School Forms

All of the "LIC" forms can be filled out online prior to printing, or they can be printed blank and filled in by hand.

Form 12 (LIC 995E) is informational only and does not need to be returned with the other forms.

* For Form 08 (LIC 613A) and 09 (LIC 995A), enter the following agency name, address, and phone number on the first three lines:

Community Care Licensing
520 Cohasset Road, Suite 6
Chico, CA 95923
(530) 895-5033

Only the lower portions of these two forms, Form 08 (LIC 613A) and 09 (LIC 995A), need to be returned to CNS.

Attachment	Size
Form 01: Registration	33.96 KB
Form 02: About Member	23.01 KB
Form 03: Committee Descriptions	48.28 KB
Form 04: Membership Contract	38.36 KB
Form 05: Child Info Sheet	13.17 KB
Form 06: Lic 701	54.74 KB
Form 07: Lic 702	49.18 KB
Form 08: Lic 700	24.96 KB
Form 09: TB test	10.7 KB
Form 10: Lic 613a	17.31 KB
Form 11: Lic 995	18.28 KB
Form 12: Lic 627	16.31 KB
Form 13: Lic 995e	22.91 KB
Form 14: Photo Release Agreement 09-10	137.86 KB

Celebrating 44 Years