DSS LIC 604A 2005-2024 free printable template

Lic 604A is a license issued by the California Department of Alcoholic Beverage Control (ABC) that allows a business to sell beer and wine for consumption on the premises. This type of license is commonly issued to restaurants, bars, and taverns.

Lic 604a is an exemption from the Ontario Ministry of Finance which allows certain financial institutions to offer certain pre-authorized deposit services, including direct deposits, pre-authorized payments, and pre-authorized transfers, without having to obtain a licence from the Ministry. This exemption helps make it easier for institutions to offer these services to their customers.

The California Lic 604A form must include the following information: 1. The name, address, and phone number of the licensee. 2. The date and time of the sale. 3. The type of alcoholic beverage purchased. 4. The quantity and price of the alcohol purchased. 5. The name and address of the person or entity to whom the alcohol was sold. 6. The name and number of the license under which the sale was made. 7. The name, address, and phone number of the person or entity from whom the alcohol was purchased. 8. The serial number of the invoice or receipt for the alcohol purchased.

The "Lic 604A" is a specific form used by the California Department of Social Services (CDSS) for the Adult and Senior Care Program. This form is required to be filed by licensed Adult Residential Facilities (ARFs) and Residential Care Facilities for the Elderly (RCFEs) in California. These facilities need to file the form to report any suspected abuse or neglect of a resident in their care.

To fill out the LIC 604A form, follow the steps below: 1. Obtain the LIC 604A form from the appropriate licensing authority. This form is typically used for child care licensing purposes. 2. Provide your personal information in the designated fields. This includes your name, address, contact information, and social security number. 3. Indicate the type of application you are submitting. Check the appropriate box to specify if this is a new application, renewal, or a change of information. 4. In section 1, provide detailed information about the child care facility. This includes the facility name, address, phone number, email address, and the program type (family child care home, child care center, etc.). 5. In sections 2 and 3, you may need to provide additional information about the child care facility, such as any criminal history, previous child care operations, or if any disciplinary action has been taken against you or your facility. 6. If there are additional adults living or working in the child care facility, provide their names and social security numbers in section 4. 7. In section 5, provide information regarding your education and experience related to child care. Include details about any child development courses, CPR/First Aid certifications, and any other relevant training. 8. Provide information about any other child care licenses held in section 6, including the agency and license number. 9. Indicate if you have ever been convicted of a crime related to child abuse, neglect, or other offenses listed in section 7. 10. Sign and date the form in section 8. 11. Prepare any necessary supporting documents, such as copies of identification, training certificates, or other paperwork required by the licensing authority. 12. Submit the completed LIC 604A form and supporting documents to the appropriate licensing authority as instructed. Be sure to follow any specific submission instructions and include any required application fees. Remember to keep a copy of the completed LIC 604A form and supporting documents for your records.

The penalty for the late filing of LIC 604A may vary depending on different factors, such as the laws and regulations of a specific jurisdiction, the reason for the delay, and the discretion of the issuing authority. It is recommended to consult the relevant licensing agency or legal professionals in your jurisdiction to obtain accurate and up-to-date information regarding the penalties associated with late filing of LIC 604A.

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