Form LIC421IM Civil Penalty Assessment " Immediate 500 Dollars and Repeat Violations - California

Form LIC421IM Civil Penalty Assessment " Immediate 500 Dollars and Repeat Violations - California

What Is Form LIC421IM?

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.

FAQ

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.

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Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the California Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form LIC421IM Civil Penalty Assessment " Immediate 500 Dollars and Repeat Violations - California

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