LIC 624B, Unusual Incident/Injury Report — Family Child Care Home

Licensing form LIC 624B, Unusual Incident/Injury Report — Family Child Care Home

English Form: https://www.cdss.ca.gov/cdssweb/entres/forms/English/LIC624B.PDF 

Spanish Form: https://www.cdss.ca.gov/cdssweb/entres/forms/spanish/lic624bsp.pdf 

Chinese Form: https://www.cdss.ca.gov/cdssweb/entres/forms/chinese/lic624bch.pdf