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Criminal History Verification Form

The Criminal History Verification Form is used to check an individual's criminal history. This form is used by employers, landlords, and others to verify an individual's criminal background.

3 minutes to complete

Eligibility

The Criminal History Verification Form is available to anyone who needs to verify an individual's criminal background.

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Questions for Criminal History Verification Form

Questions

1.

What is your full name?

The answer should be a text input.
2.

What is your date of birth?

The answer should be a date input.
3.

What is your Social Security Number?

The answer should be a text input.
4.

What is your current address?

The answer should be a text input.
5.

What is your current phone number?

The answer should be a phone number.
6.

What is your current email address?

The answer should be an email input.
7.

What is your current employment status?

The answer should be a text input.
8.

Have you ever been convicted of a crime?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
9.

If yes, please list the date of conviction, the crime convicted of, and the sentence imposed.

The answer should be a text input.
10.

Have you ever been arrested for a crime?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
11.

If yes, please list the date of arrest, the crime charged with, and the disposition of the case.

The answer should be a text input.
12.

Are you currently on probation or parole?

The answer should be a text input.
13.

If yes, please list the terms of probation or parole.

The answer should be a text input.
14.

Have you ever been denied a job, housing, or credit because of your criminal history?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
15.

Is there anything else you would like to disclose about your criminal history?

The answer should be a text input.

Forms Similar to Criminal History Verification Form

  • Criminal History Check Form
  • Criminal Background Check Form
  • Criminal Record Check Form

Here are some FAQs and additional information
on
Criminal History Verification Form

What is a criminal history verification form?

A criminal history verification form is a form that is used to collect information about an individual's criminal history. This information can be used to determine whether or not an individual is eligible for a job, housing, or other benefits.

How do I fill out a criminal history verification form?

To fill out a criminal history verification form, you will need to provide information about your criminal history, including any convictions or arrests. You may also need to provide fingerprints or other forms of identification.

What are the consequences of falsifying information on a criminal history verification form?

If you falsify information on a criminal history verification form, you may be denied the job, housing, or other benefits that you are applying for. You may also be subject to criminal charges.

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