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if any; all managing general partners, if any; and any individual
owner, partner, corporate officer, manager, agent,
representative, employee, or subcontractor of the applicant who
has direct access to, or management or control of, controlled
substance prescription forms.
(B) A report containing this information shall be made on an
annual basis and within 30 days after any change of office,
principal corporate officers, managing general partner, or of any
person described in subparagraph (A).
(5) (A) A signed statement indicating whether the applicant, any
principal corporate officer, any managing general partner, or any
individual owner, partner, corporate officer, manager, agent,
representative, employee, or subcontractor of the applicant who
has direct access to, or management or control of, controlled
substance prescription forms, has ever been convicted of, or pled
no contest to, a violation of any law of a foreign country, the
United States, or any state, or of any local ordinance.
(B) The department shall provide the applicant and any
individual owner, partner, corporate officer, manager, agent,
representative, employee, or subcontractor of the applicant who
has direct access to, or management or control of, controlled
substance prescription forms, with the means and direction to
provide fingerprints and related information, in a manner
specified by the department, for the purpose of completing state,
federal, or foreign criminal background checks.
(C) Any applicant described in subdivision (b) shall submit his or
her fingerprint images and related information to the
department, for the purpose of the department obtaining
information as to the existence and nature of a record of state,
federal, or foreign level convictions and state, federal, or foreign
level arrests for which the department establishes that the
applicant was released on bail or on his or her own recognizance
pending trial, as described in subdivision (l) of Section 11105 of
the Penal Code. Requests for federal level criminal offender
record information received by the department pursuant to this