Occupational Licensing Applicant and Licensee Forms
| Form Number | Form Description | Revised |
|---|---|---|
| HCD BENEFITS STATUS FORM 1 | STATEMENT OF CITIZENSHIP, ALIENAGE, AND IMMIGRATION STATUS FOR STATE PUBLIC BENEFITS | 8/98 |
| Form Number | Form Description | Revised |
|---|---|---|
| HCD OL ED 122 | APPLICATION FOR COURSE PROVIDER AND/OR COURSE APPROVAL (PART A) | 08/20 |
| HCD OL ED 123 | APPLICATION FOR COURSE PROVIDER APPROVAL (PART B) | 08/20 |
| HCD OL ED 124 | APPLICATION FOR INSTRUCTOR APPROVAL | 6/09 |
| HCD OL ED 126 | CERTIFICATION OF COURSE PRESENTATION | 6/09 |
| HCD OL ED 127 | NOTIFICATION OF INTENT TO PRESENT A PRELIMINARY OR CONTINUING EDUCATION COURSE | 6/09 |
| HCD OL ED 129 | APPLICATION FOR CONTINUING EDUCATION EQUIVALENCY APPROVAL | 6/09 |
| HCD OL ED 130 | APPLICATION FOR CONTINUING EDUCATION EXEMPTION | 6/09 |
| HCD OL ED 131 | APPLICATION FOR APPROVED COURSE RENEWAL | 6/09 |
| HCD OL ED 133 | NOTICE OF CHANGE IN OWNERSHIP, NAME, OR ADDRESS OF A COURSE PROVIDER OR COURSE INSTRUCTOR | 08/20 |
| HCD OL 135 | APPLICATION REQUIREMENTS FOR APPROVING PRELIMINARY/CONTINUING EDUCATION COURSE PROVIDERS, COURSES, AND COURSE INSTRUCTORS | 08/20 |
| HCD OL 137 | CERTIFICATION OF CLOCK HOUR EARNINGS | 7/15 |
| Form Number | Form Description | Revised |
|---|---|---|
| HCD OL 6 | ADVISORY STATEMENT | 08/20 |
| HCD OL 12 | APPLICATION FOR MH-UNIT/COMMERCIAL MODULAR MANUFACTURERS, DISTRIBUTORS AND DEALERS (PART A) | 6/09 |
| HCD OL 15 | NOTICE OF CHANGE OF CORPORATE OFFICER(S), DIRECTOR(S) AND/OR CONTROLLING STOCKHOLDER(S) | 08/20 |
| HCD OL 16 | APPLICATION FOR MH-UNIT/COMMERCIAL MODULAR SALESPERSON (PART A) | 6/09 |
| HCD OL 18 | APPLICATION FOR OCCUPATIONAL LICENSE CHANGE, CORRECTION OR REPLACEMENT | 08/20 |
| HCD OL 21 | APPLICATION FOR MH-UNIT/COMMERCIAL MODULAR MANUFACTURERS, DISTRIBUTORS AND DEALERS (PART C) | 08/20 |
| HCD OL 23 | APPLICATION REQUIREMENTS FOR OBTAINING OCCUPATIONAL LICENSES - DEALER AND MANUFACTURER | 08/20 |
| HCD OL 23A | APPLICATION REQUIREMENTS FOR OBTAINING OCCUPATIONAL LICENSES - SALESPERSON | 7/15 |
| HCD OL 23B | APPLICATION REQUIREMENTS FOR OBTAINING A 90-DAY CERTIFICATE AND CONVERTING TO A SALESPERSON LICENSE | 08/20 |
| HCD OL 26 | STATEMENT OF FACTS | 7/15 |
| HCD OL 26A | STATEMENT OF FACTS – GENERAL | 10/15 |
| HCD OL 28 | CERTIFICATE OF APPOINTMENT | 08/20 |
| HCD OL 29 | APPLICATION FOR MH-UNIT/COMMERCIAL MODULAR MANUFACTURERS, DISTRIBUTORS, DEALERS AND SALESPERSONS (PART B) | 6/09 |
| HCD OL 29A | SUPPLEMENTAL EMPLOYMENT INFORMATION | 7/15 |
| HCD OL 49 | STATEMENT OF RELINQUISHMENT BY MH-UNIT/COMMERCIAL MODULAR MANUFACTURER, DISTRIBUTOR OR DEALER | 6/09 |
| HCD OL 50 | APPLICATION FOR MH-UNIT/COMMERCIAL MODULAR DEALERS (PART D) | 6/09 |
| HCD OL 90 | APPLICATION FOR MH-UNIT/COMMERCIAL MODULAR 90-DAY CERTIFICATE | 08/20 |
| HCD OL 90A | APPLICATION FOR 90-DAY CERTIFICATE CHANGE, CORRECTION OR REPLACEMENT | 6/09 |
| Form Number | Form Description | Revised |
|---|---|---|
| HCD OL 8016 MH SP | LIVE SCAN FOR: Manufactured Home Salespersons (includes 90-Day Certificate holder applications) | 11/05 |
| HCD OL 8016 MH DL | LIVE SCAN FOR: Manufactured Home Dealers | 11/05 |
| HCD OL 8016 MH MF | LIVE SCAN FOR: Manufactured Home Manufacturers | 11/05 |
| HCD OL 8016 CM SP | LIVE SCAN FOR: Commercial Modular Salespersons (includes 90-Day Certificate holder applications) | 11/05 |
| HCD OL 8016 CM DL | LIVE SCAN FOR: Commercial Modular Dealers | 11/05 |
| HCD OL 8016 CM MF | LIVE SCAN FOR: Commercial Modular Manufacturers Note: The term “manufacturer” is changed to “manufacture” due to DOJ character space limitations. |
11/05 |
| Instructions | HCD OL 8016 INSTRUCTIONS | 11/05 |
Notes:
- The HCD OL 8016 Live Scan Application form needs to be in triplicate (a copy for the live scan operator, a copy for HCD, and a copy for your records). You can either download the form three (3) times or make additional copies of the form after it has been downloaded.
- If you have questions please contact our Occupational Licensing Program at (800) 952-8356 or by e-mail at ol@hcd.ca.gov.