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The document outlines the process for transferring active criminal background clearances between state-licensed facilities in California. It specifies that a transfer request must be submitted before the individual has client contact to avoid penalties. The request requires verification of identity, submission of a valid photo ID, and, if applicable, a Child Abuse Central Index check for facilities serving children. The form is intended solely for clearance transfers and provides instructions for both the applicant and licensing agencies.

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Versions	Form popularity	Fillable & printable
2015	5 Satisfied (48 Votes)
2007	4.1 Satisfied (48 Votes)
2006	4.3 Satisfied (73 Votes)
2002	4.3 Satisfied (71 Votes)

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Who needs to fill out an LIC 508 criminal record statement?

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. A conviction is any plea of guilty or nolo contendere (no contest) or a verdict of guilty.

Can you transfer livescan?

Background check results are typically received by the requesting agency within three (3) business days, but could take up to thirty (30) days depending upon DOJ processing times. Please be aware that previous livescans and resulting background checks cannot be transferred from one agency to another.

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.

How to fill out form lic 9182?

The information required on Lic 9182 includes the name and address of the business, the name and address of the licensee, proof of liability insurance, the type of business, the type of license, the license number, the expiration date, the applicable fees, and a list of any special conditions.

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