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Form LIC421D(CC) Civil Penalty Assessment " Death / Serious Injury / Physical Abuse (Child Care) - California
What Is Form LIC421D(CC)?
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.
FAQ
Q: What is form LIC421D(CC)?
A: Form LIC421D(CC) is the Civil Penalty Assessment form for Death/Serious Injury/Physical Abuse in Child Care in California.
Q: What does LIC421D(CC) refer to?
A: LIC421D(CC) refers to the civil penalty assessment for cases involving death, serious injury, or physical abuse in child care facilities in California.
Q: Who is required to submit form LIC421D(CC)?
A: Child care facilities involved in cases of death, serious injury, or physical abuse are required to submit form LIC421D(CC).
Q: What is the purpose of form LIC421D(CC)?
A: The purpose of form LIC421D(CC) is to assess a civil penalty for cases of death, serious injury, or physical abuse in child care facilities.
Q: What is the penalty assessed on form LIC421D(CC)?
A: The penalty assessed on form LIC421D(CC) is a civil penalty for cases of death, serious injury, or physical abuse in child care facilities in California.
Form Details:
- Released on June 1, 2017;
- 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;
- Fill out the form in our online filing application.
Download a fillable version of Form LIC421D(CC) by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
Download Form LIC421D(CC) Civil Penalty Assessment " Death / Serious Injury / Physical Abuse (Child Care) - California
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