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  • Certification Forms - California Dept. of Social Services
    LIC 9214 – Application for Administrator Certification – Both initial and renewal applicants submit this form In addition, this form is submitted by a previously certified administrator who did not renew their certificate within four (4) years from the date of expiration and so must reapply
  • LIC9214. pdf - d2l2jhoszs7d12. cloudfront. net
    Do you currently hold or have you previously held a license, certification or other approval as a professional in a specified field (e g , RN, NHA)? If yes, please list the type(s) of license(s) or certificate(s) and their number(s)
  • LIC 9214(fillable) - Community Training Connection
    In order to maintain compliance with the provisions of the Administrator Certification Program, you are required to maintain the criminal record clearance (or exemption) and submit the following information prior to the certificate expiration date
  • CA LIC 9214 2019-2026 - Fill and Sign Printable Template Online
    This guide provides a clear, step-by-step process for completing the CA LIC 9214, the application for administrator certification, online Whether you are a new applicant or renewing your certification, follow these instructions to ensure your application is submitted correctly
  • Form LIC9214 Download Fillable PDF or Fill Online Application for . . .
    Download a fillable version of Form LIC9214 by clicking the link below or browse more documents and templates provided by the California Department of Social Services Download Fillable Form Lic9214 In Pdf - The Latest Version Applicable For 2026
  • Form 9214 – California Administrator Certification Guide
    LIC 9214 is the Application for Administrator Certification used for RCFE, ARF, and STRTP You will use it for initial certification, for renewals when you prefer to mail, and for reinstatement if your certification has been expired more than four years
  • Fillable Form Lic 9214 - Application For Administrator Initial . . .
    View, download and print fillable Lic 9214 - Application For Administrator Initial Certification - Administrator Certification Program in PDF format online Browse 609 California Department Of Social Services Forms And Templates collected for any of your needs
  • How to Renew Your RCFE ARF Administrator Certification in California
    Stay Certified with NCPI’s State-Approved RCFE Renewal Courses If you are a licensed RCFE (Residential Care Facility for the Elderly) Administrator in California, you must complete continuing education (CEUs) every two years to maintain your certification
  • Free Resources - Senior Community Learning
    We understand that care providers have an extremely difficult job, and it’s our job to make life a little easier Below you will find resources we hope you find helpful Thank you for all you do! RCFE Regulations: Title 22, Division 6, Chapter 8, Health and Safety Code, Division 2, Chapter 3 2
  • LIC 9214 - Application for Administration Certification - Administrator . . .
    Form LIC 9214 is used by individuals seeking administrator certification in the care facility setting in California This form serves as an application for the Administrator Certification Program and collects information about the applicant's qualifications, experience, and educational background





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