Lic508 2000 form-2025

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The document is a Criminal Record Statement from the California Department of Social Services, requiring individuals associated with licensed facilities to disclose any criminal convictions, including those from other states or federal courts. It outlines the necessity of fingerprinting and details the implications of failing to disclose convictions, which may lead to denial or revocation of licenses. The document also includes instructions for respondents and licensees regarding the reporting process and emphasizes privacy considerations related to personal information.

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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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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a LIC 503?

The LIC 503 is required by the California Department of Social Services as part of the application process to work in a Community Care facility. It is used during the hiring process to verify the health of the applicant. It requires completion and signature by a physician.

What is lic 500?

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES. PERSONNEL REPORT. INSTRUCTIONS: This form is intended for keeping a current roster of all the facility personnel, other adults and licensees residing in the facility, including backup persons, volunteers and licensee if administrator/director.

What is a LIC 508 form?

CRIMINAL RECORD STATEMENT OUT-OF-STATE DISCLOSURE. LIC 508 (7/21) Page 1 of 5 State law requires that persons associated with licensed care facilities, Home Care Aide Registry or TrustLine Registry applicants be fingerprinted and disclose any conviction.

What is the California 7 year rule?

California prohibits CRAs from reporting convictions older than seven years under Cal. Civ. Code 1786.18(a)(7). This law also prohibits CRAs from reporting arrests not leading to convictions even if they occurred within the last seven years, but pending cases can be reported.