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Registrant s Signature NLET CJIS PER SUBJECT OTHER Employee s Signature/P NCIC City of Henderson NV Information collected per NRS 179A. Any person violating the provisions of 179C may be guilty of a misdemeanor. I verify the information on this form is true and accurate. HENDERSON POLICE DEPARTMENT CONVICTED PERSONS QUESTIONNAIRE HPD 0069 PAGE 1 OF 2 Date FBI Last Name Alien Reg SCOPE ID First Name Middle Name Aliases/Nicknames and/or Maiden Name SSN Race Sex Height Hair Eyes DOB Current...
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First, obtain a copy of the convicted persons questionnaire form.
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Read the instructions on the form carefully before filling it out.
03
Provide accurate personal information such as your name, date of birth, and contact details.
04
Answer all the questions on the form truthfully and to the best of your knowledge.
05
If any questions are not applicable to you, mark them as N/A.
06
Include any relevant details about your conviction, such as the date and location of the offense, the charges brought against you, and the outcome of the case.
07
Attach any supporting documentation that may be required, such as court records or probation reports.
08
Review the completed form for any errors or missing information before submission.
09
Submit the filled-out questionnaire to the appropriate authority or organization as instructed.

Who needs convicted persons questionnaire?

01
Convicted persons who are required by law or a governing authority to fill out this questionnaire.
02
Organizations or agencies that use the questionnaire to gather information about convicted individuals for legal or administrative purposes.
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Attorneys or legal representatives who assist convicted persons in completing the questionnaire as part of their legal procedures.
04
Probation officers or parole supervisors who need the information to monitor and assist individuals under their supervision.
05
Employers or educational institutions that may require this information as part of their background check or evaluation process.
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The convicted persons questionnaire is a form that collects information regarding any previous criminal convictions of individuals.
Convicted individuals who are seeking employment or participating in certain activities may be required to file a convicted persons questionnaire.
The convicted persons questionnaire can typically be filled out online or submitted in paper form with information such as personal details and past criminal history.
The purpose of the convicted persons questionnaire is to provide organizations and employers with important information about an individual's criminal background.
The convicted persons questionnaire may require details about past criminal convictions, including dates, charges, and outcomes.
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