Form LIC 855. Declaration - California

Form LIC 855 is used in California by individuals or entities involved in a licensing or regulatory process to provide a formal declaration or statement under penalty of perjury. The main purpose of this form is to affirm the truthfulness and accuracy of the information provided or to make an official statement regarding a specific matter.

The form consists of sections where the individual making the declaration provides their personal information, such as name, address, and contact details. It also includes a statement or space to write the declaration itself, along with the date and signature of the individual making the declaration.

Important fields on this form include accurately and truthfully providing the required information, ensuring the declaration is clear and unambiguous, and signing it under penalty of perjury. It is important for the individual filling out the form to carefully consider the implications of making a declaration and ensure that the information provided is accurate and complete.

Application Example: An applicant for a professional license in California is required to complete Form LIC 855 to provide a sworn declaration regarding their qualifications and background. The form would include the applicant's personal information and a statement declaring the accuracy of the information provided. By signing the form under penalty of perjury, the applicant attests to the truthfulness of the declaration, which is crucial for establishing credibility and integrity in the licensing process.