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Candidate Disclosure Form (310.2b, 315.6 & 324.12) Notarized Criminal Background Statement Full Legal Name (First Middle Last, Suffix) Full Residence Street Address (No PO Box), City, State Zip Code

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How to fill out notarized criminal background statement

01

Obtain a copy of the notarized criminal background statement form.

02

Fill out all required personal information such as name, date of birth, address, etc.

03

Provide details about any criminal convictions or charges.

04

Sign the form in the presence of a notary public.

05

Have the notary public verify your identity and witness your signature.

06

The notary public will then stamp and sign the form to certify it.

Who needs notarized criminal background statement?

01

Individuals applying for certain jobs or licenses that require a background check.

02

People seeking to volunteer or work with vulnerable populations such as children or the elderly.

03

Applicants for adoption or foster care.

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What is notarized criminal background statement?

A notarized criminal background statement is a document that certifies an individual's criminal history.

Who is required to file notarized criminal background statement?

Individuals who are applying for certain jobs or licenses that require a background check may be required to file a notarized criminal background statement.

How to fill out notarized criminal background statement?

To fill out a notarized criminal background statement, individuals must provide accurate information about their criminal history and have it notarized by a certified notary public.

What is the purpose of notarized criminal background statement?

The purpose of a notarized criminal background statement is to inform employers or licensing agencies about an individual's criminal record.

What information must be reported on notarized criminal background statement?

Information such as arrests, charges, and convictions must be reported on a notarized criminal background statement.

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