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.
Q: What is LIC627?
A: LIC627 is a consent form for emergency medical treatment for child care centers or family child care homes in California.
Q: Who is required to use LIC627?
A: Child care centers and family child care homes in California are required to use LIC627.
Q: What is the purpose of LIC627?
A: LIC627 is used to obtain consent from parents or legal guardians for emergency medical treatment for their child while in the care of a child care center or family child care home.
Q: What information is included in LIC627?
A: LIC627 includes the child's information, emergency contact information, authorized individuals to consent to medical treatment, and any known medical conditions or allergies.
Q: Can parents or legal guardians refuse to sign LIC627?
A: Yes, parents or legal guardians have the right to refuse to sign LIC627 and may provide their own form for emergency medical treatment.
Q: Is LIC627 valid for any specific period of time?
A: LIC627 is valid for one year from the date of signature, unless the child's condition or emergency contact information changes.
Form Details:
Download a fillable version of Form LIC627 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.