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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICESNOTICE OF FORM CHANGE NO. 11038DATE4/14/2011 TO:FROM:County Welfare Director Supply Clerk / Forms Coordinator

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Lic 508 311 criminal refers to a form used to report criminal actions involving a licensee or applicant for a license.

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Licensees or applicants for a license who have knowledge of criminal activity must file lic 508 311 criminal.

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Lic 508 311 criminal requires reporting on the nature of the criminal activity, individuals involved, and any relevant details or evidence.

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