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CRIMINAL RECORD STATEMENT

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CRIMINAL RECORD STATEMENTLong-Term Care Ombudsman ProgramPersons submitting an application to participate in the Long-Term Care Ombudsman Program must be fingerprinted anddisclose any conviction (s). 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 you ever been convicted of a crime in California? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NOYou need not disclose any marijuana-related offenses covered by the marijuana reform legislation codified at Health and Safety Codesections and you ever been convicted of a crime from another state, federal court,military or jurisdiction outside of.

CRIMINAL RECORD STATEMENT. Long-Term Care Ombudsman Program . Persons submitting an application to participate in the Long-Term Care Ombudsman Program must be fingerprinted and disclose any conviction(s). A conviction is any plea of guilty or nolo contendere (no contest) or a verdict of guilty. The

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