Occupational Licensing Applicant & Licensee Forms
The forms below assist with all activities related to becoming or being an occupational licensing preliminary or continuing education course provider, or an occupational licensing manufacturer, distributor, dealer, or salesperson.
If you have questions please contact our Occupational Licensing Program at (800) 952-8356 or by email at OL@hcd.ca.gov.
| Form Number | Form Description | Revised |
|---|---|---|
| HCD BENEFITS STATUS FORM 1 | Statement Of Citizenship, Alienage, And Immigration Status For State Public Benefits | 08/20 |
| 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 | 08/20 |
| HCD OL ED 126 | Certification of Course Presentation | 08/20 |
| HCD OL ED 127 | Notification of Intent to Present a Preliminary or Continuing Education Course | 08/20 |
| HCD OL ED 129 | Application for Continuing Education Equivalency Approval | 08/20 |
| HCD OL ED 130 | Application for Continuing Education Exemption | 08/20 |
| HCD OL ED 131 | Application for Approved Course Renewal | 08/20 |
| 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 BENEFITS STATUS FORM 1 | Statement of Citizenship, Alienage, and Immigration Status for State Public Benefits | 08/20 |
| HCD OL 6 | Advisory Statement | 08/20 |
| HCD OL 12 | Application for MH-Unit/Commercial Modular Manufacturers, Distributors and Dealers (Part A) | 08/20 |
| 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) | 08/20 |
| 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) | 08/20 |
| HCD OL 29A | Supplemental Employment Information | 7/15 |
| HCD OL 49 | Statement of Relinquishment by MH-Unit/Commercial Modular Manufacturer, Distributor or Dealer | 08/20 |
| HCD OL 50 | Application for MH-Unit/Commercial Modular Dealers (Part D) | 08/20 |
| 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 | 08/20 |
| Form Number | Form Description |
|---|---|
| BCIA-8016 (PDF) | Request for Live Service Scan |
When completing the BCIA-8016 Request for Live Scan Service, please use the following information in the corresponding field:
| ORI (Code assigned by DOJ) | A0040 | Authorized application type: | HCD License CHSC 18050 |
| Type of License/Certification/Permit OR Working Title (use whichever you are applying for): | Dealer, Salesperson, or Manufacturer | ||
| Agency Authorized to Receive Criminal Record Information | Calif. Dept. of Housing & Community Development | Mail Code (five-digit code assigned by DOJ) | 01059 |
| Street Address or P.O. Box | P.O. Box 278690 | Contact Name | Occupational Licensing Staff |
| City / State / ZIP Code | Sacramento, CA, 95827-8690 | Contact Telephone Number | 800-952-8356 |
| Agency Billing Number | 100104 | ||
| OCA No. (Agency Identifying No.): | N/A | Level of Service: | Check the boxes for both FBI and DOJ |
| Employer Name: | N/A | ||
The following are example BCIA 8016 forms:
Note: The BCIA-8016 Live Scan Application form needs to be completed in triplicate (a copy for the live scan operator, a copy for HCD, and a copy for your records). You can either download and complete the form three (3) times or make additional copies of the form after it has been completed.