APPLICATION PROCESS
TO GET A PRINTABLE HOME CARE AIDE REGISTRY APPLICATION (FORM HCS 100 (12/15)
CLICK HERE:
FIRST  
YOU NEED TO COMPLETE AN APPLICATION
EITHER ONLINE OR BY MAIL BEFORE YOU DO THE LIVE SCAN OR TB TEST.
TO GET A PRINTABLE CRIMINAL RECORD STATEMENT
CLICK HERE:
THE CRIMINAL RECORD STATEMENT (LIC 508) MUST BE COMPLETED AND SENT WITH YOUR APPLICATION (HCS 100) AND A
CHECK OR MONEY ORDER (payable to the California
Department of Social Services) FOR $25.00 TO:
The California Department of Social Services, Home Care Services Bureau
744 P Street, MS T8-3-90,
Sacramento, CA 95814.
FINALLY
YOU WILL NEED TO DO A LIVE SCAN (LIC 9163) AND TB TEST
(THIS SHOULD  NOT  BE SENT OR FAXED UNTIL AFTER YOU HAVE COMPLETED THE
APPLICATION)
TRAINING MUST ALSO BE COMPLETED BY JUNE 30, 2016

TO GET A PRINTABLE FORM LIC 9136
CLICK HERE:


AT THE BOTTOM OF THE APPLICATION IS A SECTION CALLED:
  HOME CARE ORGANIZATION AFFILIATION   
BE SURE TO PUT IN OUR HOME CARE NAME AND NUMBER  (SEE EXAMPLE BELOW).
FOR QUESTIONS ABOUT COMPLETING YOUR APPLICATION,
YOU CAN CALL THE CDSS REGISTRY HELP LINE AT:
877-424-5778
NEXT
YOU WILL NEED TO COMPLETE A CRIMINAL RECORD STATEMENT (FORM LIC 508)
194700032