Form LIC421A Civil Penalty Assessment (Unlicensed Facility) - California

What Is Form LIC421A?

This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on June 1, 2022;
• The latest edition provided by the California Department of Social Services;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;

Download a fillable version of Form LIC421A by clicking the link below or browse more documents and templates provided by the California Department of Social Services.