LIC 508D - Out-Of-State Disclosure And Criminal Record Statement

Form LIC 508D is a combined form used for both out-of-state disclosures and criminal record statements in licensed facilities in California. The form is completed by individuals seeking employment or serving in positions where background checks are required, providing information on criminal history, prior convictions, and disclosure of out-of-state criminal records. By utilizing this form, facility operators gather comprehensive background information, ensuring compliance with regulations, and promoting the safety and well-being of individuals served by the facility.