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Arizona form des 2026

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The document is a Criminal History Self Disclosure Affidavit from the Arizona Department of Economic Security, requiring individuals to disclose any criminal convictions or pending indictments as part of a background check for employment or licensing related to unsupervised access to vulnerable persons. It outlines the consequences of failing to provide accurate information, details on non-appealable and appealable offenses, and rights regarding background check reports.

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Click ‘Get Form’ to open the Arizona Form DES in the editor.
Begin by entering your full name, including first, middle, and last names in the designated field.
Next, input your date of birth in the format MM/DD/YY. Ensure accuracy as this is crucial for identification.
Fill in your complete address, including street number, apartment number (if applicable), city, state, and ZIP code.
Indicate whether you have been convicted of any crimes by checking the appropriate box and providing details if necessary.
Complete the section regarding sex offender registration status by selecting the relevant option.
Sign and date the affidavit at the bottom of the form to certify that your disclosures are true and accurate.
If required, have a notary public witness your signature and complete their section on the form.

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