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CA LIC 508 D 2011-2025 free printable template

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION OUT-OF-STATE DISCLOSURE CRIMINAL RECORD STATEMENT Foster Family Homes Small Family Homes Certified Family Homes Complete both pages and sign on page 2.
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How to fill out lic 508 of disclosure criminal statement form

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How to fill out CA LIC 508 D

01
Obtain the CA LIC 508 D form from the official California Department of Insurance website or local office.
02
Read the instructions carefully before filling out the form.
03
Fill in the applicant's full name in the designated space at the top of the form.
04
Provide the applicant's contact information, including their address, phone number, and email address.
05
Indicate the type of license being applied for by checking the appropriate box.
06
Complete any additional sections that are relevant to the type of license.
07
Sign and date the form at the bottom.
08
Gather any required supporting documents, such as proof of residency or identification.
09
Submit the completed form along with any necessary fees to the appropriate licensing authority.

Who needs CA LIC 508 D?

01
Individuals applying for a specific type of license regulated by the California Department of Insurance.
02
Insurance agents, brokers, and solicitors seeking to obtain or renew their licenses.
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People Also Ask about lic out of state disclosure

For example, California requires a criminal clearance for anyone applying to work as a caregiver and excludes individuals from consideration who have misdemeanor or felony convictions for which they have not received an exemption.
has been convicted of a felony consisting of murder; child abuse or neglect; crime against children; spousal abuse; crime involving rape or sexual assault; kidnapping; arson; physical assault; or a drug-related offense committed during the preceding 5 years; or.
Child Development Associate Teacher Permit Complete at least 12 semester units of coursework in early childhood education or child development; at least one course must be in each of the following: Child, family, community, or child/family relations. Complete at least 50 days of work experience in a childcare program.
If you do not have a criminal record, a clearance is normally available in a few days. If an exemption is needed, it may take three months or longer to complete the process. If you are granted a criminal record exemption, your name will be given out to the public, upon request.
California Civil Code § 1786.18 (a)(7) Summary: CRAs generally may not report: Convictions that are more than 7 years old, counting back from the date of the report. Non-convictions, including arrests that did not lead to conviction, indictments, and other expunged, sealed, or dismissed records.
State law requires that persons associated with licensed facilities or Home Care Aide 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.

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CA LIC 508 D is a form used for reporting specific financial information related to life insurance policies in California.
Individuals or companies that hold life insurance policies and meet certain financial thresholds as specified by California insurance regulations are required to file CA LIC 508 D.
To fill out CA LIC 508 D, you must provide detailed information including policyholder details, policy numbers, and financial data as required in the instructions provided with the form.
The purpose of CA LIC 508 D is to ensure proper reporting and compliance of financial activities related to life insurance policies in California, helping regulators monitor the industry.
Information that must be reported on CA LIC 508 D includes the policyholder's name and address, policy details, financial values associated with the insurance policies, and other relevant financial information.
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