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Page 1 of 2 ARREST / CONVICTION REPORT AND CERTIFICATION FORM (under Act 24 of 2011) Section 1. Personal Information Full Legal Name: Date of Birth: Any former names by which you have been identified:
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How to fill out an arrestconviction report and certification:

01
Gather all necessary information, including personal details (name, address, etc.) and specific details about the arrest or conviction.
02
Make sure to accurately and clearly describe the nature of the offense, the date of the incident, and any relevant legal proceedings.
03
Be thorough and provide any supporting documentation or evidence that may be required.
04
Review the form for any errors or missing information before submitting it.
05
Sign and date the report and certification.

Who needs an arrestconviction report and certification?

01
Employers: Many employers require job applicants to provide an arrestconviction report and certification as part of the background check process.
02
Government agencies: Certain government agencies, such as law enforcement and security agencies, may require individuals to submit an arrestconviction report and certification for various purposes, including licensing or clearance applications.
03
Professional organizations: Some professional organizations or licensing boards may request an arrestconviction report and certification from individuals in certain fields, such as healthcare or finance, to ensure they meet the necessary standards of professional conduct.
04
Court proceedings: In some legal cases, a judge may require individuals to provide an arrestconviction report and certification as evidence or documentation related to their criminal history.
05
Personal reasons: Some individuals may choose to obtain an arrestconviction report and certification for personal reasons, such as verifying their own criminal record or clearing their name from any false allegations.
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The arrestconviction report and certification is a document that reports and certifies any arrests or convictions of an individual.
Certain individuals, such as job applicants or current employees, may be required to file an arrestconviction report and certification depending on the specific regulations or requirements set by an organization or jurisdiction.
The specific process of filling out an arrestconviction report and certification may vary depending on the organization or jurisdiction. Generally, it involves providing personal information, such as name, date of birth, and contact information, and disclosing any relevant arrests or convictions.
The purpose of an arrestconviction report and certification is to provide information about an individual's criminal history in order to assess their suitability for certain positions or privileges. It helps organizations or jurisdictions make informed decisions regarding employment, licensing, or other relevant matters.
The specific information required to be reported on an arrestconviction report and certification may vary. Generally, it includes details about any arrests or convictions, such as dates, locations, charges or offenses, and dispositions.
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