St.com Statement Regarding Criminal Plea/Conviction CSLB will not deny a license based on a conviction without considering evidence of rehabilitation submitted by an applicant. The form below can be used to assist CSLB in determining whether a crime is substantially related to the qualifications, functions, or duties of a licensee or registrant, as well as to provide rehabilitation information. The form can be used for any plea or conviction within the preceding (7) years and/or a plea or conv.

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How to fill out the CA 13A-45 online

Filling out the CA 13A-45 form online is a crucial step in assisting the Contractors State License Board with determining whether a criminal conviction is relevant to licensing. This guide provides clear instructions to help users navigate each section of the form effectively.

Follow the steps to complete your CA 13A-45 form online.

  1. Click the ‘Get Form’ button to access the form and open it for use.
  2. Begin by entering your name in the 'Applicant Name' field. Ensure that the name matches the one associated with the application to avoid confusion.
  3. In the 'Arresting Agency' field, specify the agency involved in the arrest. This information is crucial for accurate record-keeping.
  4. Provide the 'Court Case/Docket Number' to associate the plea or conviction with a specific legal case.
  5. Record the 'Plea/Conviction Date.' This date is essential for determining the timeframe of the incident.
  6. Indicate whether the plea/conviction is a misdemeanor or felony by selecting the appropriate box.
  7. Fill in the 'Violation Code(s)' field with relevant legal codes pertaining to your case for reference.
  8. Provide the 'Court Name and Location' to further specify where the legal proceedings took place.
  9. Describe the 'Sentence Imposed' by the court to detail the consequences of the conviction.
  10. In the 'Incarceration Date' section, write the date you were incarcerated, if applicable.
  11. Fill in the 'Release Date' for clarity on your release status post-incarceration.
  12. If applicable, enter the 'Probation/Parole Date' to indicate when you began probation or parole.
  13. Specify the 'Completion Date' for probation or parole, if applicable.
  14. Outline the 'Terms and Conditions of Probation/Parole' to provide clear information on your obligations.
  15. Include the name and phone number of your 'Probation Officer/Parole Agent' for verification purposes.
  16. In the 'Fines (amount)' section, specify any monetary penalties imposed, ensuring the amount is accurate.
  17. Describe the 'Details of Crime' in a comprehensive manner, including participants, victims, losses, and the circumstances surrounding the incident.
  18. In the 'Rehabilitation Efforts' section, summarize any efforts you have made toward rehabilitation, which is essential for the board's review.
  19. Indicate whether restitution has been paid in the relevant section, providing the amount and selecting 'Yes' or 'No.'
  20. Finally, review your completed form for accuracy before saving your changes. You can download, print, or share the form as necessary.

Complete your CA 13A-45 form online today to ensure a smooth process with the Contractors State License Board.

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