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Form LIC9187 Child Care Client Death Report - California
What Is Form LIC9187?
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 the purpose of Form LIC9187?
A: Form LIC9187 is used to report the death of a child in a licensed child care facility in California.
Q: Who is required to complete Form LIC9187?
A: The licensed child care facility is responsible for completing Form LIC9187 when a child dies while in their care.
Q: When should Form LIC9187 be completed?
A: Form LIC9187 should be completed immediately after the child's death and submitted to the California Department of Social Services within 24 hours.
Q: What information is needed to complete Form LIC9187?
A: The form requires information such as the child's name, age, date and time of death, cause of death, and details about the circumstances surrounding the death.
Form Details:
- Released on July 1, 2000;
- 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 LIC9187 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.
