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Criminal Record Statement | LIC 508

State law requires that persons associated with licensed facilities be fingerprinted and disclose any conviction. A conviction is any plea of guilty or nolo contendere (no contest) or a verdict of guilty. The fingerprints will be used to obtain a copy of any criminal history you may have.

Criminal convictions from another State or Federal court are considered the same as criminal convictions in California.

You must disclose convictions, including reckless and drunk driving convictions even if:

  1. It happened a long time ago;
  2. It was only a misdemeanor;
  3. You didn’t have to go to court (your attorney went for you);
  4. You had no jail time or the sentence was only a fine or probation;
  5. You received a certificate of rehabilitation;
  6. The conviction was later dismissed, set aside or the sentence was suspended.

NOTE: IF THE CRIMINAL BACKGROUND CHECK REVEALS ANY CONVICTION(S) THAT YOU DID NOT DISCLOSE ON THIS FORM, YOUR FAILURE TO DISCLOSE THE CONVICTION(S) WILL RESULT IN AN EXEMPTION DENIAL, LICENSE APPLICATION DENIAL, LICENSE REVOCATION, OR EXCLUSION FROM A LICENSED FACILITY.