Please rate Form Lic 200A 1-25
Requested Action (Check One): Initial Application, Change of Capacity, Change of Location, Change of Components Served, Change of Ownership, Change within Corporation or Other.
Joint application: if joint application, all applicants must sign this application.
LIC 215: Applicant Information (LIC 215) is completed by individuals and each partner.
Firms: the chief executive officer or authorized representative of a firm, association, corporation, county, city, public agency or governmental entity completes it.
Corporations: corporations and other organizations also complete Administrative Organization, (LIC 309).
More than one facility: if applicant has more than one facility, a separate application must be completed for each facility.
| Question | Answer |
|---|---|
| Form Name | LIC 200A |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 89 |
| Avg. time to fill out | 15 min |
| Edition | 1/25 |
| Issuing agency | California Department of Social Services |
| Who signs | All applicants or authorized person(s) |
| Matches the agency's file | Yes, checked October 1, 2026 |
| Other names | LIC 200A, LIC200A, LIC 200, LIC200, Form LIC 200A, Application for a Child Care Center License |
| Official source | LIC 200A (Rev 1/25), California Department of Social Services |
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Please rate Form Lic 200A 1-25
