Form LIC 508A. Criminal Record Statement - Adoption Facilitator - California

Form LIC 508A is used in California by adoption facilitators to disclose their criminal records and provide information regarding their suitability to participate in adoption-related activities. The main purpose of this form is to ensure transparency and protect the well-being of individuals involved in the adoption process.

The form consists of sections where the adoption facilitator provides personal information, including their name, address, date of birth, and social security number. Additionally, there are sections that require disclosure of any criminal convictions or pending charges. The form may also include spaces for the signature of the adoption facilitator and the date of submission.

Important fields on this form include accurately disclosing any criminal history, providing complete and truthful information, and complying with applicable regulations regarding criminal record statements for adoption facilitators. It is crucial for the adoption facilitator to be transparent about their criminal background to ensure the safety and welfare of adoptive families and children.

Application Example: An individual is applying to become an adoption facilitator in California. Form LIC 508A would be completed by the applicant to disclose their criminal record. By submitting the form, the adoption facilitator applicant demonstrates honesty and transparency, allowing the relevant authorities to assess their suitability for participating in adoption-related activities.

Related Forms: There are no specific related forms mentioned for Form LIC 508A. However, other documentation such as fingerprint clearance forms, background check authorization forms, and character references may be required in conjunction with this form to ensure a comprehensive evaluation of the adoption facilitator's suitability.