Lic 508 2026

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4.8 out of 5

86 votes

The document is a Criminal Record Statement from the California Department of Social Services, requiring individuals associated with licensed facilities or Home Care Aide Registry applicants to disclose any criminal convictions. It outlines the necessity for fingerprinting and details the types of offenses that must be reported, including those from other states and federal courts. The form emphasizes the importance of full disclosure, as failure to do so may result in denial or revocation of licenses. Additionally, it includes instructions for respondents and licensees regarding the handling of disclosed information.

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Click ‘Get Form’ to open the lic 508 document in the editor.
Begin by filling out your personal information, including your name, address, and date of birth. Ensure that all details are accurate and clearly printed.
Indicate whether you have ever been convicted of a crime in California by selecting 'YES' or 'NO'. If 'YES', provide detailed information on the back of the form as instructed.
Repeat the process for any convictions from other states or jurisdictions. Remember to include all necessary details about each conviction.
Complete the signature section at the bottom of the form, certifying that your responses are true and correct under penalty of perjury.

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Versions	Form popularity	Fillable & printable
2015	4.8 Satisfied (86 Votes)
2011	4.4 Satisfied (511 Votes)
2003	4.1 Satisfied (64 Votes)
2000	4.4 Satisfied (25 Votes)

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lic 508 updated

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