Staffing

Submit upon significant staffing changes.

• SSA
• Instructions

Submit for clearance prior to start date of new Administrator, Program Director, and Chief Financial Officer.

• Guidance

Submit for clearance prior to start date of new Administrator, Program Director, and Chief Financial Officer.

• Request For Live Scan Service

  Blank BCIA 8016 form and sample request for ADHC/CBAS staff are located on California Department of Public Health’s (CDPH) Licensing and Certification Program Forms Page.

Submit for clearance prior to start date of new Administrator, Program Director, and Chief Financial Officer.

• Transmittal Application for Criminal Record Clearance
  • Located on the CDPH’s Licensing and Certification Program Forms Page.