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Get Va Criminal History Supplemental Form 2017-2024

FORM IMPORTANT INFORMATION Misrepresentation, falsification, or omission of pertinent information may be cause for denial and may result in criminal charges. REQUIRED CRIMINAL HISTORY DOCUMENTATION: Please attach and submit the following for each conviction to the Virginia Department of Criminal Justice Services (DCJS): Statement containing conviction, date of offense, location and circumstances of conviction, a certified copy of all applicable criminal conviction(s), police and cour.

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