LQA Interviewers (Visitors), click on the active links below to access and print the following forms:

• Conversations with the Individual
• Conversations with a Family of A Child
• Conversations with Others
  
  
• Complaint Form (Print on GREEN PAPER to expedite payment)
  • English
  • Spanish
• Information Authorization Form (Print on GOLD PAPER to expedite payment)
  • English
  • Spanish
• Mailing Form
  
  
• Stipend Invoice - Fiscal Year 07/08 (Print on BLUE PAPER to expedite payment)
  
• Stipend Invoice - Fiscal Year 08/09 (Print on BLUE PAPER to expedite payment)
  
  
• Report of Suspected Dependent Adult/Elder Abuse (includes instructions)
• Suspected Child Abuse Report
  • Suspected Child Abuse Report (Instructions)

Semi-Annual Training Schedule

Eastern Los Angeles and San Gabriel Valley/Pomona
Wednesday, October 15, 2008 @ 6:30pm or
Saturday, October 18, 2008 @ 10:30am
Area Board 10 Main Office
411 N. Central Avenue, Suite #620
Glendale 91203
Contact: Robert.Hales@scdd.ca.gov

F.D. Lanterman and Westside
Monday, May 4, 2009 from 6pm - 8pm
Area Board 10 Office
411 N. Central Ave., Suite #620
Glendale, CA 91203
Contact: Melody.Goodman@scdd.ca.gov

Harbor and South Central Los Angeles
Saturday, October 18, 2008 from 11am - 1pm
Area Board 10 Main Office
411 N. Central Avenue, Suite #620
Glendale 91203
Contact: Thomas.Hamlett@scdd.ca.gov

North Los Angeles County
Saturday, August 9, 2008 @ 10:00am
Briar Park Estates Community Room
45800 Challenger Way
Lancaster 93535
Contact: Nancy.Kyle-Ledner@scdd.ca.gov

Saturday, August 16, 2008 @ 10:00am
Area Board 10 Main Office
411 N. Central Avenue, Suite #620
Glendale 91203
Contact: Nancy.Kyle-Ledner@scdd.ca.gov

Resources

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