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COMMUNITY CARE LICENSING DIVISION LAW ENFORCEMENT …
WebGet the free lic 9142 a 2016-2024 form. Get Form Show details. Hide details. STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION ROSTER OF PARTICIPANTS FOR VENDOR USE ONLY-I CTP OR CEU COURSES … Weblic 700 (10/19) (confidential) page 2 of 2 names of persons authorized to take child from the facility (child will not be allowed to leave with any other person without written authorization from parent or authorized representative) name relationship time child will be picked up signature of parent/guardian or authorized representative date it\u0027s time that sb should do
Residential - California Department of Social Services
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