The California TLR-3 form is issued by the California Department of Social Services (CDSS) Community Care Licensing Division. It manages transfers within the TrustLine Registry. The TrustLine Registry tracks caregivers who have completed a criminal background check through the state.
The Caregiver Background Check Bureau (CBCB) reviews each submitted form. CBCB verifies both CII (Criminal Identification and Investigation) and FBI background check clearances. This process protects children, seniors, and other vulnerable people in licensed California care facilities.
Submit TLR-3 when you move to a new licensed facility or change your role there. Common association types include employee, facility administrator, licensee applicant, partnership member, and nonclient adult resident. All statements on the form are made under penalty of perjury, so complete it carefully and accurately.
| Question | Answer |
|---|---|
| Form Name | California Form Tlr 3 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | LEGIBLY, TRANSFEREE, SSN, CBCB |