Name of client or child. Identification and emergency information child care centers created date: Social security number (optional) date of birth age sex 2. Be informed, by the licensee, that the facility has or does not have liability insurance (or a bond) that Ca dept of social services subject:
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Web lic 700 (10/19) (confidential) page 2 of 2 names of persons authorized to take child from the facility. Receive, from the licensee, the caregiver background check process form. Name of client or child. Ca dept of social services subject: Responsible person or placement agency.
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Ca dept of social services subject: Be informed, by the licensee, that the facility has or does not have liability insurance (or a bond) that Receive, from the licensee, the caregiver background check process form. Responsible person or placement agency. Signature of person completing form.
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Responsible person or placement agency. Receive, from the licensee, the caregiver background check process form. Social security number (optional) date of birth age sex 2. Name of client or child. Receive, from the licensee, the caregiver background check process form.
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Responsible person or placement agency. Ca dept of social services subject: Web lic 700 (10/19) (confidential) page 2 of 2 names of persons authorized to take child from the facility. Identification and emergency information child care centers created date: Receive, from the licensee, the caregiver background check process form.
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Signature of person completing form. Receive, from the licensee, the caregiver background check process form. Social security number (optional) date of birth age sex 2. Web lic 700 (10/19) (confidential) page 2 of 2 names of persons authorized to take child from the facility. Receive, from the licensee, the caregiver background check process form.
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Responsible person or placement agency. Ca dept of social services subject: C alifornia state law provides that the licensee may deny access to the child care center to a Social security number (optional) date of birth age sex 2. Identification and emergency information child care centers created date:
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Name of client or child. Web lic 700 (10/19) (confidential) page 2 of 2 names of persons authorized to take child from the facility. Receive, from the licensee, the caregiver background check process form. Ca dept of social services subject: Identification and emergency information child care centers created date:
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Identification and emergency information child care centers created date: All facilities [except child care center/family child care home completes lic 700] 1. Be informed, by the licensee, that the facility has or does not have liability insurance (or a bond) that Social security number (optional) date of birth age sex 2. Signature of person completing form.
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Receive, from the licensee, the caregiver background check process form. Receive, from the licensee, the caregiver background check process form. Name of client or child. Responsible person or placement agency. All facilities [except child care center/family child care home completes lic 700] 1.
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Responsible person or placement agency. Be informed, by the licensee, that the facility has or does not have liability insurance (or a bond) that Ca dept of social services subject: Identification and emergency information child care centers created date: Signature of person completing form.
Signature of person completing form. Ca dept of social services subject: Name of client or child. C alifornia state law provides that the licensee may deny access to the child care center to a Responsible person or placement agency. All facilities [except child care center/family child care home completes lic 700] 1. Receive, from the licensee, the caregiver background check process form. Be informed, by the licensee, that the facility has or does not have liability insurance (or a bond) that Social security number (optional) date of birth age sex 2. Web lic 700 (10/19) (confidential) page 2 of 2 names of persons authorized to take child from the facility. Identification and emergency information child care centers created date: Receive, from the licensee, the caregiver background check process form.