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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCYCALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISIONCRIMINAL RECORD STATEMENT State law requires that persons associated with
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How to fill out criminal record statement

01
To fill out a criminal record statement, follow these steps:
02
Obtain a copy of the criminal record statement form. This can typically be done online or through a local police station.
03
Fill out your personal information on the form, such as your name, address, date of birth, and contact details.
04
Provide details about your criminal record, including any convictions or charges you have faced in the past.
05
Include information about the offenses committed, the dates of the offenses, and the outcome of each case.
06
If applicable, include any additional information or explanations that might be relevant to your criminal record.
07
Review the completed form thoroughly to ensure accuracy and completeness.
08
Sign and date the statement to certify the information provided is true and accurate.
09
Submit the criminal record statement form to the appropriate authority or organization as required.
10
Keep a copy of the completed form for your records.

Who needs criminal record statement?

01
Various individuals and organizations may require a criminal record statement, including:
02
- Job applicants: In certain industries or for specific job positions, employers may request a criminal record statement to assess the applicant's suitability.
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- Volunteer organizations: Many volunteer organizations, especially those working with vulnerable populations like children or the elderly, require volunteers to provide a criminal record statement.
04
- Immigration agencies: Individuals applying for immigration or visa purposes may need to submit a criminal record statement as part of the application process.
05
- Educational institutions: Some educational institutions, such as colleges or universities, may request criminal record statements from applicants to ensure a safe environment for students and staff.
06
- Professional licensing boards: Certain professions, such as healthcare or law enforcement, may require individuals to provide a criminal record statement as part of the licensing process.
07
- Housing providers: Landlords or property management companies may request a criminal record statement from prospective tenants to assess their suitability as renters.
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- Government agencies: Government agencies involved in security clearances or background checks may require individuals to provide a criminal record statement.
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A criminal record statement is a document that discloses an individual's criminal history or lack thereof.
Individuals who are applying for certain jobs or licenses that require a background check are typically required to file a criminal record statement.
One must accurately provide information about their criminal history, if any, as well as personal details on the form provided.
The purpose of the criminal record statement is to assist employers or licensing agencies in determining an individual's suitability for a specific job or license.
Information such as any previous convictions, arrests, or pending charges must be reported on a criminal record statement.
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