Get the free Statement of Criminal Record Form-revised 12-18-15 - dhhr wv

Statement of Criminal Record Facts ID# Facility×Provider Address Electronic Fingerprints *Date of Appointment Hard Card Fingerprints Licensing Specialist Name (print full name): Maiden name and Aliases:

How to fill out statement of criminal record

How to fill out a statement of criminal record:

1. Start by gathering all necessary information and documentation. This may include your personal identification details, relevant court documents, and any records of past convictions or charges.
2. Read and understand the instructions provided with the statement of criminal record form. Pay attention to any specific requirements and ensure you have all the necessary information and supporting documents ready.
3. Begin by filling out your personal information, such as your full name, date of birth, and contact details. Provide accurate and up-to-date information to avoid any discrepancies or delays in processing.
4. Depending on the purpose of the statement, you may need to provide details about the specific criminal offenses. List any convictions or charges you have incurred, including the relevant dates, locations, and a brief description of the offenses.
5. If you have any supporting documents, such as court orders or legal paperwork relating to your convictions, make sure to attach them to the statement of criminal record form as required. Keep copies of these documents for your records.
6. Review and double-check all the information you have provided before submitting the statement of criminal record. Ensure that everything is accurate, complete, and properly filled out to avoid any complications or misunderstandings.

Who needs a statement of criminal record:

1. Individuals applying for certain job positions may be required to provide a statement of their criminal record as part of the employment screening process. This is especially common for roles that involve working with vulnerable populations, handling sensitive information, or positions of trust.
2. People applying for visas or immigration purposes may also need to provide a statement of criminal record as part of the application process. Immigration authorities often review the criminal history of applicants to determine eligibility for entry or residency.
3. Some professional licensing boards or organizations may request a statement of criminal record as part of the application process. This is particularly applicable to professions where public safety and security are major concerns, such as healthcare, law enforcement, or legal practice.

In summary, when filling out a statement of criminal record, it is crucial to provide accurate and complete information. This form may be required for job applications, visa applications, or professional licensure purposes. Take the time to read and understand the instructions provided and gather all relevant documents before starting. Double-check all information before submission to ensure its accuracy.

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What is statement of criminal record?

A statement of criminal record is a document that discloses an individual's criminal history.

Who is required to file statement of criminal record?

Individuals who are applying for certain jobs or licenses may be required to file a statement of criminal record.

How to fill out statement of criminal record?

To fill out a statement of criminal record, individuals must provide accurate information about their criminal history, including any past convictions or arrests.

What is the purpose of statement of criminal record?

The purpose of a statement of criminal record is to allow employers or licensing agencies to assess an individual's criminal history before making a hiring or licensing decision.

What information must be reported on statement of criminal record?

Information that must be reported on a statement of criminal record may include past convictions, arrests, and any other interactions with the criminal justice system.