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Criminal record declaration form template

Sample criminal conviction form 2026

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The document is a Criminal Record Declaration Form for applicants at Emmaus Greenwich, requiring disclosure of all criminal convictions, cautions, reprimands, and warnings due to the position being exempt from the Rehabilitation of Offenders Act 1974. It instructs applicants to complete and return the form in a sealed envelope with their application and outlines the process for discussing any disclosed criminal records during the interview.

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Click ‘Get Form’ to open the sample criminal conviction form in the editor.
Begin by entering the job title, location, and your full name (surname and first name) in the designated fields.
Indicate whether you have ever been convicted or cautioned by selecting 'Yes' or 'No'. If you select 'Yes', provide detailed information about the offences, penalties, and dates in the space provided below.
Review your entries for accuracy. Ensure that all required fields are completed before proceeding.
In the declaration section, confirm that all information is accurate by signing and dating the form.
Once completed, save your document and return it in a sealed envelope along with your application as instructed.

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2013	4.6 Satisfied (56 Votes)

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