LIC 508B - Criminal Record Statement - Long-Term Care Ombudsman Program

Form LIC 508B is a criminal record statement used by participants in the Long-Term Care Ombudsman Program in California. The form is completed by the program participant and includes questions regarding criminal history, convictions, and any pertinent legal matters. By utilizing this form, the Long-Term Care Ombudsman Program obtains information for background checks, ensuring the suitability of participants in advocating for the rights and well-being of individuals receiving long-term care services.