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Polygraph Referral Form Exam No. Today's Date: Identifying Information Name: D.O.B.: SSN: Driver License: Therapist or Treatment Coordinator and Agency: Probation or Parole Officer and County or District:
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How to fill out polygraph referral form

How to fill out a polygraph referral form?
01
Start by obtaining the polygraph referral form from the appropriate source. This could be the agency or institution that requires the polygraph examination.
02
Read the instructions provided on the form carefully to understand the required information and any specific guidelines for filling it out.
03
Begin by filling out your personal details, such as your full name, date of birth, contact information, and any other identification details requested.
04
Provide the purpose of the polygraph examination. This could include reasons such as pre-employment screening, criminal investigation, or any other relevant purpose.
05
If applicable, indicate the name or contact information of the agency or organization that requires the polygraph examination.
06
Answer any questions or provide any additional information requested on the form. This may include providing details about your previous polygraph experience, relevant medical conditions, or any other pertinent information.
07
If necessary, sign and date the form to certify that the information provided is accurate and complete.
Who needs a polygraph referral form?
01
Individuals undergoing pre-employment screening for specific job positions, especially those in law enforcement, intelligence agencies, or positions involving high-security clearance.
02
Individuals involved in criminal investigations, either as suspects or witnesses, who are required to undergo a polygraph examination to aid in the investigation process.
03
Organizations or agencies that require their employees or members to undergo periodic polygraph examinations for security clearance purposes or to ensure compliance with regulations.
04
Individuals applying for certain licenses or permits, such as firearm licenses, where a polygraph examination may be required to ensure trustworthiness and suitability.
05
People involved in civil litigation cases where a polygraph examination may be offered as evidence or requested as part of the legal process to establish credibility.
In summary, filling out a polygraph referral form involves following the instructions provided, providing accurate personal information, indicating the purpose of the examination, and answering any additional questions. Various individuals may require a polygraph referral form, including those undergoing pre-employment screening, participants in criminal investigations, individuals applying for specific licenses, organizations with security clearance requirements, and those involved in civil litigation.
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What is polygraph referral form?
A polygraph referral form is a document used to refer individuals for polygraph testing.
Who is required to file polygraph referral form?
Law enforcement agencies and employers may be required to file a polygraph referral form.
How to fill out polygraph referral form?
The form typically requires information about the individual being referred, the reason for the polygraph test, and other relevant details.
What is the purpose of polygraph referral form?
The purpose of the form is to document the referral for polygraph testing and provide necessary information for the testing process.
What information must be reported on polygraph referral form?
Information such as the individual's name, contact information, reason for referral, and any relevant background information may need to be reported on the form.
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