Form LIC9225 Pre-placement Questionnaire - California

Form LIC9225 Pre-placement Questionnaire - California

What Is Form LIC9225?

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 LIC9225?
A: Form LIC9225 is a pre-placement questionnaire used in California.

Q: Who uses Form LIC9225?
A: Employers in California use Form LIC9225.

Q: What is the purpose of Form LIC9225?
A: The purpose of Form LIC9225 is to gather information about an individual's health and medical history prior to their placement in a job.

Q: What information is requested on Form LIC9225?
A: Form LIC9225 requests information about the individual's medical conditions, disabilities, and medications they are currently taking.

Q: Is Form LIC9225 mandatory?
A: Yes, Form LIC9225 is mandatory for employers in California.

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Form Details:

  • Released on April 1, 2010;
  • 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 LIC9225 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form LIC9225 Pre-placement Questionnaire - California

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  • Form LIC9225 Pre-placement Questionnaire - California, Page 1
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