PDF
Word
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?
A: Form LIC421D is a Civil Penalty Assessment form for cases related to death, serious injury, or physical abuse in child care facilities in California.
Q: Who uses Form LIC421D?
A: Child care facilities in California use Form LIC421D for Civil Penalty Assessment related to death, serious injury, or physical abuse cases.
Q: What does Form LIC421D assess?
A: Form LIC421D assesses civil penalties for child care facilities in cases involving death, serious injury, or physical abuse.
Q: What penalties can be imposed through Form LIC421D?
A: Form LIC421D can impose civil penalties on child care facilities in California for cases involving death, serious injury, or physical abuse.
Q: Is Form LIC421D specific to California?
A: Yes, Form LIC421D is specific to child care facilities in California.
Form Details:
- Released on August 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;
- 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
1
2
