Are you looking for a way to make your business more efficient? If so, you may want to consider using the Lic 627 form. This form is used to apply for a license to conduct business in Louisiana. By using this form, you can streamline the process of starting or running your business. In this blog post, we will discuss the basics of the Lic 627 form and how it can benefit your business.
Below is the details concerning the PDF you were seeking to fill in. It can tell you the span of time you will need to finish lic 627 form, what parts you will need to fill in, and so on.
| Question | Answer |
|---|---|
| Form Name | Lic 627 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | lic627b, lic627 form, california 627 form, ca lic 627 form |
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY |
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES |
CONSENT FOR EMERGENCY MEDICAL TREATMENT-
Child Care Centers Or Family Child Care Homes
AS THE PARENT OR AUTHORIZED REPRESENTATIVE, I HEREBY GIVE CONSENT TO
_________________________________________ TO OBTAIN ALL EMERGENCY MEDICAL OR DENTAL CARE
FACILITY NAME
PRESCRIBED BY A DULY LICENSED PHYSICIAN (M.D.) OSTEOPATH (D.O.) OR DENTIST (D.D.S.) FOR
__________________________________________________ . THIS CARE MAY BE GIVEN UNDER
NAME
WHATEVER CONDITIONS ARE NECESSARY TO PRESERVE THE LIFE, LIMB OR WELL BEING OF THE CHILD
NAMED ABOVE.
CHILD HAS THE FOLLOWING MEDICATION ALLERGIES:
DATE |
PARENT OR AUTHORIZED REPRESENTATIVE SIGNATURE |
HOME ADDRESS
HOME PHONE
( )
WORK PHONE
( )
LIC 627 (9/08) (CONFIDENTIAL)