Download California Tlr 3 Form

1. What is the California TLR 3 form?

   The California TLR 3 form is a request for transferring a criminal background clearance for individuals registered with TrustLine to a licensed facility. This form is necessary for caregivers and other adults involved in community care settings to ensure they meet the required background checks.

2. Who needs to fill out the TLR 3 form?

   The TLR 3 form must be completed by individuals who are TrustLine registrants and are seeking to associate with a licensed facility. This includes facility administrators, employees, and other adults residing in the facility.

3. What identification is required with the TLR 3 form?

   When submitting the TLR 3 form, you must include a copy of one of the following identification cards:

   • California Driver’s License
   • California I.D. Card
   • Alien Registration Card
   • A numbered picture I.D. issued from a state other than California

4. What information is required on the TLR 3 form?

   You need to provide the following information:

   • Last name, first name, and middle initial of the TrustLine registrant
   • Street address, city, state, and ZIP code
   • California Driver’s License number
   • Date of birth
   • TrustLine registrant ID number
   • Social Security Number (optional)
   • Name and facility number of the licensed facility
   • Type of association with the facility

5. What does "Transferee Association Type" mean?

   The "Transferee Association Type" section indicates your role in relation to the licensed facility. This could be as a facility administrator, employee, board member, or other specified roles. It is important to select the correct association type to ensure proper processing of your request.

6. What happens if I provide false information on the TLR 3 form?

   Providing false information on the TLR 3 form can lead to serious consequences, including the denial or revocation of your license and/or TrustLine registration. It is crucial to ensure that all information is accurate and truthful.

7. How can I check the status of a TrustLine registrant?

   You can verify the status of TrustLine registrants by contacting the county licensing offices. The phone number for verification is (916) 653-1923.

8. Is the Social Security Number mandatory on the TLR 3 form?

   The Social Security Number is optional on the TLR 3 form. While it can help in identifying the registrant, it is not a mandatory requirement for submitting the form.

9. What should I do if I have questions about filling out the TLR 3 form?

   If you have questions or need assistance with the TLR 3 form, consider reaching out to the Community Care Licensing Division or the appropriate county licensing office. They can provide guidance and support in completing the form correctly.

When filling out the California TLR 3 form, it is essential to follow specific guidelines to ensure accuracy and compliance. Here is a list of things to do and avoid during this process:

• Do type or print legibly to prevent any misunderstandings.
• Do ensure that all required identification cards are submitted with your request.
• Do provide complete and accurate personal information, including your full name and address.
• Do include the correct facility name and number where you are transferring.
• Do declare the information is true and correct by signing the form.
• Don’t leave any sections blank; fill in all applicable fields.
• Don’t submit the form without checking for errors or typos.
• Don’t forget to include your TrustLine Registrant ID number.
• Don’t use an outdated version of the form; ensure you have the most recent one.
• Don’t neglect to keep a copy of the completed form for your records.

Misconception 1: The TLR 3 form can be submitted without any identification.

Many believe that they can submit the TLR 3 form without providing identification. However, a copy of a valid identification card is required. Acceptable forms include a California Driver’s License, California I.D. Card, Alien Registration Card, or a numbered picture I.D. from another state.

Misconception 2: The TLR 3 form is only for employees of licensed facilities.

Some individuals think that only employees can use the TLR 3 form. In reality, the form is applicable to various types of associations with a licensed facility. This includes administrators, board members, non-client adult residents, and spouses of licensees.

Misconception 3: Submitting the TLR 3 form guarantees approval for background clearance.

There is a common belief that submitting the TLR 3 form will automatically result in a cleared background check. This is not true. The form is a request for a transfer of criminal background clearance, but approval depends on the results of the background checks conducted by the relevant authorities.

Misconception 4: The information on the TLR 3 form does not need to be accurate.

Some people think that they can provide inaccurate information on the TLR 3 form without consequences. This is a serious misconception. The form requires a declaration under penalty of perjury, meaning that false statements can lead to denial or revocation of licenses and registrations.

The California TLR 3 form is essential for transferring criminal background clearance for caregivers in licensed facilities. Alongside this form, several other documents are often required to ensure compliance with state regulations. Below is a list of these forms and documents, each serving a specific purpose in the background check process.

• California Driver’s License: This is a primary form of identification that verifies the identity of the individual submitting the TLR 3 form.
• California I.D. Card: Similar to a driver’s license, this card serves as an official identification for individuals who do not drive.
• Alien Registration Card: For non-citizens, this card proves legal residency in the United States and is necessary for background checks.
• Criminal Background Check Authorization Form: This form authorizes the facility to conduct a background check on the caregiver, ensuring they meet safety standards.
• TrustLine Registration Application: This application registers caregivers with TrustLine, a background check registry for child care providers in California.
• Facility License Application: This document is required for new facilities seeking to operate legally in California, ensuring all staff meet licensing requirements.
• Employee Health Screening Form: This form is often required to confirm that employees are in good health, which is crucial in caregiving environments.
• Emergency Contact Form: This document provides emergency contacts for caregivers, ensuring quick access to assistance if needed.
• Work History Verification Form: This form verifies the employment history of the caregiver, helping to assess their experience and suitability for the position.
• Child Abuse Central Index (CACI) Clearance Form: This form confirms that the caregiver has been cleared of any child abuse allegations, ensuring the safety of vulnerable populations.

Each of these documents plays a vital role in the caregiver background check process. They help ensure that individuals working in licensed facilities are qualified and pose no risk to those they care for. Proper completion and submission of these forms are crucial for compliance with California regulations.