California Department of Social Services

LIC 508 - Criminal Record Statement & Out-Of-State Disclosure

LIC 508 - Criminal Record Statement & Out-Of-State Disclosure

Form LIC 508 is a combined form used for both criminal record statements and out-of-state disclosures in licensed facilities in California. The form is completed by individuals seeking employment or serving in positions where background checks are required. It includes questions related to criminal history, previous convictions, and disclosure of any out-of-state criminal records.