This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the Form LIC421IM?
A: Form LIC421IM is a form used for Civil Penalty Assessment in California.
Q: What is the penalty for violating Form LIC421IM?
A: The penalty for violating Form LIC421IM is an immediate fine of $500.
Q: What happens if there are repeat violations of Form LIC421IM?
A: For repeat violations of Form LIC421IM, the same $500 fine applies.
Form Details:
Download a fillable version of Form LIC421IM by clicking the link below or browse more documents and templates provided by the California Department of Social Services.